two years ago I was sitting in a hospital room waiting for doctors and
hospital room waiting for doctors and
hospital room waiting for doctors and nurses to come in my attention was foken
nurses to come in my attention was foken
nurses to come in my attention was foken s focused on a bassinet beside me my
s focused on a bassinet beside me my
s focused on a bassinet beside me my mother was bent over that bassinets
mother was bent over that bassinets
mother was bent over that bassinets because inside of it was my
because inside of it was my
because inside of it was my three-month-old daughter Hannah 24 hours
three-month-old daughter Hannah 24 hours
three-month-old daughter Hannah 24 hours earlier Hannah had been brought to the
earlier Hannah had been brought to the
earlier Hannah had been brought to the ER by her nanny because she had drowned
ER by her nanny because she had drowned
ER by her nanny because she had drowned in the bath when I arrived at the ER a
in the bath when I arrived at the ER a
in the bath when I arrived at the ER a couple hours later after I found out
couple hours later after I found out
couple hours later after I found out they informed me that they actually
they informed me that they actually
they informed me that they actually suspected the nanny of shaking her and
suspected the nanny of shaking her and
suspected the nanny of shaking her and drowning her to try and cover it up but
drowning her to try and cover it up but
drowning her to try and cover it up but none of that mattered in the moment
none of that mattered in the moment
none of that mattered in the moment because the end result was the same
because the end result was the same
because the end result was the same Hannah had no brain function at least
Hannah had no brain function at least
Hannah had no brain function at least that’s what they told me then because of
that’s what they told me then because of
that’s what they told me then because of how young she was they had to wait 24
how young she was they had to wait 24
how young she was they had to wait 24 hours and perform the same brain
hours and perform the same brain
hours and perform the same brain function tests again to ensure that she
function tests again to ensure that she
function tests again to ensure that she was actually dead so we waited my wife
was actually dead so we waited my wife
was actually dead so we waited my wife was in the Navy and was deployed on a
was in the Navy and was deployed on a
was in the Navy and was deployed on a ship at the time so she wasn’t going to
ship at the time so she wasn’t going to
ship at the time so she wasn’t going to make it back in time despite her best
make it back in time despite her best
make it back in time despite her best efforts so my mom was there with me
efforts so my mom was there with me
efforts so my mom was there with me about 20 hours later the doctors and the
about 20 hours later the doctors and the
about 20 hours later the doctors and the nurses came back into the room performed
nurses came back into the room performed
nurses came back into the room performed their tests again and told us the news
their tests again and told us the news
their tests again and told us the news Hannah was gone
Hannah was gone
Hannah was gone anguish is the best word that I can
anguish is the best word that I can
anguish is the best word that I can think of to describe the emotion that I
think of to describe the emotion that I
think of to describe the emotion that I felt right then but I also remember a
felt right then but I also remember a
felt right then but I also remember a lot about the nurses in the room I
lot about the nurses in the room I
lot about the nurses in the room I remember that they didn’t really know
remember that they didn’t really know
remember that they didn’t really know how to handle me or this situation a
how to handle me or this situation a
how to handle me or this situation a couple of them were standing over in the
couple of them were standing over in the
couple of them were standing over in the corner they were quiet seemed frozen in
corner they were quiet seemed frozen in
corner they were quiet seemed frozen in place not sure what to do or say one of
place not sure what to do or say one of
place not sure what to do or say one of them came over and tried to comfort me
them came over and tried to comfort me
them came over and tried to comfort me by putting her hand on my shoulder and I
by putting her hand on my shoulder and I
by putting her hand on my shoulder and I remember yelling at her and pushing her
remember yelling at her and pushing her
remember yelling at her and pushing her away and she kind of responded like I’d
away and she kind of responded like I’d
away and she kind of responded like I’d burned her and then a couple of them I
burned her and then a couple of them I
burned her and then a couple of them I remember giggled and looking back on it
remember giggled and looking back on it
remember giggled and looking back on it I’m sure it was that giggle that
I’m sure it was that giggle that
I’m sure it was that giggle that sometimes happens when we don’t know
sometimes happens when we don’t know
sometimes happens when we don’t know what else to say or do but at the time
what else to say or do but at the time
what else to say or do but at the time that’s not what it felt like it felt
that’s not what it felt like it felt
that’s not what it felt like it felt like they were laughing at me at us in
like they were laughing at me at us in
like they were laughing at me at us in general I didn’t feel particularly well
general I didn’t feel particularly well
general I didn’t feel particularly well cared for in that moment but that was
cared for in that moment but that was
cared for in that moment but that was the point of this simulation
the point of this simulation
the point of this simulation because yes it was a simulation he
because yes it was a simulation he
because yes it was a simulation he gigantic lie if you will I was an actor
gigantic lie if you will I was an actor
gigantic lie if you will I was an actor Hannah was mannequin in a bassinet my
Hannah was mannequin in a bassinet my
Hannah was mannequin in a bassinet my mother was played by another actor who’s
