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deleted500612
This is actually the problem I have with it. The SP has a real vagina, breast, cervix. It's invasive, regardless if the encounter is real or not. Treating it like some sort of scenario is off putting, and makes it awkward. I think it borders on being unethical. At my school, the SPs don't give feedback on the WWE as to if we're doing it right. During the other encounters, they just give sugar coated, fake feedback.
Maybe it's just my preference, but as a medical student it makes me feel much more comfortable going into a pelvic exam knowing that the SP is experienced in letting plenty of med students inspect their privates... they know that this is my first time doing a pelvic, and understand that it will feel awkward for me. I guarantee these SPs have had their genitals examined so many times that it definitely does not feel invasive to them and they are cool with you fumbling around with your fingers inside their vagina trying to find their cervix. They know what they are in for when they sign up for this.
I don't think this process would be nearly as forgiving if you are performing your first pelvic on a real patient, who is going to be embarrassed, ashamed, reluctant and not be nearly as understanding. No patient wants to have their genitals used as a learning tool by an inexperienced medical student, and I certainly don't blame them. They want to have their genitals examined once as necessary, and they want it to be done by someone who knows what they're doing so they can be done with the embarrassment and move on. It might be more comfortable for you personally to practice doing pelvics on real patients, but I seriously doubt those patients share your sentiment.