most of the SP's i had were good to excellent. good acting, etc. however i had 2 pts who were sorta rude. one refused to shake hands with me (before AND after the exam....i forgot and stuck out my hand the second time too)....she just kinda looked at me instead of shaking it. at first i wondered if they were being "in character", but i couldnt think of any reason why that would be in character. she wasnt in pain or anything. nor was she supposed to be a "difficult pt" or anything. what the hey. i wish we could evaluate the individual SP cause some were fabulous and others were not.