mother was played by another actor who’s
mother was played by another actor who’s not actually related to me even the
not actually related to me even the
not actually related to me even the hospital chaplain that was in the room
hospital chaplain that was in the room
hospital chaplain that was in the room with us was played by yet another actor
with us was played by yet another actor
with us was played by yet another actor but before we talk about this simulation
but before we talk about this simulation
but before we talk about this simulation this lie let’s exercise our imaginations
this lie let’s exercise our imaginations
this lie let’s exercise our imaginations for a minute imagine that you’re a
for a minute imagine that you’re a
for a minute imagine that you’re a nursing student or medical student and
nursing student or medical student and
nursing student or medical student and this is your first encounter with loss
this is your first encounter with loss
this is your first encounter with loss and trauma and it’s the real world with
and trauma and it’s the real world with
and trauma and it’s the real world with real people and real feelings what if
real people and real feelings what if
real people and real feelings what if you didn’t know that that’s how you
you didn’t know that that’s how you
you didn’t know that that’s how you would respond to those situations if you
would respond to those situations if you
would respond to those situations if you didn’t know that you were one of those
didn’t know that you were one of those
didn’t know that you were one of those people that shuts down and doesn’t know
people that shuts down and doesn’t know
people that shuts down and doesn’t know what to say or do what about if you’re
what to say or do what about if you’re
what to say or do what about if you’re one of those people that gets upset when
one of those people that gets upset when
one of those people that gets upset when someone rejects an offer of help that
someone rejects an offer of help that
someone rejects an offer of help that you give them or what about if you’re
you give them or what about if you’re
you give them or what about if you’re one of those people that giggles
one of those people that giggles
one of those people that giggles nervously when you don’t know what else
nervously when you don’t know what else
nervously when you don’t know what else to do
to do
to do if those nurses had been experiencing
if those nurses had been experiencing
if those nurses had been experiencing this in the real world for the first
this in the real world for the first
this in the real world for the first time they would have learned the hard
time they would have learned the hard
time they would have learned the hard way that involuntary reactions and
way that involuntary reactions and
way that involuntary reactions and behaviors can still have very real
behaviors can still have very real
behaviors can still have very real impacts on their patients and their
impacts on their patients and their
impacts on their patients and their patients families but because they were
patients families but because they were
patients families but because they were in a simulated environment because they
in a simulated environment because they
in a simulated environment because they were essentially being lied to they were
were essentially being lied to they were
were essentially being lied to they were safe to learn and to grow so back to the
safe to learn and to grow so back to the
safe to learn and to grow so back to the simulation like I said there were three
simulation like I said there were three
simulation like I said there were three of us in that room that were actors and
of us in that room that were actors and
of us in that room that were actors and acting is and kind of at strictest sense
acting is and kind of at strictest sense
acting is and kind of at strictest sense a lie right after all I’m pretending to
a lie right after all I’m pretending to
a lie right after all I’m pretending to be someone that I’m not when I’m acting
be someone that I’m not when I’m acting
be someone that I’m not when I’m acting but it’s a lie that the audience agrees
but it’s a lie that the audience agrees
but it’s a lie that the audience agrees to and is part of right and that’s why
to and is part of right and that’s why
to and is part of right and that’s why artists and actors specifically in this
artists and actors specifically in this
artists and actors specifically in this instance can tell us important truths
instance can tell us important truths
instance can tell us important truths about ourselves and about the people
about ourselves and about the people
about ourselves and about the people around us that we may not otherwise
around us that we may not otherwise
around us that we may not otherwise realize so that’s why I’m proud of lying
realize so that’s why I’m proud of lying
realize so that’s why I’m proud of lying to your doctor because I’m proud of
to your doctor because I’m proud of
to your doctor because I’m proud of being an artist who works in the
being an artist who works in the
being an artist who works in the healthcare field in the healthcare field
healthcare field in the healthcare field
healthcare field in the healthcare field actors like myself are known as what are
actors like myself are known as what are
actors like myself are known as what are called standardized patients or SPS for
called standardized patients or SPS for
called standardized patients or SPS for short you know SPS were first used by a
short you know SPS were first used by a
short you know SPS were first used by a man named dr. Howard barrows in 1963 so
man named dr. Howard barrows in 1963 so
man named dr. Howard barrows in 1963 so relatively recently when he hired an
relatively recently when he hired an
relatively recently when he hired an actor to portray a patient for medical
actor to portray a patient for medical
actor to portray a patient for medical students who was paraplegic and had
students who was paraplegic and had
students who was paraplegic and had multiple sclerosis now if you know
multiple sclerosis now if you know
multiple sclerosis now if you know anything about paraplegia or MS then you
anything about paraplegia or MS then you
