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4,124 Results Found

  • Review
  • Open Access
48 Citations
12,109 Views
24 Pages

Enhancing Cross-Cultural Competence of Medical and Healthcare Students with the Use of Simulated Patients—A Systematic Review

  • Aleksandra Walkowska,
  • Piotr Przymuszała,
  • Patrycja Marciniak-Stępak,
  • Maria Nowosadko and
  • Ewa Baum

Increasing cultural and linguistic diversities of populations have created a challenge for medical educators to provide authentic learning experiences fostering cross-cultural understanding and interprofessional attitudes of students. Simulations wit...

  • Article
  • Open Access
5 Citations
2,947 Views
21 Pages

Introduction: Since there was no general model of competencies to determine a successful clinical assessment, we based our study on the many skills that are needed to perform one. We analysed students’ learning performance based on inner determ...

  • Review
  • Open Access
102 Views
15 Pages

Large Language Model-Based Virtual Patients for Simulated Clinical Learning: A Scoping Review

  • Bhavya Gandhi,
  • Leo Morjaria,
  • Imeth Illamperuma,
  • Praveen Nadesan,
  • Aidan Arora and
  • Matthew Sibbald

17 March 2026

Large language model-based virtual patients (LLM-VPs) are an emerging simulation tool for health professions education, but their design and integration into curricula are not well characterized. This scoping review mapped how LLM-VPs are being used...

  • Article
  • Open Access
11 Citations
6,353 Views
7 Pages

Clinical Pharmacy Education in Japan: Using Simulated Patients in Laboratory-Based Communication-Skills Training before Clinical Practice

  • Rie Kubota,
  • Kiyoshi Shibuya,
  • Yoichi Tanaka,
  • Manahito Aoki,
  • Megumi Shiomi,
  • Wataru Ando,
  • Katsuya Otori and
  • Takako Komiyama

The Japanese pharmaceutical curriculum was extended from four to six years in 2006. Students now receive practical communication-skills training in their fourth year, before progressing to train in hospital and community pharmacies in their fifth yea...

  • Article
  • Open Access
260 Views
24 Pages

Generative Simulation and Summarization of Neonatal Patient Data

  • Jesse Levine,
  • Gurshan Riarh and
  • James R. Green

5 March 2026

In the Neonatal Intensive Care Unit (NICU), clinicians must balance the demands of constant patient monitoring with the need for precise documentation and clear communication with colleagues and families. To address the clinical burden of documenting...

  • Article
  • Open Access
929 Views
10 Pages

Simulated Clinical Stations in Quality and Patient Safety in a Primary Care Setting

  • Yoseba Cánovas Zaldúa,
  • Sonia Martín Martín,
  • Jordi Serraboguña Bret,
  • Eduard Hermosilla Perez,
  • Ermengol Coma Redon and
  • Sara Rodoreda Noguerola

Background/Objectives: Clinical simulation-based training has become established as an effective strategy to improve healthcare quality and patient safety. This pre–post observational study presents an innovative experience implemented at the C...

  • Article
  • Open Access
2 Citations
2,238 Views
11 Pages

A Multifaceted Educational Intervention in the Doctor–Patient Relationship for Medical Students to Incorporate Patient Agendas in Simulated Encounters

  • Sophia Denizon Arranz,
  • Diana Monge Martín,
  • Fernando Caballero Martínez,
  • Fernando Neria Serrano,
  • Patricia Chica Martínez and
  • Roger Ruiz Moral

From the beginning of their clinical training, medical students demonstrate difficulties when incorporating patient perspectives. This study aimed to assess if students, after an instructional programme, increased their sensitivity towards patients&r...

  • Feature Paper
  • Article
  • Open Access
5 Citations
5,053 Views
15 Pages

In recent years, there has been an increasing focus on the need to integrate formal knowledge with clinical experience in the pre-clinical years since the initial years of medical education play an important role in shaping the attitudes of medical s...

  • Article
  • Open Access
3 Citations
6,093 Views
14 Pages

15 October 2024

This research aims to present a case study on the use of simulation to support operational decision-making and improve the patient experience in outpatient clinics. A simulation model was developed to represent patient flow through the endocrine clin...

