Comparing Task Trainers to Standardized Patients for Gynecologic Assessment Skills

Published:October 12, 2022DOI:


      • Primary care nurse practitioner students compared use of low-fidelity task trainers with standardized patients for learning of gynecologic exams.
      • Task trainers provided initial comfort with technique and use of equipment.
      • Standardized patients were preferred by students for more realistic learning.


      A quality improvement project was undertaken to assess nurse practitioner student feedback regarding low-fidelity task trainers and standardized patients for assessment of gynecologic exams. Initial practice with low-fidelity equipment helps students become familiar with equipment and technique, whereas use of standardized patients helps students apply those techniques and adapt them to individual persons. Use of standardized patients enabled students to engage in trauma-informed care while learning sensitive and proficient gynecologic exams. Barriers such as cost, availability of live models, and continued training will need to be addressed in future projects.


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        • Potter J.
        • Fessler D.
        • Huang G.
        • et al.
        Challenging Pelvic Exam.
        MedEdPORTAL. 2015; 11: 10256
        • Wanggren K.
        • Pettersson G.
        • Csemiczky G.
        • et al.
        Teaching medical students gynaecological examination using professional patients-evaluation of students’ skills and feelings.
        Med Teach. 2005; 27: 130-135
        • Jenkins L.
        • Shaivone K.
        • Budd N.
        • et al.
        Use of genitourinary teaching associates (GUTAs) to teach nurse practitioner students: Is self-efficacy theory a useful framework?.
        J Nurs Educ. 2006; 45: 35-37
        • Theroux R.
        • Pearce C.
        Graduate students’ experiences with standardized patients as adjuncts for teaching pelvic examinations.
        J Am Acad Nurse Pract. 2006; 18: 429-435
        • Rutledge M.
        • Link K.
        • Zapata I.
        • et al.
        Medical student confidence when training for a female genitourinary exam using models and standardized patients.
        J Obstet and Gynaecol Res. 2022; 48: 1466-1474
        • Jain S.
        • Fox K.
        • Van Den Berg P.
        • et al.
        Simulation Training Impacts Student Confidence and Knowledge for Breast and Pelvic Examination.
        Med Sci Educ. 2014; 24: 59-64
        • Pugh C.M.
        • Iannitelli K.B.
        • Roone D.
        Use of Mannequin-Based Simulation to Decrease Student Anxiety Prior to Interacting With Male Teaching Associates.
        Teach Learn Med. 2012; 24: 122-127
      1. Lioce L. (Ed.), Lopreiato J. (Founding Ed.), Downing D, Chang TP, Robertson JM, et al. and the Terminology and Concepts Working Group. Healthcare Simulation Dictionary –Second Edition. Rockville, MD: Agency for Healthcare Research and Quality; September 2020. AHRQ Publication No. 20-0019. DOI:

        • Hopkins H.
        • Weaks C.
        • Webster T.
        • et al.
        The association of standardized patient educators (ASPE) gynecological teaching associate (GTA) and male urogential teaching associate (MUTA) standards of best practice.
        Adv Simul. 2021; 6
        • Weaks C.
        • Hopkins H.
        • Lyman L.
        • et al.
        Broader Applications of Communication: Using the Human Body for Teaching and Assessment. Comprehensive Healthcare Simulation: Implementing Best Practices in Standardized Patient Methodology.
        Springer Nature Switzerland. 2020; (edited by Gliva-McConvey et al.): 221-240
        • Lewis K.L.
        • Bohnert C.A.
        • Gammon W.L.
        • et al.
        The Association of Standardized Patient Educators (ASPE) Standards of Best Practice (SOBP).
        Adv Simul. 2017; 2
        • Errichetti A.
        • Standardized Patient Debriefing and Feedback
        Review Manual for the Certified Healthcare EducatorTM (CHSETM) Exam.
        in: Wilson L. Wittmann-Price R.A. Springer Publishing Company, 2019: 234-249
        • Whittman-Price R.A.
        • Arnold D.S.
        • Part-Task Trainers
        Review Manual for the Certified Healthcare EducatorTM (CHSETM) Exam.
        in: Wilson L. Wittmann-Price R.A. Springer Publishing Company, 2019: 139-146
        • National Organization of Nurse Practitioner Faculties
        Standards for Quality Nurse Practitioner Education.
        6th ed. A Report of the National Task Force on Quality Nurse Practitioner Education, 2022


      Krista Ford, DNP, FNP-C is an assistant clinical professor University of Iowa College of Nursing, Iowa City, IA


      Ann Weltin, DNP, FNP-BC, CNM is an associate clinical professor University of Iowa College of Nursing, Iowa City, IA and can be contacted at [email protected]


      Katie Knox, PhD, RN is Co-Director of Nursing Clinical and Education Center University of Iowa College of Nursing, Iowa City, IA