anything about paraplegia or MS then you know that both of these things involve
know that both of these things involve
know that both of these things involve physical manifestations or physical
physical manifestations or physical
physical manifestations or physical symptom ology of these conditions so you
symptom ology of these conditions so you
symptom ology of these conditions so you have to have a lot of control over your
have to have a lot of control over your
have to have a lot of control over your body to mimic those symptoms if you
body to mimic those symptoms if you
body to mimic those symptoms if you don’t actually have them additionally
don’t actually have them additionally
don’t actually have them additionally this actor was responsible for learning
this actor was responsible for learning
this actor was responsible for learning basically the life story of this patient
basically the life story of this patient
basically the life story of this patient so that if the students asked them
so that if the students asked them
so that if the students asked them questions about the care they’d received
questions about the care they’d received
questions about the care they’d received or what their experience was like they
or what their experience was like they
or what their experience was like they could answer those questions
could answer those questions
could answer those questions realistically but dr. Howard barrows
realistically but dr. Howard barrows
realistically but dr. Howard barrows used this actor in another way as well
used this actor in another way as well
used this actor in another way as well in addition to being someone that the
in addition to being someone that the
in addition to being someone that the students could evaluate he was
students could evaluate he was
students could evaluate he was evaluating the students he could give
evaluating the students he could give
evaluating the students he could give these students feedback about what it
these students feedback about what it
these students feedback about what it was like to be their patient about what
was like to be their patient about what
was like to be their patient about what it was like to receive care from them
it was like to receive care from them
it was like to receive care from them before they ever interacted with a
before they ever interacted with a
before they ever interacted with a patient like the person he was
patient like the person he was
patient like the person he was pretending to be in the real world
pretending to be in the real world
pretending to be in the real world since that time standardized patients
since that time standardized patients
since that time standardized patients have become much more widespread across
have become much more widespread across
have become much more widespread across the world they’re very common in medical
the world they’re very common in medical
the world they’re very common in medical school training now to varying degrees
school training now to varying degrees
school training now to varying degrees depending on which medical school you’re
depending on which medical school you’re
depending on which medical school you’re talking about and they’ve expanded
talking about and they’ve expanded
talking about and they’ve expanded nursing program to use standardized
nursing program to use standardized
nursing program to use standardized patients including the one here at Texas
patients including the one here at Texas
patients including the one here at Texas A&M University
A&M University
A&M University even veterinary medicine programs
even veterinary medicine programs
even veterinary medicine programs sometimes use standardized patients like
sometimes use standardized patients like
sometimes use standardized patients like the one here at Texas A&M after all
the one here at Texas A&M after all
the one here at Texas A&M after all that’s happened communicate with the
that’s happened communicate with the
that’s happened communicate with the human companions of their animal
human companions of their animal
human companions of their animal patients right so standardized patients
patients right so standardized patients
patients right so standardized patients have become so important to medical care
have become so important to medical care
have become so important to medical care that in the United States one of the
that in the United States one of the
that in the United States one of the tests that medical students have to take
tests that medical students have to take
tests that medical students have to take on their way to receiving their medical
on their way to receiving their medical
on their way to receiving their medical license
license
license involves what I call the SP gauntlet or
involves what I call the SP gauntlet or
involves what I call the SP gauntlet or twelve standardized patient encounters
twelve standardized patient encounters
twelve standardized patient encounters over the course of eight hours which
over the course of eight hours which
over the course of eight hours which means that they’re evaluating twelve
means that they’re evaluating twelve
means that they’re evaluating twelve patients but they’re also being
patients but they’re also being
patients but they’re also being evaluated by twelve patients on the
evaluated by twelve patients on the
evaluated by twelve patients on the level of care they receive their
level of care they receive their
level of care they receive their communication their rapport building
communication their rapport building
communication their rapport building skills etc so who are these standardized
skills etc so who are these standardized
skills etc so who are these standardized patients who are these people that are
patients who are these people that are
patients who are these people that are so important to medical training well
so important to medical training well
so important to medical training well the short answer is that they could be
the short answer is that they could be
the short answer is that they could be anyone right some of them are like me
anyone right some of them are like me
anyone right some of them are like me and have a lot of formal training and
and have a lot of formal training and
