University of Sydney medical student Natasha Thomson examines actor Robert Luxford at Westmead Hospital. Picture: Sam Mooy Source: The Australian
STUDENT doctors are diagnosing actors playing sick patients at the University of Sydney, while their counterpart nurses at Charles Darwin University are using a virtual hospital to learn to treat patients, all in the name of making the experience more real.
Wendy Hu, medical education officer at Sydney, said real patients were still used in exams for medical students in the later years of training and specialist exams.
"However, many patients are now quite ill when they are in hospital and cannot tolerate being examined by many students," Dr Hu said.
"As well, individual patients can be quite different, and normally there are quite a few patients required for each exam, so it wasn't fair on some students to be examined on patients who might have more complicated conditions compared (with) other students.
"So the idea of the standardised patient began."
Dr Hu said professional actors were already trained to give reliable and reproducible performances, as well as read scripts, and adopt roles.
The actors also helped to train students and doctors - including those at Westmead Hospital in Sydney - how to break bad news; that the patient has cancer, for example, or that a relative has died.
CDU's head of chronic and complex health care, Isabelle Ellis, told the HES that, like doctors, trainee student nurses also were assessed on a clinical teaching block in a simulated environment.
While nurses did not diagnose like doctors, unless training to be masters level nurse practitioners, they had to show they could carry out procedures and make clinical decisions.
"We have found that students come out of university with lots of facts and knowledge in their heads, but they find that really hard to pull together for a patient," Dr Ellis said.
Dr Ellis said the virtual setting - vHospital - allowed nurses to care for patients from triage through to treatment and discharge. "Student nurses practise making these decisions on virtual patients whose cases reflect real people, and where the decisions the student makes can have either good or poor outcomes for the patient including recovery or death," she said.
The vHospital initiative was an example of innovative university practice aimed at reducing the hospital-based learning that trainee students undertook, and where there had been a long-established risk that unsupervised students found themselves making important treatment decisions about patients, she said.

