Embracing different languages and local differences: Co-constructive patient simulation strengthens host countries’ clinical training in psychiatry

Table 1 Adapting co-constructive patient simulation to a native language and local setting

Components	Possible adaptations
Actors/standardized patients/SPs	Hire actors through local drama schools or theater programs when no SP programs are available
	Adjust compensation to local market fees (averaging in the US approximately $ 25 per hour per actor, 4-h minimum)
	Consider alternatives to professional actors, e.g., non-professional actors, other mental health professionals who are not part of the same peer group
Delivery via synchronized videoconferencing	Chat feature in Zoom can be useful for a bilingual native speaker to translate key points to any outside guests, particularly during early stages of CCPS development
	Geographic distance can result in wide time zone variance, an added logistic challenge during early planning stages
	Consider that some international and non-academic Zoom accounts can limit session time or number of participants
Facilitation	Transition of leadership as sessions progress: From an outside “guest” to a local “host” facilitator

SPs: Simulated participants; CCPS: Co-constructive patient simulation.