and have a lot of formal training and acting and theater and acting teaching
acting and theater and acting teaching
acting and theater and acting teaching some of them are former or current
some of them are former or current
some of them are former or current educators or former
educators or former
educators or former current healthcare professionals future
current healthcare professionals future
current healthcare professionals future educators future healthcare
educators future healthcare
educators future healthcare professionals and some of them are none
professionals and some of them are none
professionals and some of them are none of the above some of them are people
of the above some of them are people
of the above some of them are people that are passionate about the work that
that are passionate about the work that
that are passionate about the work that we do to help prepare the next
we do to help prepare the next
we do to help prepare the next generation of healthcare professionals
generation of healthcare professionals
generation of healthcare professionals but they don’t necessarily have a
but they don’t necessarily have a
but they don’t necessarily have a history of artistic training like I said
history of artistic training like I said
history of artistic training like I said I have a lot of formal training I
I have a lot of formal training I
I have a lot of formal training I graduated from a and I’m with the Duke
graduated from a and I’m with the Duke
graduated from a and I’m with the Duke in theatre arts and I actually got into
in theatre arts and I actually got into
in theatre arts and I actually got into work being as a standard being a
work being as a standard being a
work being as a standard being a standardized patient by googling the
standardized patient by googling the
standardized patient by googling the phrase day jobs that use acting skills
phrase day jobs that use acting skills
phrase day jobs that use acting skills because I knew as most artists do that I
because I knew as most artists do that I
because I knew as most artists do that I probably wasn’t gonna make a living as
probably wasn’t gonna make a living as
probably wasn’t gonna make a living as an actor at least not right away and so
an actor at least not right away and so
an actor at least not right away and so I needed a day job to pay the bills but
I needed a day job to pay the bills but
I needed a day job to pay the bills but I wanted to find a job that would
I wanted to find a job that would
I wanted to find a job that would complement and build on the skills that
complement and build on the skills that
complement and build on the skills that I was already developing as an artist
I was already developing as an artist
I was already developing as an artist and I stumbled across a blog from this
and I stumbled across a blog from this
and I stumbled across a blog from this Google search that I can’t find anymore
Google search that I can’t find anymore
Google search that I can’t find anymore otherwise I tell you which one it was
otherwise I tell you which one it was
otherwise I tell you which one it was written by a woman who lived in the San
written by a woman who lived in the San
written by a woman who lived in the San Francisco Bay Area talking about this
Francisco Bay Area talking about this
Francisco Bay Area talking about this really cool job she had where she
really cool job she had where she
really cool job she had where she basically pretended to be sick all day
basically pretended to be sick all day
basically pretended to be sick all day and medical students came in and
and medical students came in and
and medical students came in and evaluated her so I looked into it more
evaluated her so I looked into it more
evaluated her so I looked into it more and found out that we had a program here
and found out that we had a program here
and found out that we had a program here at A&M and got involved because of my
at A&M and got involved because of my
at A&M and got involved because of my background and because of my training I
background and because of my training I
background and because of my training I now all trained standardized patients as
now all trained standardized patients as
now all trained standardized patients as well as trained people who trained and
well as trained people who trained and
well as trained people who trained and standardized patients so I’ve moved
standardized patients so I’ve moved
standardized patients so I’ve moved beyond simply just performing as a
beyond simply just performing as a
beyond simply just performing as a standardized patient but anyone can be a
standardized patient but anyone can be a
standardized patient but anyone can be a standardized patient it takes work it
standardized patient it takes work it
standardized patient it takes work it takes dedication and the skill set that
takes dedication and the skill set that
takes dedication and the skill set that it requires is more artistic than
it requires is more artistic than
it requires is more artistic than technical in nature but just because
technical in nature but just because
technical in nature but just because it’s artistic doesn’t necessarily mean
it’s artistic doesn’t necessarily mean
it’s artistic doesn’t necessarily mean it’s easy so to demonstrate this you’re
it’s easy so to demonstrate this you’re
it’s easy so to demonstrate this you’re all going to become standardized
all going to become standardized
all going to become standardized patients for just a moment okay so I
patients for just a moment okay so I
patients for just a moment okay so I want you to imagine that you are going
want you to imagine that you are going
want you to imagine that you are going to portray a patient who has a really
to portray a patient who has a really
to portray a patient who has a really really bad headache and when I say
really bad headache and when I say
really bad headache and when I say really really bad headache I mean a
really really bad headache I mean a
really really bad headache I mean a headache that if you were to rate it on
headache that if you were to rate it on
headache that if you were to rate it on a scale from zero to ten with zero being
a scale from zero to ten with zero being
