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From Simulation to Conversation: Simulated Patients’ Contribution to Meaningful Feedback Dialogues Cover

From Simulation to Conversation: Simulated Patients’ Contribution to Meaningful Feedback Dialogues

Open Access
|Mar 2026

References

  1. Cleland J, Abe K, Rethans J. The use of simulated patients in medical education: AMEE Guide No 42 1. Med Teach. 2009;0044(42):47786. DOI: 10.1080/01421590903002821
  2. Bokken L, Linssen T, Scherpbier A, Van Der Vleuten C, Rethans JJ. Feedback by simulated patients in undergraduate medical education: A systematic review of the literature. Med Educ. 2009;43(3):20210. DOI: 10.1111/j.1365-2923.2008.03268.x
  3. Silverman J. Teaching clinical communication: A mainstream activity or just a minority sport? Patient Educ Couns. 2009;76(3):3617. DOI: 10.1016/j.pec.2009.06.011
  4. Lane C, Rollnick S. The use of simulated patients and role-play in communication skills training: A review of the literature to August 2005. Patient Education and Counseling. 2007;67:1320. DOI: 10.1016/j.pec.2007.02.011
  5. Barrows HS. An overview of the uses of standardized patients for teaching and evaluating clinical skills. Academic medicine. 1993;68;443. DOI: 10.1097/00001888-199306000-00002
  6. Lopreiato JO, Downing D, Gammon W, Lioce L, Sittner B, Slot V, et al. Healthcare Simulation Dictionary. Society for Simulation in Healthcare; 2016.
  7. Gliva-McConvey G, Nicholas CF, Clark Lou. Comprehensive healthcare simulation: implementing best practices in standardized patient methodology; 2020. DOI: 10.1007/978-3-030-43826-5
  8. Lovink A, Groenier M, van der Niet A, Miedema H, Rethans JJ. How simulated patients contribute to student learning in an authentic way: An interview study. Advances in Simulation. 2024;9(1):4. DOI: 10.1186/s41077-023-00277-w
  9. Lovink A, Groenier M, van der Niet A, Miedema H, Rethans JJ. The contribution of simulated patients to meaningful student learning. Perspect Med Educ. 2021;10(6):3416. DOI: 10.1007/S40037-021-00684-7
  10. Ausubel DP. The facilitation of meaningful verbal learning in the classroom. Educ Psychol. 1977;12(2):16278. DOI: 10.1080/00461527709529171
  11. George RE, Wells H, Cushing A. Experiences of simulated patients in providing feedback in communication skills teaching for undergraduate medical students. BMC Med Educ. 2022;22(1):111. DOI: 10.1186/s12909-022-03415-6
  12. Yuan H, Yu S, Chai G, Liu J, Zhou Q (Tony). Standardized Patient Feedback: Making It Work Across Disciplines. J Pharm Anal. 2021 Dec 1;11(6):7328. DOI: 10.1016/j.jpha.2021.02.004
  13. Schlegel C, Woermann U, Rethans JJ, van der Vleuten C. Validity evidence and reliability of a simulated patient feedback instrument. BMC Med Educ. 2012;12(1):6. DOI: 10.1186/1472-6920-12-6
  14. Perron NJ, Louis-Simonet M, Cerutti B, Pfarrwaller E, Sommer J, Nendaz M. The quality of feedback during formative OSCEs depends on the tutors’ profile.
  15. Doyle Howley L, Martindale J. The Efficacy of Standardized Patient Feedback in Clinical Teaching: A Mixed Methods Analysis. Med Educ Online. 2004;19;9(1):4356. DOI: 10.3402/meo.v9i.4356
  16. Sullivan C, Condron CM, O’Connor L, Pawlikowska T, Murray JM. Their OSCE, not your Oscar: Simulated Patients’ Perspectives. Clinical Teacher. 2021 Dec 1;18(6):596601. DOI: 10.1111/tct.13400
  17. Gätje O, Jurkowski S. When students interlink ideas in peer learning: Linguistic characteristics of transactivity in argumentative discourse. International Journal of Educational Research Open. 2021;(1)2:100065. DOI: 10.1016/j.ijedro.2021.100065
  18. Er E, Dimitriadis Y, Gašević D. A collaborative learning approach to dialogic peer feedback: a theoretical framework. Assess Eval High Educ. 2021;46(4):586600. DOI: 10.1080/02602938.2020.1786497
  19. Dwyer J, Kelcey B, Berebitsky D, Carlisle JF. A Study of Teachers’ Discourse Moves That Support Text-Based Discussions. The Elementary School Journal. 2016;117(2):285309. DOI: 10.1086/688896
  20. Wei L, Murphy PK, Firetto CM. How Can Teachers Facilitate Productive Small-Group Talk? An Integrated Taxonomy of Teacher Discourse Moves. 2018;118(4):578609. DOI: 10.1086/697531
