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[HealthLiteracy 1576] Re: Med. School Literacy "standard patients"
Andrew Pleasant
pleasant at aesop.rutgers.eduFri Dec 7 14:12:57 EST 2007
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Hi
Would be very helpful if you could hunt down one report or the other
on this. (for me at least)
I wouldn't recommend not letting participants know these sort of
activities are learning exercises. Deception never works in the end.
Given that 88% of the country (almost 9 out of 10) is below the
proficient level (NAAL), there is no justification to 'dumb down' the
process - it is demeaning and the barriers and challenges are
significant enough without that. Health literacy is everyone's
problem, not just someone else's.
thanks,
Andrew
>Dear List Surv,
>
>Here is a brief summary of a health/literacy program that was
>conducted during the 1990s at the Univ. of Colorado Med School.
>
>The purpose was to create awareness of the literacy problems,
>and teach mediating actions to reduce the problems. The program was
>funded by NCI and ran for 2 years. Laurie Schneider of AMC was
>involved in facilitating the program. (Ceci and I had very minor
>roles as consultants.)
>
>To teach awareness of the problems, the program employed actors and
>actresses of several ethnic groups to act as "standarized patients".
>They were given training to act as patients who had limited literacy
>skills. (The students were not told in advance that this was role
>playing.) The actors interacted with the med students in typical
>examining room situations. After these interactions, students were
>advised of ways they could have improved their communications with
>the pts.
>
>Some findings:
>
>- The awareness goal was reached, and the students enjoyed the encounters.
>
>- The actors/actresses did not like their roles. They felt
>demeanded to play "dumb" characters.
>
>- Soon the word got around to the students that these were not real
>patients, and being bright young people, and they began to "game"
>the system.
>
>- I believe that the program died; primarily for lack of funds.
>(And perhaps for lack of a strong advocate.)
>
>- A preliminary report was issued at the end of 2 years, but I
>don't believe there was a final report.
>
>We hope this can add a bit on curriculum. Is it of any help?
>
>Ceci and Len Doak
>
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>----------------------------------------------------
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>Email delivered to pleasant at aesop.rutgers.edu
--
-----------------------------------------------
Andrew Pleasant
Assistant Professor
Department of Human Ecology
Extension Department of Family and Community Health Sciences
Rutgers, the State University of New Jersey
Cook Office Building, 55 Dudley Road #207
New Brunswick, NJ 08901
phone: 732-932-9153 x. 320; fax: 732-932-6667
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