a scale from zero to ten with zero being no pain and ten being the worst pain of
no pain and ten being the worst pain of
no pain and ten being the worst pain of your life it is a 10 out of 10 headache
your life it is a 10 out of 10 headache
your life it is a 10 out of 10 headache okay
okay
okay maybe you’ve had a headache like this
maybe you’ve had a headache like this
maybe you’ve had a headache like this before maybe you’ve had a migraine maybe
before maybe you’ve had a migraine maybe
before maybe you’ve had a migraine maybe you have experienced a really bad
you have experienced a really bad
you have experienced a really bad tension headache or maybe you’ve woken
tension headache or maybe you’ve woken
tension headache or maybe you’ve woken up one morning after having a little too
up one morning after having a little too
up one morning after having a little too much fun the night before right so I
much fun the night before right so I
much fun the night before right so I want you to imagine
want you to imagine
want you to imagine okay close your eyes if you need to you
okay close your eyes if you need to you
okay close your eyes if you need to you don’t have to but I want you to imagine
don’t have to but I want you to imagine
don’t have to but I want you to imagine that kind of tension that pounding that
that kind of tension that pounding that
that kind of tension that pounding that you feel in the center of your head when
you feel in the center of your head when
you feel in the center of your head when you have a really bad headache maybe as
you have a really bad headache maybe as
you have a really bad headache maybe as you start to imagine this you’ll notice
you start to imagine this you’ll notice
you start to imagine this you’ll notice your face kind of starting to tense up a
your face kind of starting to tense up a
your face kind of starting to tense up a little bit right because it just that’s
little bit right because it just that’s
little bit right because it just that’s what happens when you feel pain as your
what happens when you feel pain as your
what happens when you feel pain as your body kind of tenses up so as you imagine
body kind of tenses up so as you imagine
body kind of tenses up so as you imagine that pain that tension moving down into
that pain that tension moving down into
that pain that tension moving down into the back of your neck right maybe you
the back of your neck right maybe you
the back of your neck right maybe you start to imagine those muscles tensing
start to imagine those muscles tensing
start to imagine those muscles tensing maybe you even start to actually feel
maybe you even start to actually feel
maybe you even start to actually feel them tensing okay and then I want you to
them tensing okay and then I want you to
them tensing okay and then I want you to think about the fact that light is going
think about the fact that light is going
think about the fact that light is going to hurt your eyes right it’s going to
to hurt your eyes right it’s going to
to hurt your eyes right it’s going to make the headache worse you don’t want
make the headache worse you don’t want
make the headache worse you don’t want to move too quickly or too much in any
to move too quickly or too much in any
to move too quickly or too much in any part of your body because that jostles
part of your body because that jostles
part of your body because that jostles your head and hurts you right so you’re
your head and hurts you right so you’re
your head and hurts you right so you’re going to keep everything tense right and
going to keep everything tense right and
going to keep everything tense right and maybe you notice your breathing start to
maybe you notice your breathing start to
maybe you notice your breathing start to change because when we’re in pain we try
change because when we’re in pain we try
change because when we’re in pain we try to hold everything still and keep
to hold everything still and keep
to hold everything still and keep everything from hurting right and maybe
everything from hurting right and maybe
everything from hurting right and maybe as I’m talking and as these loud sounds
as I’m talking and as these loud sounds
as I’m talking and as these loud sounds are coming in that’s hurting your head
are coming in that’s hurting your head
are coming in that’s hurting your head even more so you got to talk a little
even more so you got to talk a little
even more so you got to talk a little bit more quietly right oh okay now I
bit more quietly right oh okay now I
bit more quietly right oh okay now I want you to imagine holding that level
want you to imagine holding that level
want you to imagine holding that level of pain for 20 minutes at a time up to
of pain for 20 minutes at a time up to
of pain for 20 minutes at a time up to 10 times per day because that’s how many
10 times per day because that’s how many
10 times per day because that’s how many students we can see in a given day it’s
students we can see in a given day it’s
students we can see in a given day it’s not easy right it takes skill it takes
not easy right it takes skill it takes
not easy right it takes skill it takes practice it takes training to be able to
practice it takes training to be able to
practice it takes training to be able to use our bodies in this way right but not
use our bodies in this way right but not
use our bodies in this way right but not only that you have to maintain that
only that you have to maintain that
only that you have to maintain that level of pain for that long and you have
level of pain for that long and you have
level of pain for that long and you have to be able to listen to this entire talk
to be able to listen to this entire talk
to be able to listen to this entire talk and give me feedback on it afterwards so
and give me feedback on it afterwards so
and give me feedback on it afterwards so you have to be paying attention to it
you have to be paying attention to it
you have to be paying attention to it well enough that you can give me
well enough that you can give me
well enough that you can give me feedback about how I can improve after
feedback about how I can improve after
feedback about how I can improve after I’m done talking so like I said not an
I’m done talking so like I said not an
