Simulated Patient?

Hey folks,

I work as a simulated patient here in the US. That means I pretend to be a patient for medical students learning their profession. I was wondering if anyone would like to ask questions about it. Feel free to ask and I will give as many details as I can.

Regards

C

Oh i so wish that was me i want a gyno where someone walks in and sees my body with my big hairy vagina on show then they could touch it and put their fingers in me i wish my gyno was more frequent than yearly i so enjoyed last week.the sex afterwards with my husband was amazing!!

How does one find a job like that?

What type of simulated patient are you?

Do you portray cases for OSCE exams?

Do you act as a patient model? If so are those encounters with small groups of students and a professor / doctor where the students perform the exam or are you a model for lecture hall demonstration where the professor / doctor examines you in front of the class?

Have you done any work as a GUTA? If so can you describe the last session you had?

You have probably figured out that I am one too. I'd be happy to swap stories anytime. I've got some dousey's.

I am a regular SP as well as doing the Genitourinary Exams. My ordinary SP work includes pretending that I have an illness and such. The GU exam is where student doctors examine my genitals and prostate to gain experience with live patients.

Most of the GU exams take place with 6 students and a doctor. Here is a typical encounter:

I arrive an hour early and strip off my clothes, including underwear, and put on a gown. I am directed to wait in one of the small examination rooms. After awhile the doctor and 6 students enter. The doctor explains what they are to be looking for, and the methodology involved. Usually the class is 60% female so 3 or 4 out of them female, the rest male.

I am asked to lie down. Each doctor takes their turn with me. First examining my penis, rolling back my foreskin, and investigating the head. I always find this surprising because it is cold in the room and I can feel a bit of a breeze blowing on me. Then the student palpates the shaft looking for irregularities. Often they narrate what they are doing and I must admit that I find that somewhat erotic and have to actively ignore this! After the shaft, they move to the testicles. Checking for any lumps, they role each testicle between their fingers. This is very gentle, and I am often asked if it feels alright.

When each Doctor has examined my genitals I am asked to role over for the prostate exam. I am not too fond of this because it is a strange feeling, having someones fingers up there, but it isn't too bad. I role over exposing my backside to the doctors. Because the women have smaller fingers they often fumble around looking for it. After 6 penetrations I am finished and the last doctor wipes me down when they are through.

Often I am asked how I felt during the exam. I always say encouraging things! They are usually very shy but gentle.

I leave the room and off to the washroom to clean up. And then go home smiling.

One time I had a very attractive female doctor leading the exam. That was the only time that I embarrassed myself by getting an erection. Otherwise I have been very professional.

Any other questions?

Regards

C

I used to do something similar, but only for ear, nose, throat type exams. I was also involved in training doctors about bedside manner and communicating with patients. It wasn't sexual at all, but some of the nervous feelings I get at the doctor's office were present.

I am an Standardized Patient too. I also am involved in the genital / rectal exams performed by student doctors. One of the experiences that I remember the most happened about a year ago. It was the beginning of the school year and I was asked to perform the part of the patient for the male genitourinary exam for medical student that just started their second year of med school. These student doctors were 22 - 23 year old. The exams were held in a normal sized exam room. I would go to the exam room about 10 minutes before the doctor and her 5 students arrive and take everything off and put a gown on. the doctor and her student knocked on the door and come in and the doctor introduces herself and has her students do the same. The doctor then demonstrates the genital exam and rectal exam on me with the student doctors watching. Then the students each get a turn to do the exam. The doctor asks "who wants to go first?" When nobody stepped up she pointed to a cute little girl and said "Stacy, you're up". This petite little girl sits on the roll around stool right in front of me and says "I will now need to examine your genitals, will you please remove your gown?" I let my gown drop on the exam table behind me and the girl sitting about 18" away and at eye level with my penis looks at my penis and I see her eyes start to roll back in her head like she is about to faint which she does. She kind of wavers back and forth then falls forward toward me. I reach down just in time to catch her head from smacking me in the nuts. By then the other student had hold of her and laid her on the floor. I guess she may not be cut out to be the clinician she wants to be.

Just curious how does one get a job as a standardized patient? does it pay wll? ty! -Linda

Linda - It depends where you live. It takes a little bit of searching to find a university with a medical school that uses Standardized patients and even more searching to find out how to get in touch with the SP program. If you want to contact me with some general idea of where you live I would be happy to share with you what I know about any SP programs in your area.

As far as the pay goes .... yes it pays very well but you don't work many hours. I average between $40 and $50 per hour but I rarely work more than 6-8 hours per month. I don't do it for the money. In fact, I've tried to give them their money back. I do it for all the right reasons... to try to influence the next generation of doctors to be comfortable performing intimate exams on patients. Believe me, most of these med students more embarrassed performing the exam than I am being examined. These are first or second year med students less than 25 years old. When I first started I assumed that most of the female med students have seen or touched a penis before. Not so. Some of these young ladies are from cultures that forbid sex outside of marriage. I know for a fact that in the 10 years I have been a standardized patient, 3 female first year med students has never seen or touched a penis before. Mine was the first they had ever seen in person or touched. One one the young ladies had me concerned because she seemed very embarrassed. When it was her turn to perform the male genital exam, she sat on the stool in front of where I was stranding. When I opened up my gown she started leaning forward closer and closer to my penis. It was then I realized she was about to faint. I reached down to catch her head just before she would have headbutted me right in the nads. Other students grabbed her arms and eased her to the floor.

Hello, I live in northern New Jersey and work during the day in New York City. I am very interested in becoming a simulated patient. Unfortunately I do know two guys here in NYC who are but they are hyper protective of their part time income from this so they will absolutely not tell me how to get involved. I appreciate any leads or help.

Mt. Sinai in upper Manhattan has a program. There may be others. Just Google 'standardised patient program' or terms which are similar and you will get lists.

How do you get a job like that? and what kind of moneu is in it?

Interesting, thank you for sharing

Most med schools around here (S CA) use standardized patients - UCLA, UCI, UCSD, Loma Linda, Western University, USC. Most pay $18 & up per hour or per patient depending on the scenario, three (UCLA, UCI, USC) have invasive exams as an option, extra money for letting a group of 5-7 students learn how to do breast/pelvic (women) or rectal/prostate (that's us)exams as a group, or individual students doing complete physicals of SP's one-on-one.

Classes were mixed for most demonstrations; GU workshops tended to be separated by sexes- I was practiced on by women in one group, men in a second, only one time was the class mixed men and women.

Check out UCI's Standardized Patient Recruitment form:

http://www.meded.uci.edu/clinical_skills/sp_profile_form.asp

Note the checkbox near the bottom, if you're willing to have an invasive exam they pay more. Seems like most schools have steady recruitment, UCLA advertises for minorities and older males especially; theirs seem to be more acting a scene out as a patient and fewer workshops needing warm bodies for the students to practice on.

I did several, years ago in Arizona, good money and the students are fun to be around - I was more at ease than they were, think that's one of the reasons they have them practice on warm bodies before turning them loose on the public

Do any of the examiners make any comments about the fact that your penis is uncircumcised?

The teacher starts off with show and tell; if the SP is circumcised or uncircumcised is one of the first things they point out to the class so they do make a note of it, with a side trip into showing how to retract and examine the foreskin if the SP still has one. Expect it to be noted and demonstrated but just part of the lesson, they expressed no opinion on it in any way.