Involving people with intellectual disabilities in the assessment of healthcare professionals

Author:

Soni Sujata,Hall Ian,Doulton Phill,Bowie Peter

Abstract

Purpose – It is widely recognised that people with intellectual disabilities receive a poorer quality of healthcare than their non-disabled counterparts. Training for healthcare professionals in intellectual disability is often scant or non-existent. The purpose of this paper is to explore the usefulness of employing actors with intellectual disabilities as simulated patients in the assessment of trainee psychiatrists. Design/methodology/approach – The development of a structured clinical exam “station” designed to assess the ability of trainee psychiatrists to communicate with a simulated patient played by an actor with an intellectual disability is described. The paper also assesses the potential benefits of this kind of assessment and the experience of actors and examiners taking part in this process. Findings – The station was found to perform well in discriminating between candidates of various abilities and was well received by actors, examiners and observers. The station is now routinely used in the formal assessment of trainee psychiatrists. Practical implications – The use of people with intellectual disabilities in training and assessment appears to be advantageous in terms of improving knowledge, attitudes and skills amongst healthcare professionals and gives increased opportunities for people with intellectual disabilities to undertake valued social roles. Originality/value – Few institutions currently employ actors with intellectual disabilities as simulated patients as part of their training programmes and as a result there is little in the way of literature on this subject. This paper describes an alternative approach to teaching and assessment which falls in line with recommendations from the Department of Health to involve service users in the training of healthcare professionals.

Publisher

Emerald

Subject

Psychiatry and Mental health

Reference15 articles.

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3. Eddey, G. , Robey, K. and McConnell, J. (1998), “Cognition, confidence and clinical skills”, Academic Medicine, Vol. 73 No. 10, pp. 106-8.

4. Hall, I. and Hollins, S. (1996), “Changing medical students’ attitudes to learning disability”, Psychiatric Bulletin, Vol. 20, pp. 429-30.

5. Harden, R. , Stevenson, M. , Downie, W. and Wilson, G. (1975), “Assessment of clinical competence using objective structured examination”, British Medical Journal, Vol. 1 No. 5955, pp. 447-51.

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1. Educating on Health Care in People with Intellectual Disability;Education about Mental Health and Illness;2019

2. Educating on Health Care in People with Intellectual Disability;Education about Mental Health and Illness;2018

3. Actors with intellectual disabilities in mental health simulation training;The Journal of Mental Health Training, Education and Practice;2017-07-10

4. The MRCPsych post-2015: preparing trainees and improving courses;BJPsych Advances;2016-05

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