I’m done talking so like I said not an easy skill but that realism is really
easy skill but that realism is really
easy skill but that realism is really really important and that’s where the
really important and that’s where the
really important and that’s where the term is standardized in standardized
term is standardized in standardized
term is standardized in standardized patient comes into play here at Texas
patient comes into play here at Texas
patient comes into play here at Texas A&M University we have five campuses of
A&M University we have five campuses of
A&M University we have five campuses of our Health Science Center we have
our Health Science Center we have
our Health Science Center we have medical students on all five of those
medical students on all five of those
medical students on all five of those campuses and nursing students on two on
campuses and nursing students on two on
campuses and nursing students on two on all of the campuses the students should
all of the campuses the students should
all of the campuses the students should be receiving and are receiving the same
be receiving and are receiving the same
be receiving and are receiving the same education right they should be going
education right they should be going
education right they should be going through the same curriculum learning the
through the same curriculum learning the
through the same curriculum learning the same material taking the same tests we
same material taking the same tests we
same material taking the same tests we don’t want one campus to
don’t want one campus to
don’t want one campus to have more educational opportunity it’s
have more educational opportunity it’s
have more educational opportunity it’s been another campus so we have to
been another campus so we have to
been another campus so we have to standardize it which means that let’s
standardize it which means that let’s
standardize it which means that let’s say we’ll use this headache example we
say we’ll use this headache example we
say we’ll use this headache example we have campus a where we have standardized
have campus a where we have standardized
have campus a where we have standardized patient a and student a and campus B
patient a and student a and campus B
patient a and student a and campus B where we have standardized patient B and
where we have standardized patient B and
where we have standardized patient B and student B and on campus a student a
student B and on campus a student a
student B and on campus a student a walks into C standardized patient egg
walks into C standardized patient egg
walks into C standardized patient egg like this and as soon as they walk in
like this and as soon as they walk in
like this and as soon as they walk in without even talking is the student can
without even talking is the student can
without even talking is the student can see that this patient is in a lot of
see that this patient is in a lot of
see that this patient is in a lot of pain right think about how you would
pain right think about how you would
pain right think about how you would want this position this young medical
want this position this young medical
want this position this young medical student to interact with a patient like
student to interact with a patient like
student to interact with a patient like that especially if you were that patient
that especially if you were that patient
that especially if you were that patient you want a sense of urgency you’d want
you want a sense of urgency you’d want
you want a sense of urgency you’d want them to engage with you you want them to
them to engage with you you want them to
them to engage with you you want them to keep their voice down you want them to
keep their voice down you want them to
keep their voice down you want them to acknowledge your pain as quickly as
acknowledge your pain as quickly as
acknowledge your pain as quickly as possible right all of these skills that
possible right all of these skills that
possible right all of these skills that we may be evaluating as a standardized
we may be evaluating as a standardized
we may be evaluating as a standardized patient that we may be wanting to
patient that we may be wanting to
patient that we may be wanting to examine whether these students have
examine whether these students have
examine whether these students have developed these skills now imagine that
developed these skills now imagine that
developed these skills now imagine that on another campus we have a student
on another campus we have a student
on another campus we have a student that’s seeing the exact same case with
that’s seeing the exact same case with
that’s seeing the exact same case with all of the same information a 10 out of
all of the same information a 10 out of
all of the same information a 10 out of 10 headache right all of the same things
10 headache right all of the same things
10 headache right all of the same things except that when they walk in the room
except that when they walk in the room
except that when they walk in the room they walk in and they see a patient that
they walk in and they see a patient that
they walk in and they see a patient that looks like this
right extremely different experience
right extremely different experience especially because if you saw a patient
especially because if you saw a patient
especially because if you saw a patient like that who said that they were in ten
like that who said that they were in ten
like that who said that they were in ten out of ten pain you might think that
out of ten pain you might think that
out of ten pain you might think that they were lying in order to get pain
they were lying in order to get pain
they were lying in order to get pain medications right and so the skills that
medications right and so the skills that
medications right and so the skills that this student is going to be tested on
this student is going to be tested on
this student is going to be tested on are going to vary very drastically from
are going to vary very drastically from
are going to vary very drastically from the skills that this student is going to
the skills that this student is going to
the skills that this student is going to be tested on so we have to make sure
be tested on so we have to make sure
