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Use of Standardized Patients in Clinical Assessments: Recent Developments and Measurement Findings

Southern Illinois University School of Medicine, Department of Medical Education, P. O. Box 19230, Springfield, IL 62794. She specializes in testing and measurement in the areas of clinical problem solving and clinical performance.

Howard S. Barrows

Southern Illinois University School of Medicine, Department of Medical Education, P. O. Box 19230, Springfield, IL 62794. He specializes in problem-based learning and performance-based assessment

This article reviews recent developments and measurement findings on the use of live patient simulations or "standardized patients" in performance examinations to assess the competence of medical professionals. The results of large-scale standardized patient-based performance assessments are presented and discussed in terms of their feasibility, reliability, validity, and implications for assessing competence in other professions.

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