Since 2016 Escola de Pacientes has trained clinical consultations with a simulated patient. This page publishes what that practice has accumulated, in open numbers.
The numbers
3.226
simulated consultations since 2016
Of this total, 2,975 come from the historical base, compiled on 18/08/2026 — printed simulations, simulations in forms, and in earlier assistants. SimulaPacientes contributes 251.
Where the simulations come from
How much each source represents of the 3,226 simulated consultations.
| Source | Of the total | Simulations |
|---|---|---|
| SimulaPacientes | 7,8% | 251 |
| Printed, in the internship | 37,8% | 1.219 |
| Digital forms | 44,4% | 1.431 |
| ChatGPT | 4,5% | 145 |
| Gems | 5,6% | 180 |
By competency
| Competency | Coverage | Simulations |
|---|---|---|
| Communication | 31% | 37 |
| Medical history | 35% | 36 |
| Physical examination | 22% | 36 |
| Complementary tests | 30% | 36 |
| Differential diagnosis | 29% | 36 |
| Therapeutic management | 28% | 36 |
| Patient safety | 12% | 36 |
By clinical condition
| Condition | Coverage | Simulations |
|---|---|---|
| Type 2 diabetes mellitus | — | — protected along with another |
| Dengue | 20% | 18 |
| Systemic arterial hypertension | — | — fewer than 10 simulations |
By clinical group
| Group | Coverage | Simulations |
|---|---|---|
| NCDs — chronic noncommunicable diseases | 36% | 19 |
| Communicable diseases | 20% | 18 |
Month by month
| Month | Coverage | Simulations |
|---|---|---|
| 2026-09 | 27% | 37 |
What slips away most
| Expected management | Coverage | Simulations |
|---|---|---|
| Define and communicate the individualized glycated hemoglobin target | 100% | 17 |
| Inform about the warning signs that require immediate care | 100% | 17 |
| Explain that confirmatory tests depend on how long the condition has been present | 100% | 17 |
| Explain why there is no indication for additional imaging tests in this clinical picture | 100% | 17 |
| Advise on using repellent and eliminating Aedes aegypti breeding sites | 100% | 17 |
| Warn that the risk of worsening is concentrated at the fall in fever (critical phase) | 100% | 17 |
| Check whether the prescription was understood | 100% | 17 |
| Introduce yourself with your name and role | — | — fewer than 10 simulations |
| Call the patient by the name given on the appointment card | — | — fewer than 10 simulations |
| Explain that control is continuous and that the medication must not be reduced or stopped on one's own | — | — fewer than 10 simulations |
| Ask whether the patient has doubts, fears, or expectations before ending | — | — fewer than 10 simulations |
| Confirm how the diagnosis was made, with values and the number of previous measurements | — | — fewer than 10 simulations |
What was left out, and how much
Small subsets are not published. These blocks hid cells:
- conditions: 2
- actions that slip away most: 5
How these numbers are compiled
Aggregate of the Escola de Pacientes' clinical simulations with digital patients. Each cell's denominator is the number of SIMULATIONS, never of students: a pair who consult together counts once. Cells with fewer than 10 simulations are suppressed, and when suppressing a single cell would allow it to be deduced by subtraction, a second one is suppressed along with it. Time appears only by month. No class code, teaching unit, session identifier, or account identifier crosses this boundary. Every simulation conducted by a student counts, including those of someone who connected their own AI instead of using a School code: they conducted the whole consultation and were assessed by the same rubric, and which quota the call came from is a matter of cost, not of activity. Team rehearsals, which are classes marked as rehearsal, are left out. The training block carries only quantity — how many simulations per ICPC-2 chapter and per case —, with no scores at all, and obeys the same threshold. The archive and the bibliography are nobody's observation and come out in full, with one caveat: the case title hides the diagnosis on purpose, so the reference list says in how many cases each document is used, never in which.
Updated on 2026-11-04. Download the data as JSON.
How much was practiced, and in what
This part counts quantity, and only that. How many simulation rounds were done, in which ICPC-2 chapter, and with which digital patient — no score, no coverage, no one's performance. Performance numbers are in the tables above; here it is the volume of practice.
