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Adv Simul (Lond). 2021 Jun 21;6(1):23. doi: 10.1186/s41077-021-00162-4.

The association of standardized patient educators (ASPE) gynecological teaching associate (GTA) and male urogenital teaching associate (MUTA) standards of best practice.

Advances in simulation (London, England)

Holly Hopkins, Chelsea Weaks, Tim Webster, Melih Elcin

Affiliations

  1. Eastern Michigan University School of Nursing, 311 Marshall Building, Ypsilanti, MI, 48197, USA. [email protected].
  2. Eastern Virginia Medical School Sentara Center for Simulation and Immersive Learning, 651 Colley Avenue, Norfolk, VA, 23501, USA.
  3. University of Manitoba Rady Faculty of Health Sciences, 250 Brodie Centre, 727 McDermot Avenue, Winnipeg, Manitoba, R3E 3P5, Canada.
  4. Department of Medical Education and Informatics, Hacettepe University Faculty of Medicine, Sihhiye Campus, 06100, Ankara, Turkey.

PMID: 34154661 PMCID: PMC8215835 DOI: 10.1186/s41077-021-00162-4

Abstract

Gynecological Teaching Associates (GTAs) and Male Urogenital Teaching Associates (MUTAs) instruct healthcare professional learners to perform accurate and respectful breast, speculum, bimanual vaginal, rectal, urogenital, and prostate examinations. During such sessions, the GTA/MUTA uses their own body to instruct while providing real-time feedback. While GTAs/MUTAs fall under the broader umbrella of Standardized Patient methodology, the specificity of their role indicates need for establishment of Standards of Best Practice (SOBP) for GTA/MUTA programs. On behalf of the Association of Standardized Patient Educators (ASPE), the Delphi process was utilized to reach international consensus identifying the Practices that comprise the ASPE GTA/MUTA SOBP. The original ASPE SOBP was used as the foundation for the iterative series of three surveys. Results were presented at the ASPE 2019 conference for additional feedback. Fifteen participants from four countries completed the Delphi process. Four of the original ASPE SOBP Domains were validated for GTA/MUTA programs: Safe Work Environment, Instructional Session Development, Training GTAs/MUTAs, and Program Management. Principles and Practices were shaped, and in some instances created, to best fit the distinct needs of GTA/MUTA programs. The ASPE GTA/MUTA SOBP apply to programs that engage GTAs/MUTAs in formative instructional sessions with learners. Programs that incorporate GTAs/MUTAs in simulation roles or in summative assessment are encouraged to reference the ASPE SOBP in conjunction with this document. The SOBP are aspirational and should be used to shape Practices within the program's local context. The ASPE GTA/MUTA SOBP will continue to evolve as our knowledge-base and practice develop.

Keywords: Genitourinary examination; Genitourinary training associate; Gynecological teaching associate; Male urogenital teaching associate; Pelvic examination; Physical examination instruction; Professional patient; Rectal/prostate examination; Standardized patient; Standardized patient methodology

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