You are here

Standardized Patient Program Casting Sheet

Southern Illinois University School of Medicine employs simulated patients in the training and evaluation of medical students, residents and other professionals. A Simulated/Standardized Patient is a person who has been coached to accurately and consistently recreate the history, personality, physical findings, and emotional structure and response pattern of an actual patient isolated at a particular point in time. Simulated patients are interviewed and examined (just as you would be by your family doctor) by male and female medical students. In the patient role, simulators may see several (1 to 12) students on a one-to-one basis during an evaluation session or there may be a group of students (4 to 7) working with you in a controlled teaching session.

If you think you may be interested in being a simulated patient for SIU School of Medicine, please complete and submit the questionnaire below. Once received, you will be invited to an informational session at which we will explain the program in detail. If you have questions prior to this time, Springfield area candidates may call Mary Aiello at  217-545-7126. Carbondale candidates may call Vicky Dasher at 618-453-1674.

Please complete the following information so we can add you to our Simulated Patient Database. Details like ethnic background, date of birth, height/weight, and number of children, are used only in matching simulators to available cases. Your information will be kept confidential.

If unemployed or retired, please list your former occupation.
I hereby certify that all the above information is true and correct to the best of my knowledge and belief.
Please list as much information as you can, including names, addresses, email addresses and phone numbers.
A conviction record will not necessarily be a bar to employment. Factors such as age and recency of the offense, seriousness and nature of the violation, and rehabilitation will be taken into account in terms of the position’s responsibilities.