Academic Psychiatry

, Volume 31, Issue 5, pp 358–362 | Cite as

How Do Examiners and Examinees Think About Role-Playing of Standardized Patients in an OSCE Setting?

  • Majid Sadeghi
  • Arsia Taghva
  • Gholamreza Mirsepassi
  • Mehdi Hassanzadeh
Original Article



The use of standardized patients in Objective Structured Clinical Examinations in the assessment of psychiatric residents has increased in recent years. The aim of this study is to investigate the experience of psychiatry residents and examiners with standardized patients in Iran.


Final-year residents in psychiatry participated in this study. Experienced examiners were asked to complete a questionnaire concerning the ability of standardized patients to realistically portray psychiatric patients.


Standardized patients can convincingly portray psychiatric disorders and act according to the requested complex scenarios.


According to these findings, the authors recommend the use of standardized patients in OSCEs for psychiatric board certification exams.


Academic Psychiatry Standardize Patient Objective Structure Clinical Examination Real Patient Oral Examination 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Yudkowsky R: Should we uses standardized patients instead of real patients for high stake exams in psychiatry? Acad Psychiatry 2002; 26: 187–191PubMedCrossRefGoogle Scholar
  2. 2.
    Harden RM, Gleeson FA: Assessment of clinical competence using an observed structured clinical examination. Med Educ 1979; 13: 41–47PubMedGoogle Scholar
  3. 3.
    Stillman PL, Swanson DB, Stillman AE, Ebert TH, Emmel VS: Assessing clinical skills of residents with standardized patients. Ann Intern Med 1986; 105: 762–771PubMedCrossRefGoogle Scholar
  4. 4.
    Vander Vleuten CPM, Swanson D: Assessment of clinical skills with standardized patients: state of the art. Teach Learn Med 1990; 2: 58–76CrossRefGoogle Scholar
  5. 5.
    Hodges B, Regehr G, and Hanson M: Validation of an objective structured clinical examination in psychiatry. Acad Med 1998; 73: 910–912PubMedCrossRefGoogle Scholar
  6. 6.
    Adamo G: Simulated and standardized patients in OSCE: achievements and challenges 1992–2003. Med Teacher 2003; 25: 262–270CrossRefGoogle Scholar
  7. 7.
    Barrows HS, Abrahamson S: The programmed patient a technique for appraising student performance. Clin Neurol J Med Educ 1964; 39: 802–805Google Scholar
  8. 8.
    Kane MT: The assessment of professional competence. Eval Health Profession 1992; 15: 163–182CrossRefGoogle Scholar
  9. 9.
    Colliver JA, Williams RG: Technical issues: test application. Acad Med 1993; 68: 443–451CrossRefGoogle Scholar
  10. 10.
    Norman GR, Neufeld VR, Walsh A, et al: Measuring physician performance by using simulated patients. J Med Educ 1985; 60: 925–934PubMedGoogle Scholar
  11. 11.
    Hodges B, Hanson M, McNaughton N, et al: What do psychiatric residents think of an objective structured clinical examination? Acad Psychiatry 1999; 23: 198–204Google Scholar
  12. 12.
    Retan J, Van Bovens C: Simulated patients in general practice: a different look at the consultation. BMJ 1987; 294: 809–812CrossRefGoogle Scholar

Copyright information

© Academic Psychiatry 2007

Authors and Affiliations

  • Majid Sadeghi
    • 1
  • Arsia Taghva
    • 2
  • Gholamreza Mirsepassi
    • 3
  • Mehdi Hassanzadeh
    • 4
  1. 1.Department of Psychiatry, School of MedicineMedical Sciences/University of Tehran, Roozbeh HospitalSouth TehranIran
  2. 2.506 Military HospitalMedical University of the MilitaryTehranIran
  3. 3.Iranian Psychiatric AssociationTehranIran
  4. 4.Mental Health Research CenterPsychiatric Institute of IranTehranIran

Personalised recommendations