Abstract
Background: Standardized patient (SP)-based simulation has been increasingly adopted in medical education to enhance students’ communication skills. However, students’ perceptions of this teaching method may vary across different stages of training and remain underexplored in Vietnam.
Objectives: (1) To assess medical students' perceptions of standardized patient-based communication skills training. (2) To compare perceptions between preclinical and clinical students.
Methods: A cross-sectional study was conducted among 853 second-year and fifth-year medical students at Hue University of Medicine and Pharmacy, Hue University. Data were collected using a questionnaire that combined two previously published instruments: Maastricht Assessment of Simulated Patients (MaSP) and the Standardized Patient Encounter Feedback Form (SPEF), covering three domains: authenticity, feedback quality, and educational support provided by standardized patients. Internal consistency was assessed using Cronbach's alpha. Data were analyzed using SPSS version 20.0, and comparisons between the two groups were performed using the Mann–Whitney U test.
Results: Students demonstrated positive perceptions toward standardized patient- based learning, with mean scores ranging from 3.87 ± 0.64 to 4.00 ± 0.68. The educational support domain received the highest rating (4.00 ± 0.68). The study instrument showed high internal consistency, with Cronbach’s alpha coefficients ranging from 0.903 to 0.934. Fifth-year students reported significantly higher perception scores than second-year students across all three domains (p < 0.001). Both groups showed a high level of agreement regarding the role of standardized patients in facilitating learning, improving communication skills, and promoting active student engagement.
Conclusions: Medical students held positive perceptions of standardized patient - based learning. Clinical students rated this teaching method more favorably than preclinical students. These findings underscore the important role of standardized patients in enhancing communication skills education and bridging the gap between simulated and real clinical learning environments.

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