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Influence of standardized patient body habitus on undergraduate student performance in an Objective Structured Clinical Examination

机译：标准化患者身体习惯对客观结构化临床考试对本科生表现的影响

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Purpose: Previous studies have shown that the standardized patient's (SP) gender may affect student performance in an Objective Structured Clinical Examination (OSCE). The aim of this study is to investigate the influence of the SPs' body habitus on students' performance in an OSCE counseling station. Methods: Four equally trained female SPs, with either a normal or an obese BMI participated in an OSCE counseling station for cardiovascular risk factors. Ninety-two, second year medical students were randomly assigned to one of the SPs. Station scores were compared and student behavior and opinion regarding the influence of their SP's body habitus on their performance was assessed. Results: There was no difference in mean exam scores for students interacting with SPs with a normal BMI versus increased BMI (14.9 ± 2.2 versus 14.01 ± 2.2/20 respectively, p = 0.06). Additionally, almost all students gave advice about healthy diets (93.5% versus 95.7%) with no specificity regarding the BMI of the SP. Conclusions: The body habitus of the SP did not significantly affect students' performance in an undergraduate OSCE about cardiovascular risk factors, suggesting that students at that level may primarily focus on gaining points the diagnostic checklist without considering SPs as real patients.
机译：目的：以前的研究表明，在客观结构化临床考试（OSCE）中，标准化患者（SP）的性别可能会影响学生的表现。这项研究的目的是在OSCE咨询站调查SP的身体习性对学生表现的影响。方法：四个BPS正常或肥胖的受过相同训练的女性SP参加了OSCE心血管危险因素咨询站。将92名二年级医学生随机分配到其中一个SP。比较了学校的分数，并评估了学生的行为和有关SP的身体习性对其表现的影响的意见。结果：与正常BMI的SP互动的学生的平均考试分数与BMI升高没有分别（分别为14.9±2.2和14.01±2.2 / 20，p = 0.06）。此外，几乎所有学生都给出了关于健康饮食的建议（93.5％比95.7％），但对SP的BMI没有特异性。结论：SP的身体习性并没有显着影响学生在OSCE上有关心血管危险因素的表现，这表明该级别的学生可能主要侧重于获得诊断清单，而没有将SP视为真正的患者。

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