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Record W4408732353 · doi:10.5116/ijme.67ab.596e

Engaging and supporting standardized patients involved in equity-seeking healthcare training: a qualitative study

2025· article· en· W4408732353 on OpenAlexaff
Nicole Last, Urmi Sheth, Amy Keuhl, Aaron Geekie‐Sousa, Derya Uzelli Yılmaz, Sandra Monteiro, Matthew Sibbald

Bibliographic record

VenueInternational Journal of Medical Education · 2025
Typearticle
Languageen
FieldSocial Sciences
TopicCultural Competency in Health Care
Canadian institutionsMcMaster University
Fundersnot available
KeywordsHealth careEquity (law)PsychologyMedical educationHealth equityQualitative researchTraining (meteorology)MedicineApplied psychologyNursingPublic healthPolitical scienceSociology

Abstract

fetched live from OpenAlex

Objectives: This study aims to explore the perspectives of standardized patients previously involved in equity-seeking healthcare training simulation activities to better understand how stakeholders can engage and support standardized patients in the delivery of educational opportunities for healthcare professionals related to equity, diversity, and inclusivity. Methods: A qualitative research study was conducted utilizing semi-structured interviews with persons (N=15) who self-identified as being involved in the development and/or the delivery of simulations related to equity, diversity, and/or inclusion. Participants were recruited via email using internal and public lists for standardized patient programs and through snowball sampling. Interviews were recorded and transcribed verbatim and transcripts were analyzed qualitatively in an iterative coding process, anchored by direct content analysis methodology, and informed by three theoretical perspectives: the standardized patient journey, psychological safety, and empowerment theory. Results: We constructed three main themes: (1) safety should be prioritized throughout the journey; (2) empowerment is key to engagement; and (3) standardized patient trainers are central connectors for safety and empowerment. Conclusions: Through the perspectives of standardized patients, this study has provided insight on strategies to engage and support those participating in equity-seeking simulations. Focused attention on safety and empowerment is warranted, with trainers having a critical role in empowering standardized patients to succeed in equity-seeking simulations. Future research should continue to explore best practices surrounding engaging, supporting, and retaining individuals involved in equity-seeking healthcare training, including comprehensive training for trainers on how to ensure, maintain, and restore standardized patients' psychological safety.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.008
metaresearch head score (Gemma)0.016
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: Qualitative
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.227
Threshold uncertainty score0.993

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0080.016
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.102
GPT teacher head0.557
Teacher spread0.455 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designQualitative
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations2
Published2025
Admission routes1
Has abstractyes

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