  • Article
  • Open Access
11 Citations
3,227 Views
17 Pages

Orthodontic treatment is a common dental treatment. A complete treatment often takes several years and is costly. In order to increase the degree of satisfaction and reduce the gap between the expectations of the patient and the limitations of orthod...

  • Article
  • Open Access
6 Citations
4,693 Views
13 Pages

Perceived Benefits of a Standardized Patient Simulation in Pre-Placement Dietetic Students

  • Hattie H. Wright,
  • Judi Cameron,
  • Tania Wiesmayr-Freeman and
  • Libby Swanepoel

The purpose of this study was to evaluate the effect of a simulation-based learning (SBL) experience on perceived confidence in monitoring and evaluation, as part of the delivery of nutrition care of pre-placement dietetic students, and to describe t...

  • Article
  • Open Access
12 Citations
6,673 Views
24 Pages

15 January 2022

This study investigates patient appointment scheduling and examination room assignment problems involving patients who undergo ultrasound examination with considerations of multiple examination rooms, multiple types of patients, multiple body parts t...

  • Article
  • Open Access
36 Citations
5,709 Views
11 Pages

Efficacy of a Standardised Patient Simulation Programme for Chronicity and End-of-Life Care Training in Undergraduate Nursing Students

  • Silvia Escribano,
  • María José Cabañero-Martínez,
  • Manuel Fernández-Alcántara,
  • Sofía García-Sanjuán,
  • Rafael Montoya-Juárez and
  • Rocío Juliá-Sanchis

Background: Standardised patient simulations seem to be useful for improving the communication skills of health sciences students. However, it is important to define the effectiveness of these types of interventions in complex scenarios linked to dis...

  • Article
  • Open Access
6 Citations
2,620 Views
8 Pages

21 November 2020

The present study investigated the effectiveness of employing a patient simulator with an integrated visual feedback mechanism to improve the light-curing skills of dental students. A total of 44 third-year dental students were randomly divided into...

  • Article
  • Open Access
5 Citations
7,422 Views
14 Pages

Patient–Ventilator Interaction Testing Using the Electromechanical Lung Simulator xPULM™ during V/A-C and PSV Ventilation Mode

  • Richard Pasteka,
  • Joao Pedro Santos da Costa,
  • Nelson Barros,
  • Radim Kolar and
  • Mathias Forjan

21 April 2021

During mechanical ventilation, a disparity between flow, pressure and volume demands of the patient and the assistance delivered by the mechanical ventilator often occurs. This paper introduces an alternative approach of simulating and evaluating pat...

  • Review
  • Open Access
9 Citations
5,385 Views
12 Pages

In Situ Simulation: A Strategy to Restore Patient Safety in Intensive Care Units after the COVID-19 Pandemic? Systematic Review

  • Vanesa Gómez-Pérez,
  • Dolores Escrivá Peiró,
  • David Sancho-Cantus and
  • Jorge Casaña Mohedo

14 January 2023

Background: Patient safety is a public health problem worldwide. In situ simulation (ISS) arises as a learning strategy that allows health professionals to immerse themselves in a real environment without endangering the patients until they have lear...

  • Article
  • Open Access
11 Citations
9,728 Views
21 Pages

Designing and Evaluating a Virtual Patient Simulation—The Journey from Uniprofessional to Interprofessional Learning

  • Nataly Martini,
  • Kate Farmer,
  • Shambhavi Patil,
  • Gauis Tan,
  • Cindy Wang,
  • Lucy Wong and
  • Craig S. Webster

14 January 2019

“Ready to Practice?”(R2P) is a virtual patient simulation designed for undergraduate medical and pharmacy students. After initial prototyping, R2P developed into a screen-based virtual patient (VP) simulation with an intuitive interface u...

  • Article
  • Open Access
16 Citations
5,834 Views
15 Pages

4 June 2024

Background: The use of standardized patient simulation in psychiatric nursing education addresses the unique challenges presented by mental healthcare settings. Students’ attitudes toward clinical simulation remain predominantly favorable, with...

