Standardized Patient Case Using the HEEADSSS Model for an Adolescent Interview

Abstract

OPEN ACCESSOctober 30, 2008Standardized Patient Case Using the HEEADSSS Model for an Adolescent Interview Janice Hanson, PhD, Woodson Jones, MD, Michael Pelzner, MD, Peter Zawadsky, MD Janice Hanson, PhD Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine Google Scholar More articles by this author , Woodson Jones, MD Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine Google Scholar More articles by this author , Michael Pelzner, MD Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine Google Scholar More articles by this author , Peter Zawadsky, MD Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.1681 SectionsAboutAbstract ToolsDownload Citations ShareFacebookTwitterEmail AbstractAbstract Introduction: This resource is a standardized patient (SP) case for medical student education in pediatrics. Within a 15-20 minute time frame, the students are asked to interview a female adolescent using the HEEADSSS (Home environment, Education and employment, Eating, peer-related Activities, Drugs, Sexuality, Suicide/depression, and Safety) model and then identify risky behaviors of the adolescent and provide brief counseling. Methods: A standard history and physical examination are not performed, but are presumed to have occurred already and are normal. A SP postencounter checklist and a student postencounter form are used to determine pass/fail for the student and for faculty to use for formative feedback to the student. The case requires a trained SP female, dressed in typical adolescent fashion. The training summary is provided. When used for formative evaluation, faculty must be available to observe and provide feedback to the learners. Postencounter exercises for students and SP checklists require either paper checklists or a web-based SP encounter system to record data. Results: This case was developed, tested, and modified over seven separate testing dates from 2005 and 2006, with an average of six students per test date. The failure rate for the 38 encounters was 10.5%. All failures were due to the student not identifying two of three most urgent risky behaviors. Data presented here are from the encounters completed after modifications by the faculty, which improved the clarity of the educational objectives and the ability of the postencounter form to measure whether the student met the objectives. All encounters occurred in the same facility and all SPs were trained by the same trainers. Discussion: We have used this case in a third-year pediatric clerkship that incorporates teaching about the HEEADSSS interview. We have also used it for formative evaluation with faculty feedback. This case could also be used for summative feedback, if appropriate teaching were provided. Our data suggest we used appropriate pass/fail criteria for third-year medical students and that this criteria could also be applied to fourth-year students. If pass/fail criteria were adjusted for expected residency-level performance, the case could be used for formative or summative evaluation in pediatric and family medicine residencies. Educational Objectives By the end of this case, learners should be able to: Establish rapport with a female adolescent when asking sensitive questions about lifestyle choices that affect health and safety.Discuss at least six of the 10 components of the Home environment, Education and employment, Eating, peer-related Activities, Drugs, Sexuality, Suicide/depression, and Safety interview.Identify at least four of the eight risk factors that the adolescent displays.Identify two of the three risk factors that require urgent attention. Sign up for the latest publications from MedEdPORTAL Add your email below FILES INCLUDEDReferencesRelatedDetails FILES INCLUDED Included in this publication: HEEADSSS SPE.doc To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. This publication includes large downloadable files. If you experience difficulty downloading these files, please contact [email protected] to receive a free DVD version via mail. Download editor’s noteThis publication may contain technology or a display format that is no longer in use. Related Standardized Patient Case Using the HEEADSSS Model for an Adolescent Interview Standardized Patient Case: Health Supervision Encounter for a Child 6–24 Months of Age Copyright & Permissions© 2008 Hanson et al. This is an open-access publication distributed under the terms of the Creative Commons Attribution-NonCommercial-Share Alike license.KeywordsRisk BehaviorsInterviewRisk-TakingHEEADSSS Disclosures None to report. Funding/Support None to report. Loading ...