Speech Pathology Students’ Perceptions of a Standardized Patient Clinic for Voice Disorders
Channel: Anna Rumbach
Date: 2020-05-12

Speech Pathology Students’ Perceptions of a Standardized Patient Clinic for Assessment and Management of Voice Disorders


Anna Rumbach (BSc, MSpPathSt, GCHEd, PhD), Danielle Aldridge (BSpPath) & Anne Hill (BSpThy, PhD) 


Objective: Simulation is an appropriate and accessible learning method for students to gain skills in place of traditional practice, especially in clinical caseloads that are not able to be accessed by a majority of students. The study aimed to explore change in students’ perceptions of knowledge, confidence, anxiety and clinical readiness for assessment and management of an adult with a voice disorder after participation in simulation. 

Methods: Students enrolled in mandatory courses dedicated to the voice range of practice area participated (N = 113). Students completed 32 hours of academic coursework and two, 30-minute simulation experiences with a simulated patient playing the role of an adult with a voice disorder. The impact of the simulation learning activities on student perceptions of knowledge, confidence, anxiety and clinical readiness across time were measured using three surveys: (1) pre-lectures, (2) post lectures, but pre-simulation, and (3) post-simulation. Change across time was analysed using repeated measures analysis of variance. Post-hoc analysis involved planned contrasts (Bonferroni adjustment).

Results: All students perceived significant (p≤.001) positive changes in knowledge and confidence across all activities, across all time points, with the exception of writing an assessment report. Anxiety related to the management of a client with a voice disorder fluctuated significantly (p≤.001) throughout the program. Overall, the majority of students agreed or strongly agreed that the simulation experience helped develop clinical skills, apply content taught in lectures, enhance confidence and interest, and was a useful learning experience.

Conclusion: This study supports the benefits of incorporating simulation as part of student’s clinical preparation for the assessment and management of voice disorders.