  • Article
  • Open Access
609 Views
20 Pages

31 December 2025

Background: In the era of Health 4.0, Emergency Departments (EDs) face increasing crowding and complexity, necessitating smart management solutions to balance efficiency with equitable care. Effective scheduling is critical for optimizing patient thr...

  • Article
  • Open Access
5 Citations
6,211 Views
15 Pages

Experience of Patient-Specific CFD Simulation of Blood Flow in Proximal Anastomosis for Femoral-Popliteal Bypass

  • Yana Ivanova,
  • Andrey Yukhnev,
  • Ludmila Tikhomolova,
  • Evgueni Smirnov,
  • Andrey Vrabiy,
  • Andrey Suprunovich,
  • Alexey Morozov,
  • Gennady Khubulava and
  • Valery Vavilov

21 September 2022

Femoral artery bypass surgery needs postoperative monitoring due to the high complication risks after bypass. Numerical simulation is an effective tool to help solve this task. This work presents the experience of patient-specific CFD simulation of b...

  • Article
  • Open Access
590 Views
17 Pages

14 January 2026

(1) Background: Developing cultural competence and reflective communication skills remains a challenge in nursing education. Traditional teaching methods often provide limited opportunities for safe practice of culturally sensitive interactions in em...

  • Article
  • Open Access
28 Citations
9,244 Views
14 Pages

Role-Play versus Standardised Patient Simulation for Teaching Interprofessional Communication in Care of the Elderly for Nursing Students

  • Alda Elena Cortés-Rodríguez,
  • Pablo Roman,
  • María Mar López-Rodríguez,
  • Isabel María Fernández-Medina,
  • Cayetano Fernández-Sola and
  • José Manuel Hernández-Padilla

27 December 2021

This study aims to describe and compare the effects of standardised patient simulation and role-play in the acquisition and retention of interprofessional communication in elderly care competence amongst nursing students. In this controlled clustered...

  • Article
  • Open Access
4 Citations
2,900 Views
24 Pages

The COVID-19 pandemic required several interventions within emergency departments, complicating the patient flow. This study explores the effect of intervention policies on patient flow in emergency departments under pandemic conditions. The patient...

  • Article
  • Open Access
4 Citations
1,992 Views
12 Pages

Virtual Reality Head-Mounted Display (HMD) and Preoperative Patient-Specific Simulation: Impact on Decision-Making in Pediatric Urology: Preliminary Data

  • Giulia Lanfranchi,
  • Sara Costanzo,
  • Giorgio Giuseppe Orlando Selvaggio,
  • Cristina Gallotta,
  • Paolo Milani,
  • Francesco Rizzetto,
  • Alessia Musitelli,
  • Maurizio Vertemati,
  • Tommaso Santaniello and
  • Gloria Pelizzo
  • + 6 authors

Aim of the Study: To assess how virtual reality (VR) patient-specific simulations can support decision-making processes and improve care in pediatric urology, ultimately improving patient outcomes. Patients and Methods: Children diagnosed with urolog...

  • Article
  • Open Access
5 Citations
4,996 Views
11 Pages

Improving Adolescent Psychosocial Assessment through Standardized Patient Simulation: An Interdisciplinary Quality Improvement Initiative

  • Laura Monahan,
  • Colleen L. Eaves,
  • Joshua C. Watson,
  • Jordi Friese,
  • Lisa McKenna and
  • Erika Estrada-Ibarra

Adolescent suicide and mental illness have increased at alarming rates. Healthcare professionals report a lack of skill and confidence in obtaining adolescent histories and managing confidential care due to limited training in residency. Nursing prof...

  • Article
  • Open Access
13 Citations
6,528 Views
11 Pages

A Neonatal Intensive Care Unit’s Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative

  • Mary Eckels,
  • Terry Zeilinger,
  • Henry C. Lee,
  • Janine Bergin,
  • Louis P. Halamek,
  • Nicole Yamada,
  • Janene Fuerch,
  • Ritu Chitkara and
  • Jenny Quinn

29 October 2020

Extensive neonatal resuscitation is a high acuity, low-frequency event accounting for approximately 1% of births. Neonatal resuscitation requires an interprofessional healthcare team to communicate and carry out tasks efficiently and effectively in a...

