Ethical Concerns When Minors Act as Standardized Patients

Author:

Khoo Erwin Jiayuan1,Schremmer Robert D.2,Diekema Douglas S.3,Lantos John D.2

Affiliation:

1. International Medical University, Kuala Lumpur, Malaysia;

2. Children’s Mercy Kansas City, Kansas City, Missouri; and

3. Seattle Children’s Hospital, Seattle, Washington

Abstract

When minors are asked to assist medical educators by acting as standardized patients (SPs), there is a potential for the minors to be exploited. Minors deserve protection from exploitation. Such protection has been written into regulations governing medical research and into child labor laws. But there are no similar guidelines for minors’ work in medical education. This article addresses the question of whether there should be rules. Should minors be required to give their informed consent or assent? Are there certain practices that could cause harm for the children who become SPs? We present a controversial case and ask a number of experts to consider the ethical issues that arise when minors are asked to act as SPs in medical education.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

Reference16 articles.

1. Using children as standardised patients for assessing clinical competence in paediatrics.;Tsai;Arch Dis Child,2004

2. Primary school children in a large-scale OSCE: recipe for disaster or formula for success?;Darling;Med Teach,2013

3. Quotations of William Osler. Available at: https://brainyquote.com/quotes/quotes/w/williamosi393617.html. Accessed December 28, 2016

4. A systematic review: children and adolescents as simulated patients in health professional education.;Gamble;Advances in Simulation.,2016

5. Debunking the July phenomenon: are we asking the right questions?;Bailey;JAMA Surg,2016

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