Colorado medical schools use live actors to teach future doctors, but the pandemic permanently changed some of the ways they do it

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Colorado medical schools use live actors to teach future doctors, but the pandemic permanently changed some of the ways they do it
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There are currently 81 standardized patients — or SPs, as they’re referred to — employed part-time at the University of Colorado Anschutz Medical Campus, home to Colorado’s largest SP program.

Christina Cass has spent the last 25 years of her career in and out of hospital gowns. She’s been poked and prodded, diagnosed with dozens of different ailments from lung cancer to Alzheimer’s disease, and treated for her knee and for injuries after a car accident.That’s because Cass is actually in good health. The hospital rooms and exam tables are just mockups in a simulation center.

Both programs share many of the same SPs. Both campuses also use electronic mannequins and dummies to simulate emergency treatments and invasive procedures like surgery, but working with real people helps students learn skills that a mannequin typically can’t teach. A live actor is trained to give feedback about how the student made them feel emotionally and physically.

When the public health disaster shut the world down in March 2020, she watched as the SP program prepared to deal with the seemingly impossible reality: teaching the next generation of health professionals purely online.Neither SP program halted. On the Monday after CU Anschutz’s shutdown on March 13, 2020, medical students fired up their laptops and met their SPs online for “telehealth visits.

At RVU, the program turned more to its mannequins and a virtual-reality patient experience early in the pandemic, when live patients were more challenging to host safely. The VR simulation, a program called Oxford Medical Simulation introduced to RVU in 2019, provided much of what a live actor could — automatic reactions and detailed feedback — but in a completely virtual setting.

Masks, face shields and testing all made live-actor interactions possible. But equipment shortages and the hassle of testing people early in the pandemic focused program leaders on which instruction methods were most necessary, and when they absolutely needed to be in person.

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