  • Article
  • Open Access
1,617 Views
14 Pages

Improving Good Practices for Patient Safety in an Emergency Department Based on Multidisciplinary Training Using Simulation Techniques

  • Francisco Javier Redondo Calvo,
  • Victor Baladrón González,
  • María Ángeles Tebar Betegón,
  • Alejandro Martínez Arce,
  • Gema Verdugo Moreno,
  • Juan Fernando Padin,
  • Laura Muñoz de Morales-Romero,
  • Alberto Bermejo-Cantarero and
  • Natalia Bejarano Ramírez

26 September 2025

Background: We present a multidisciplinary training experience based on simulation techniques and critical resource management implemented in the emergency department. Methods: Simulation courses/workshops were conducted with a multidisciplinary team...

  • Article
  • Open Access
5 Citations
4,846 Views
16 Pages

Colistin Dosing Regimens against Pseudomonas aeruginosa in Critically Ill Patients: An Application of Monte Carlo Simulation

  • Van Thi Khanh Nguyen,
  • Preecha Montakantikul,
  • Pramote Tragulpiankit,
  • Jantana Houngsaitong and
  • Mohd Fazli Shuib

Our aims are to assess various colistin dosing regimens against Pseudomonas aeruginosa (P. aeruginosa) infection in critically ill patients and to propose an appropriate regimen based on microbiological data. A Monte Carlo simulation was performed us...

  • Article
  • Open Access
3 Citations
4,228 Views
22 Pages

For the self-medication of nasal congestion following a common cold, decongestant nasal sprays can be recommended according to the medicine guidelines. In Germany, these are only available in community pharmacies (CPs) with free pricing. The aim was...

  • Article
  • Open Access
44 Citations
9,640 Views
15 Pages

Quality of Community Pharmacy Practice in Antibiotic Self-Medication Encounters: A Simulated Patient Study in Upper Egypt

  • Abdullah I. Abdelaziz,
  • Abdelrahman G. Tawfik,
  • Khaled A. Rabie,
  • Mohamad Omran,
  • Mustafa Hussein,
  • Adel Abou-Ali and
  • Al-Shaimaa F. Ahmed

Antibiotic misuse, either by patients or healthcare professionals, is one of the major contributing factors to antimicrobial resistance. In many Middle Eastern countries including Egypt, there are no strict regulations regarding antibiotic dispensing...

  • Article
  • Open Access
4 Citations
3,341 Views
10 Pages

19 December 2022

The primary objective of this study was to compare students’ self-assessment ratings with simulated patient (SP) assessment ratings of communication skills in a patient counseling Objective Structured Clinical Exam (OSCE). The secondary objecti...

  • Article
  • Open Access
5 Citations
3,577 Views
12 Pages

Patient-Specific 3D Virtual Surgical Planning Using Simulated Fluoroscopic Images to Improve Sacroiliac Joint Fusion

  • Nick Kampkuiper,
  • Jorm Nellensteijn,
  • Edsko Hekman,
  • Gabriëlle Tuijthof,
  • Steven Lankheet,
  • Maaike Koenrades and
  • Femke Schröder

1 November 2023

Sacroiliac (SI) joint dysfunction can lead to debilitating pain but can be treated with minimally invasive sacroiliac joint fusion (SIJF). This treatment is commonly performed using 2D fluoroscopic guidance. This makes placing the implants without da...

