From: Key challenges in simulated patient programs: An international comparative case study
Name Title Date of birth Current age Telephone Address Physical description Body shape Height Weight Scars - face, abdomen, chest, back, limbs Facial features - beard, moustache Hair - bald, length, colour Body hair - chest Special features - glasses, tattoos, piercings, hearing aid, pace maker | Level of education Languages spoken Sign language Willing to participate in: Teaching Research Exams/Assessments Physical examination - minimal exposure, partial undress Intimate examination - e.g. breast Roles suited to play Roles trained for Roles played Confidentiality agreement and disclaimer |