National Institute for Literacy
 

[HealthLiteracy 1576] Re: Med. School Literacy "standard patients"

Andrew Pleasant pleasant at aesop.rutgers.edu
Fri Dec 7 14:12:57 EST 2007


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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--
-----------------------------------------------
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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