Using standardized patients as a means of training and evaluating behavioral health consultants in primary care
| Autor: | Travis A. Cos, Neftali Serrano, Natalie Levkovich, Suzanne Daub |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
050103 clinical psychology
media_common.quotation_subject Fidelity PsycINFO Simulated patient Primary Care Behavioral health Behavioral Medicine 03 medical and health sciences 0302 clinical medicine Nursing Rating scale Humans Medicine 0501 psychology and cognitive sciences Staff Development 030212 general & internal medicine Applied Psychology media_common Philadelphia Medical education Primary Health Care Delivery of Health Care Integrated business.industry Teaching 05 social sciences Workforce development Patient Simulation Psychiatry and Mental health Workforce Needs assessment Clinical Competence business Needs Assessment Program Evaluation |
| Zdroj: | Families, Systems, & Health. 35:174-183 |
| ISSN: | 1939-0602 1091-7527 |
| DOI: | 10.1037/fsh0000272 |
| Popis: | Introduction The Health Federation of Philadelphia, which hosts a network of Behavioral Health Consultants (BHC) operating within the Primary Care Behavioral Health model (PCBH), identified a need to systematically evaluate PCBH model fidelity and to rigorously evaluate the competency assessment process to further their workforce development. A simulated patient exercise was developed for evaluating BHC PCBH specific competencies. Method A simulated BHC encounter was held at a clinical learning center using standardized patients, repeated twice over 2 years. A competency based rating scale was developed by the network for the simulation (BHC-ORS), patient feedback was captured using the Working Alliance Inventory (WAI), and BHC feedback was collected using a questionnaire. Dedicated consultants were hired to develop the internal process, as well as conduct the evaluation in a way that might make a contribution to research. Results Targeted PCBH competencies generally improved after being identified as training needs in Year 1 of the simulation. Patient feedback showed average ratings for the majority of the BHCs. BHCs identified the experience as valid and useful. Important changes in methodology between Years 1 and 2 of the pilot limited a more complete analysis. Discussion The use of simulated patients to evaluate BHC adherence to the PCBH model was helpful for training and adds to the workforce development literature. The authors suggest that doing practice based research will always entail unanticipated needs that interfere with quantitative research but that there are ways in which researchers can attempt to anticipate these changes. Review of possible applications to community PCBH practice is included. (PsycINFO Database Record |
| Databáze: | OpenAIRE |
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