  • Article
  • Open Access
5 Citations
4,684 Views
14 Pages

Effectiveness of Simulation with a Standardized Patient on Knowledge Acquisition, Knowledge Retention, and Self-Efficacy Among Moroccan Nursing Students: A Quasi-Experimental Study

  • Hicham Blaak,
  • Abdelmajid Lkoul,
  • Hayat Iziki,
  • Abderrahman Arechkik,
  • Karim Sbai Idrissi,
  • Samia El Hilali,
  • Rachid Razine,
  • Lahcen Belyamani,
  • Ahmed Kharabch and
  • Majdouline Obtel

4 February 2025

Background: Simulation is a crucial component in the training of healthcare professionals, offering a safe environment for practical learning without posing risks to patients. Aim: This study aims to evaluate the effect of simulation with a standardi...

  • Article
  • Open Access
2,918 Views
16 Pages

Assessing Community Pharmacists’ Management of Acute Diarrhea in Saudi Arabia: A Simulated Patient Study

  • Faris S. Alnezary,
  • Dina A. Alahmadi,
  • Fatima N. Abduljaleel,
  • Riham G. Alharbi,
  • Fahad Alzahrani and
  • Masaad S. Almutairi

27 November 2024

Introduction: Antimicrobial resistance poses a significant threat to global health, and community pharmacists are positioned to play a crucial role in mitigating this issue. The present study aimed to evaluate the extent of compliance among community...

  • Review
  • Open Access
1 Citations
3,399 Views
24 Pages

9 November 2025

Large language model (LLM)-based virtual patient (VP) simulations are emerging to complement traditional medical and nursing education by enabling safe, repeatable, and context-rich clinical practice. This review synthesizes recent developments from...

  • Article
  • Open Access
4 Citations
2,610 Views
15 Pages

16 November 2023

Purposefully developed professional identity formation (PIF) learning activities within the didactic curriculum provide crucial groundwork to complement PIF within authentic settings. The aim of this didactic exercise was to explore the impact upon s...

  • Review
  • Open Access
23 Citations
4,324 Views
12 Pages

Patient-specific rehearsal (PsR) is a new concept whereby a procedure can be rehearsed virtually using the exact patient’s anatomical data prior to performing the real procedure. The aim of this study was to ascertain if endovascular virtual-re...

  • Article
  • Open Access
4 Citations
3,570 Views
8 Pages

9 September 2022

Poorly contoured mandibular reconstruction plates are associated with postoperative complications. Recently, a technique emerged whereby preoperative patient-specific reconstructive plates (PSRP) are developed in the hopes of eliminating errors in th...

  • Review
  • Open Access
3 Citations
3,500 Views
12 Pages

Community pharmacies (CPs) play a major role in health care delivery. The simulated patient methodology (SPM), which is considered the “gold standard”, is recommended for studying CP practice. SPM can be applied in different forms, which...

  • Article
  • Open Access
13 Citations
3,985 Views
18 Pages

Experimental Data and Simulations of Performance and Thermal Comfort in a Patient Room Equipped with Radiant Ceiling Panels

  • Paolo Valdiserri,
  • Silvia Cesari,
  • Maddalena Coccagna,
  • Pasquale Romio and
  • Sante Mazzacane

11 December 2020

Hospitals require the highest energy demands in non-residential buildings. They provide healthcare 24/7/365 and, at the same time, they ensure indoor air quality, thermal comfort and sterility. However, several studies reveal that high indoor tempera...

  • Article
  • Open Access
6 Citations
3,784 Views
19 Pages

Synthetic Patient–Physician Conversations Simulated by Large Language Models: A Multi-Dimensional Evaluation

  • Syed Ali Haider,
  • Srinivasagam Prabha,
  • Cesar Abraham Gomez-Cabello,
  • Sahar Borna,
  • Ariana Genovese,
  • Maissa Trabilsy,
  • Bernardo G. Collaco,
  • Nadia G. Wood,
  • Sanjay Bagaria and
  • Antonio Jorge Forte
  • + 1 author

10 July 2025

Background: Data accessibility remains a significant barrier in healthcare AI due to privacy constraints and logistical challenges. Synthetic data, which mimics real patient information while remaining both realistic and non-identifiable, offers a pr...