be tested on so we have to make sure that we’re standardized but not only
that we’re standardized but not only
that we’re standardized but not only that not only do we have to be
that not only do we have to be
that not only do we have to be standardized across all of our campuses
standardized across all of our campuses
standardized across all of our campuses which means that everyone has to be able
which means that everyone has to be able
which means that everyone has to be able to all of these performers these actors
to all of these performers these actors
to all of these performers these actors these artists who work as standardized
these artists who work as standardized
these artists who work as standardized patients they have to be able to be at
patients they have to be able to be at
patients they have to be able to be at the same level as each other
the same level as each other
the same level as each other we also have to be at the same level
we also have to be at the same level
we also have to be at the same level with ourselves which means that of those
with ourselves which means that of those
with ourselves which means that of those ten encounters that we may see
ten encounters that we may see
ten encounters that we may see throughout the day we don’t want our
throughout the day we don’t want our
throughout the day we don’t want our first one to look like this and our last
first one to look like this and our last
first one to look like this and our last one to look like this right because we
one to look like this right because we
one to look like this right because we want every student to get the same
want every student to get the same
want every student to get the same experience which means that we have to
experience which means that we have to
experience which means that we have to maintain that level of realism for the
maintain that level of realism for the
maintain that level of realism for the entire day now it’s not to say that
entire day now it’s not to say that
entire day now it’s not to say that students can’t learn from less realistic
students can’t learn from less realistic
students can’t learn from less realistic simulations we use mannequins in the
simulations we use mannequins in the
simulations we use mannequins in the simulation center we use
simulation center we use
simulation center we use computer programs and video that virtual
computer programs and video that virtual
computer programs and video that virtual reality virtual reality is becoming a
reality virtual reality is becoming a
reality virtual reality is becoming a bigger thing in the simulation world but
bigger thing in the simulation world but
bigger thing in the simulation world but I like to think of those simulations as
I like to think of those simulations as
I like to think of those simulations as living textbook simulations right there
living textbook simulations right there
living textbook simulations right there taking a textbook and kind of bringing
taking a textbook and kind of bringing
taking a textbook and kind of bringing it to life but a human being is not a
it to life but a human being is not a
it to life but a human being is not a textbook we’re not even close to a
textbook we’re not even close to a
textbook we’re not even close to a textbook right and so even though we
textbook right and so even though we
textbook right and so even though we have to be standardized there’s
have to be standardized there’s
have to be standardized there’s something incredibly important about the
something incredibly important about the
something incredibly important about the realism that artists can bring to this
realism that artists can bring to this
realism that artists can bring to this process as an example of this one of the
process as an example of this one of the
process as an example of this one of the people that I work with now at the
people that I work with now at the
people that I work with now at the clinical Learning Resource Center at the
clinical Learning Resource Center at the
clinical Learning Resource Center at the Health Science Center used to be a
Health Science Center used to be a
Health Science Center used to be a nursing student and she went through a
nursing student and she went through a
nursing student and she went through a simulation identical to the one that I
simulation identical to the one that I
simulation identical to the one that I told you about at the beginning of this
told you about at the beginning of this
told you about at the beginning of this talk with me and my daughter Hannah and
talk with me and my daughter Hannah and
talk with me and my daughter Hannah and she talks about the fact that not long
she talks about the fact that not long
she talks about the fact that not long after she went through that simulation
after she went through that simulation
after she went through that simulation she actually experienced something
she actually experienced something
she actually experienced something almost identical to that in the real
almost identical to that in the real
almost identical to that in the real world and she says that had she not
world and she says that had she not
world and she says that had she not experienced something that felt so real
experienced something that felt so real
experienced something that felt so real in a safe space she never would have
in a safe space she never would have
in a safe space she never would have been prepared for that situation when it
been prepared for that situation when it
been prepared for that situation when it happened in front of her but because
happened in front of her but because
happened in front of her but because she’d been through it once in a very
she’d been through it once in a very
she’d been through it once in a very real way with a real emotions and a real
real way with a real emotions and a real
real way with a real emotions and a real experience a very well told lie if you
experience a very well told lie if you
experience a very well told lie if you will she was able to maintain her cool
will she was able to maintain her cool
will she was able to maintain her cool under pressure
under pressure
under pressure respond to the family in a way that was
respond to the family in a way that was
