1. Native Hawaiian Standardized Patient Use of JABSOM Martina L. Kamaka, MD University of Hawaii John A Burns School of Medicine Department of Native Hawaiian Health Photos courtesy of DNHH and JABSOM

2. Standardized Patients Development-US Overview 96% of LCME schools have at least one SP/OSCE 75% have final comprehensive exam 63% require passage for graduation USMLE (US Medical Licensing Exam) now has required OSCE exams as part of USMLE 2 (10- 12 cases) 46% will require passage of USMLE Step 2 CS (Clinical Skills) exam Barzansky B, JAMA, 2004;292(9):1025-1031

3. JABSOM using Standardized patients for teaching and assessment since 1989 No Native Hawaiian cases with cultural issues exist Photos courtesy of Center for Clinical Skills, JABSOM

4. SP Clinical Skills Evaluations MD 1  2  3  4MD 5  6  7Clerkships  MD 4 Clinical Skills Exam MD 7 Clinical Skills Exams Comprehensive Clinical Skills Exam 3rd YEAR Clinical Rotations Family Medicine Internal Medicine Pediatrics 4th YEAR Geriatric Medicine

5. Department of Native Hawaiian Health Piloted two Native Hawaiian OSLE cases with the Family Practice residency Family Practice residency –7 year history of using standardized patient cases (Micronesian and Filipino) DNHH C3 members acted as patients Assessment: –Other C3 members were evaluators –Patients also assessed residents –Resident self assessment –Based on AGME core competencies Issues: –Establishing trust, communication skills, greetings, etc. –Openness to the use of traditional medicines instead of western –Culturally based concepts around illness and healing including role of family members

6. Form courtesy of G. Maskarinec, PhD

7. Mahalo to: –Gregory Maskarinec, PhD (Dept of Family Medicine) –DNHH C3 Team –Mike Nagoshi, MD UH CCS (Center for Clinical Skills) http://www2.jabso m.hawaii.edu/ccs/http://www2.jabso m.hawaii.edu/ccs/ Photo courtesy of R. Kekuni Blaisdell, MD