  21. Laal M, Laal M. Collaborative learning: what is it? Procedia Soc Behav Sci. 2012;1;31:4915. DOI: 10.1016/j.sbspro.2011.12.092
  22. Weinberger A, Fischer F. A framework to analyze argumentative knowledge construction in computer-supported collaborative learning. Comput Educ. 2006;1;46(1):7195. DOI: 10.1016/j.compedu.2005.04.003
  23. Van Dijk AM, Gijlers H, Weinberger A, Van Dijk AM, Gijlers ÁH, Weinberger A. Scripted collaborative drawing in elementary science education. Instr Sci. 2014;42:35372. DOI: 10.1007/s11251-013-9286-1
  24. Mette M, Hänze M. Arrogant or caring? Influence of transactive communication in interprofessional learning on knowledge gains and stereotype changes. GMS J Med Educ. 2021;38(3):66.
  25. Mercer N, Howe C. Explaining the dialogic processes of teaching and learning: The value and potential of sociocultural theory. Learn Cult Soc Interact. 2012;1;1(1):1221. DOI: 10.1016/j.lcsi.2012.03.001
  26. Keskitalo T, Ruokamo H, Gaba D. Towards meaningful simulation-based learning with medical students and junior physicians. Medical Teacher. 2014;36:2309. DOI: 10.3109/0142159X.2013.853116
  27. Andreouli E. Identity, Positioning and Self-Other Relations. Papers on Social Representations Peer Reviewed Online Journal ISSN. 2010;1913(14):10215573.
  28. Sargeant S, McLean M, Green P, Johnson P. Applying positioning theory to examine interactions between simulated patients and medical students: a narrative analysis. Advances in Health Sciences Education. 2017;22:187196. DOI: 10.1007/s10459-016-9691-8
  29. Bunniss S, Kelly DR. Research paradigms in medical education research. Med Educ. 2010;44:35866. DOI: 10.1111/j.1365-2923.2009.03611.x
  30. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77101. DOI: 10.1191/1478088706qp063oa
  31. Groenier M, Pieters JM, Miedema HAT. Technical Medicine: Designing Medical Technological Solutions for Improved Health Care. Med Sci Educ. 2017;27(4):62131. DOI: 10.1007/s40670-017-0443-z
  32. Decker S, Alinier G, Crawford SB, Gordon RM, Jenkins D, Wilson C. Healthcare Simulation Standards of Best PracticeTM The Debriefing Process. Clin Simul Nurs. 2021;58:2732. DOI: 10.1016/j.ecns.2021.08.011
  33. CAE. Learning Space. https://elevatehealth.net/solutions/brands/learningspace.
  34. Braun V, Clarke V. Can I use TA? Should I use TA? Should I not use TA? Comparing reflexive thematic analysis and other pattern-based qualitative analytic approaches. Couns Psychother Res. 2021;21(1):3747. DOI: 10.1002/capr.12360
  35. Kiger ME, Varpio L. Thematic analysis of qualitative data: AMEE Guide No. 131. Med Teach. 2020;42(8):84654. DOI: 10.1080/0142159X.2020.1755030
  36. Kaplonyi J, Bowles KA, Nestel D, Kiegaldie D, Maloney S, Haines T, et al. Understanding the impact of simulated patients on health care learners’ communication skills: a systematic review. Med Educ. 2017;51(12):120919. DOI: 10.1111/medu.13387
  37. Sullivan C, Doyle AJ, O’Toole M, Mulhall C, McNaughton N, Eppich W. ‘How can we help the students learn?’ A grounded theory study of simulated participants as educators. Med Teach. 2023;45(9):104753. DOI: 10.1080/0142159X.2023.2171857
  38. Nicol D, MacFarlane-Dick D. Formative assessment and selfregulated learning: A model and seven principles of good feedback practice. Studies in Higher Education. 2006;31(2):199218. DOI: 10.1080/03075070600572090
  39. Trullàs JC, Blay C, Sarri E, Pujol R. Effectiveness of problem-based learning methodology in undergraduate medical education: a scoping review. BMC Medical Education. 2022;22(1):112. DOI: 10.1186/s12909-022-03154-8
DOI: https://doi.org/10.5334/pme.2247 | Journal eISSN: 2212-277X
Language: English
Submitted on: Nov 4, 2025
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Accepted on: Feb 8, 2026
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Published on: Mar 9, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2026 Annelies Lovink, Karlijn Geelkerken, Heleen Miedema, Jan-Joost Rethans, Walther van Mook, Marleen Groenier, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.