respond to the family in a way that was meaningful and engaged with them and
meaningful and engaged with them and
meaningful and engaged with them and cared for them in a way that they could
cared for them in a way that they could
cared for them in a way that they could appreciate and receive in that moment so
appreciate and receive in that moment so
appreciate and receive in that moment so this is the importance of art in
this is the importance of art in
this is the importance of art in medicine a field that we don’t
medicine a field that we don’t
medicine a field that we don’t necessarily think of as being in any way
necessarily think of as being in any way
necessarily think of as being in any way artistic right we think of it as being
artistic right we think of it as being
artistic right we think of it as being clinical as being scientific you might
clinical as being scientific you might
clinical as being scientific you might think you might have heard the acronym
think you might have heard the acronym
think you might have heard the acronym stem right science technology
stem right science technology
stem right science technology engineering and math but I think it’s
engineering and math but I think it’s
engineering and math but I think it’s incredibly important that we don’t
incredibly important that we don’t
incredibly important that we don’t forget to add the a right because steam
forget to add the a right because steam
forget to add the a right because steam right steam powers our medical field
right steam powers our medical field
right steam powers our medical field it’s what broadens the horizon of
it’s what broadens the horizon of
it’s what broadens the horizon of medical care it’s what what improves the
medical care it’s what what improves the
medical care it’s what what improves the future of the care that we will receive
future of the care that we will receive
future of the care that we will receive as patients because none of us want to
as patients because none of us want to
as patients because none of us want to be cogs in a machine right so how do you
be cogs in a machine right so how do you
be cogs in a machine right so how do you as a nurse who has a lot of patients to
as a nurse who has a lot of patients to
as a nurse who has a lot of patients to see in a given day on a hospital floor
see in a given day on a hospital floor
see in a given day on a hospital floor make every single one of them feel like
make every single one of them feel like
make every single one of them feel like they matter and that they’re not just a
they matter and that they’re not just a
they matter and that they’re not just a number on your clip
number on your clip
number on your clip bored standardized patients artists can
bored standardized patients artists can
bored standardized patients artists can help you teach help you learn that but
help you teach help you learn that but
help you teach help you learn that but if you’re a medical student are a doctor
if you’re a medical student are a doctor
if you’re a medical student are a doctor and you have to explain a really
and you have to explain a really
and you have to explain a really complicated diagnosis and a complicated
complicated diagnosis and a complicated
complicated diagnosis and a complicated plan of care to a patient and you want
plan of care to a patient and you want
plan of care to a patient and you want to make sure they actually understand
to make sure they actually understand
to make sure they actually understand you and that they’re not just saying
you and that they’re not just saying
you and that they’re not just saying they understand because they’re
they understand because they’re
they understand because they’re intimidated by you as a physician right
intimidated by you as a physician right
intimidated by you as a physician right standardized patients artists can help
standardized patients artists can help
standardized patients artists can help you learn that what if you’re trying to
you learn that what if you’re trying to
you learn that what if you’re trying to deal with an angry patient and you need
deal with an angry patient and you need
deal with an angry patient and you need to learn how to get at the core of that
to learn how to get at the core of that
to learn how to get at the core of that anger right rather than just treating
anger right rather than just treating
anger right rather than just treating the symptoms of the anger but really
the symptoms of the anger but really
the symptoms of the anger but really truly help that person feel understood
truly help that person feel understood
truly help that person feel understood about the thing that is causing them
about the thing that is causing them
about the thing that is causing them pain and frustration and anger
pain and frustration and anger
pain and frustration and anger standardized patients and artists can
standardized patients and artists can
standardized patients and artists can help you learn how to do that right so
help you learn how to do that right so
help you learn how to do that right so this is the point of using artists in
this is the point of using artists in
this is the point of using artists in healthcare we bring a truth to these
healthcare we bring a truth to these
healthcare we bring a truth to these students and your future doctors by
students and your future doctors by
students and your future doctors by telling lies by pretending to be someone
telling lies by pretending to be someone
telling lies by pretending to be someone that we’re not and by doing it
that we’re not and by doing it
that we’re not and by doing it extraordinarily well so that’s why I’m
extraordinarily well so that’s why I’m
extraordinarily well so that’s why I’m proud of lying to your doctor that’s why
proud of lying to your doctor that’s why
proud of lying to your doctor that’s why I’m proud of teaching other people to
I’m proud of teaching other people to
I’m proud of teaching other people to lie to your doctors extraordinarily well
lie to your doctors extraordinarily well
lie to your doctors extraordinarily well we lie because you shouldn’t have to
we lie because you shouldn’t have to
we lie because you shouldn’t have to thank
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