Simulation patient program: Ill according to script

The simulation patient program is an essential element of student training at the Brandenburg Medical School (MHB). It offers realistic scenarios for medical students to hone their communicative skills and confidence in handling patients. One such simulation person is Thomas Pleier from Ziesar (Potsdam-Mittelmark). The 55-year-old talks about his experience in the following interview.

Mr. Pleier, what made you decide to contribute to the medical training at the MHB as a simulation patient?
Thomas Pleier: I was first diagnosed with cancer in 2012, and I can say that the Brandenburg university hospital saved my life. Once recovered, I kept thinking I should do something in return. In 2017 I came across an article where the MHB introduced its concept and wanted to recruit simulation patients. I knew right away that I had to respond, and so I applied.  

How did you prepare for your part as a “patient”? Did you get specific training or schooling?
You receive excellent preparation for your first performance as a simulation patient. There are different kinds of schooling for each part, you also get feedback training. You study your part at home, of course, and go through possible scenarios in preparation. But that is only speaking for myself, I can’t say how others go about it. I want to be as authentic as possible. And if the supervisor tells you that you are doing well, then you have enough confidence to act your part in TRIK seminars – which are about teamwork, reflection, interaction and communication – or in oral-practical exams.

Which patient roles did you play so far, and which were particularly challenging?
I believe I have played about 90 % of all parts, and each of them is interesting and something special. There are various key areas in student training, and each role is designed for the respective thematic area. This goes from flu infection to the effects of heavy smoking and erectile dysfunction. All kinds of topics are addressed in medical education. You need not be afraid of playing embarrassing parts, students are learning to be professional in the way they handle patients. There are certain parts I prefer, for example alcoholics or heavy smokers. Not being a smoker myself nor drinking alcohol, I find them particularly stimulating.  

How would you describe interactions with medical students?
Every single student appears to put heart and soul into it. In my personal situation, the collaboration with seasoned physicians in seminars and examinations is particularly gratifying and a cause for some pride. Treatment of simulation patients is always polite, and I have had some really nice talks outside the classroom setting. It is a pleasure to accompany individual students over time and observe their progress. I have repeatedly been asked for my input in this respect.

Have your activities as a simulation patient changed your personal perception of medical training or the situation of doctors?
My perspective has changed to some degree after I was once again diagnosed with cancer two years ago. Now I see how future physicians are trained for the job, and I can say “Well done!” They are schooled in appropriate communication with patients and anamnesis, in other words, in troubleshooting. I am much impressed to see them learn how to convey bad news, having received such news myself more than once.

For further information see here.