  • Article
  • Open Access
526 Views
16 Pages

From Cosmetic Abuse to Clinical Mismanagement: A National Simulated Patient Study Assessing Community Pharmacists’ Stewardship of Topical Corticosteroids in Jordan

  • Derar H. Abdel-Qader,
  • Abdullah Albassam,
  • Esra’ Taybeh,
  • Nadia Al Mazrouei,
  • Rana Ibrahim,
  • Reham Aljalamdeh,
  • Salim Hamadi,
  • Alia Saleh,
  • Sahar Jaradat and
  • Shorouq Al-Omoush

9 February 2026

Background: Topical Corticosteroids (TCS) are potent therapeutic agents associated with severe local and systemic adverse effects if misused. In Jordan, the unauthorized supply of TCS for cosmetic purposes and the mismanagement of dermatological cond...

  • Article
  • Open Access
12 Citations
2,659 Views
12 Pages

7 August 2023

High-fidelity patient simulation (HFPS) is widely used in professional training to enhance students’ competence in clinical management. A guideline for HFPS provides a systematic approach to direct students to learning during the simulation pro...

  • Article
  • Open Access
9 Citations
8,173 Views
14 Pages

Effects of Standardized Patient Simulation and Mobile Applications on Nursing Students’ Clinical Competence, Self-Efficacy, and Cultural Competence: A Quasi-Experimental Study

  • Duc Nu Minh Ton,
  • Trang Thi Kieu Duong,
  • Hang Thi Tran,
  • Thanh Thi Thanh Nguyen,
  • Hai Ba Mai,
  • Phuong Thi Anh Nguyen,
  • Binh Duy Ho and
  • Trang Thi Thuy Ho

Background: Simulation-based education has emerged as an effective approach in nursing education worldwide. We aimed to evaluate the effectiveness of a surgical nursing education program based on a simulation using standardized patients and mobile ap...

  • Article
  • Open Access
4 Citations
4,754 Views
11 Pages

30 December 2022

Background: Drug-related problems (DRPs) are a global issue that impacts the efficacy and safety of the therapy, and pediatric patients are considered to be more vulnerable to DRPs, thus requiring more attention. Community pharmacists (CPs) are in a...

  • Article
  • Open Access
13 Citations
9,154 Views
19 Pages

The Quality of Counselling for Oral Emergency Contraceptive Pills—A Simulated Patient Study in German Community Pharmacies

  • Bernhard Langer,
  • Sophia Grimm,
  • Gwenda Lungfiel,
  • Franca Mandlmeier and
  • Vanessa Wenig

Background: In Germany, there are two different active substances, levonorgestrel (LNG) and ulipristal acetate (UPA), available as emergency contraception (the “morning after pill”) with UPA still effective even 72 to 120 h after unprotec...

  • Article
  • Open Access
14 Citations
3,580 Views
9 Pages

Use of Standardized Patient Simulations to Assess Impact of Motivational Interviewing Training on Social–Emotional Development

  • Suzanne Galal,
  • Deepti Vyas,
  • John Mayberry,
  • Edward L. Rogan,
  • Shivani Patel and
  • Sara Ruda

The objective of this study was to assess the impact of motivational interviewing (MI) training on students’ social–emotional development. Two simulations using standardized patients (SP) were conducted within a smoking cessation module....

  • Article
  • Open Access
1 Citations
1,725 Views
19 Pages

25 September 2025

Background/Objectives: Novice nurses often struggle to assertively voice patient safety concerns due to limited clinical experience and hierarchical healthcare environments. Immersive virtual reality simulation (IVRS) may provide opportunities to pra...

  • Article
  • Open Access
14 Citations
6,845 Views
22 Pages

17 August 2020

Dietary fibres are an integral part of a balanced diet. Consumption of a high-fibre diet confers many physiological and metabolic benefits. However, fibre is generally avoided by individuals with gastrointestinal motility disorders like gastroparesis...

  • Feature Paper
  • Article
  • Open Access
17 Citations
4,889 Views
16 Pages

24 January 2021

Mental Health First Aid (MHFA) training teaches participants how to assist people experiencing mental health problems and crises. Observed behavioral assessments, post-training, are lacking, and the literature largely focuses on self-reported measure...

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