Standardized Patient Application

Thank you for your interest in being a Standardized Patient (SP). Please provide us with the following information so that we can best match you to specific SP cases. All fields except photo are required.

Applicant Information
Title:     



(000-000-0000)

(000-000-0000)





Knowledge about Standardized Patients (SPs)
Please watch the Prospective Standardized Patient Orientation Video (opens in a new window) and answer the following questions:
2. Choose the best answer. SP work is:       
3. Working as an SP makes you an employee of Upstate Medical University:     

    
5. SPs can portray a variety of simulated physical findings, like a positive Babinski sign
    or a pneumothorax     
Consent Information
Please read the Consent in the following box and check the proper radio button:
    

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