Rounds per ICPC-2 chapter
Which subject was practiced. Quantity only — this part publishes no score or coverage.
| Chapter | Simulations |
|---|---|
| Circulatory | 172 |
| General and nonspecific | 45 |
| Endocrine/metabolic and nutritional | 29 |
| Respiratory | — fewer than 10 simulations |
| Female genital | — fewer than 10 simulations |
| Digestive | — fewer than 10 simulations |
Rounds per simulation
How many times each digital patient was seen.
| Simulation | Simulations |
|---|---|
| Hypertension — first visit after diagnosis | 171 |
| Fever and body aches for two days | 44 |
| Test results — the consultation after screening | 29 |
| Lingering cough — spontaneous demand at the UBS | — fewer than 10 simulations |
| Arterial hypertension — diagnosis and initial management | — fewer than 10 simulations |
| Infant with fever and spots on the body | — fewer than 10 simulations |
| Foul-smelling vaginal discharge for a week | — fewer than 10 simulations |
| Right upper quadrant pain for 12 hours, with fever | — fewer than 10 simulations |
The archive and the bibliography
Each digital patient has a rubric: the list of what is expected of a well-conducted consultation in that case, item by item, with the document that supports each item. The feedback is built against it — and it is what makes the simulation formative assessment rather than a chat with a robot.
The title hides the diagnosis on purpose. "Fever and body aches for two days" does not say which disease it is because finding out is the student's task. That is why this page publishes the title, the chapter, and the size of each case's rubric — and the bibliography says in how many simulations each document is used, never in which.
The cases in the archive
26 simulations published. The title is what the student sees when choosing: it hides the diagnosis on purpose, because finding out is the task.
| Simulation | ICPC-2 chapter | Rubric items | Duration |
|---|---|---|---|
| Progressive tiredness and shortness of breath on exertion | Circulatory | 29 | 16 min |
| Leg pain when walking | Circulatory | 34 | 16 min |
| Hypertension — first visit after diagnosis | Circulatory | 38 | 15 min |
| Arterial hypertension — diagnosis and initial management | Circulatory | 21 | 15 min |
| Heart failure — return visit with the echocardiogram | Circulatory | 35 | 16 min |
| Heart failure: routine visit to renew prescriptions | Circulatory | 28 | 15 min |
| Heart failure: the swelling came back after the barbecue | Circulatory | 31 | 16 min |
| Right upper quadrant pain for 12 hours, with fever | Digestive | 36 | 18 min |
| Vomiting and drowsiness for a day in the emergency room | Digestive | 36 | 18 min |
| Hyperlipidemia — the routine test result came back abnormal | Endocrine/metabolic and nutritional | 31 | 15 min |
| Test results — the consultation after screening | Endocrine/metabolic and nutritional | 27 | 15 min |
| Foul-smelling vaginal discharge for a week | Female genital | 35 | 15 min |
| Fever and body aches for two days | General and nonspecific | 37 | 15 min |
| Infant with fever and spots on the body | General and nonspecific | 36 | 15 min |
| Follow-up after severe foot pain | Musculoskeletal | 27 | 15 min |
| Lumps in the joints and difficulty walking | Musculoskeletal | 31 | 16 min |
| Knee pain when climbing stairs | Musculoskeletal | 33 | 15 min |
| Bone densitometry result | Musculoskeletal | 28 | 15 min |
| Spots and lumps on the skin for four years | Skin | 35 | 18 min |
| Tiredness and low mood for two months | Psychological | 30 | 15 min |
| Smoking — determined to quit, but has tried before | Psychological | 32 | 15 min |
| Shortness of breath on exertion and cough with phlegm for years | Respiratory | 30 | 15 min |
| Infant with fever and cough for one day | Respiratory | 38 | 16 min |
| Lingering cough — spontaneous demand at the UBS | Respiratory | 34 | 18 min |
| Tiredness and getting up at night to urinate | Urinary | 29 | 15 min |
| Leg swelling and routine tests | Urinary | 32 | 16 min |
The rubric's bibliography
Each required item rests on a document, and the School's rule is that the one who awards points is a Brazilian institution. The order is that of the review queue: the more items depend on a document, the more its new edition calls for rereading. Another 97 items rest on the School's own methodological standard, which is not external bibliography and so does not appear in the list.
| Document | Edition | Type | Items | Cases |
|---|---|---|---|---|
| Clinical Protocol and Therapeutic Guidelines for Heart Failure with Reduced Ejection Fraction Ministry of Health — SAES and SECTICS | Joint Ordinance SAES/SECTICS No. 10, of 13/09/2024, with correction in November 2024 | protocol | 53 | 3 |
| Health Surveillance Guide Ministry of Health — Health and Environment Surveillance Secretariat | 6. ed. rev., v. 1 | manual | 31 | 1 |
| Brazilian Guideline on Dyslipidemias and Atherosclerosis Prevention Brazilian Society of Cardiology | 2025 | guideline | 30 | 3 |
| Clinical Protocol and Therapeutic Guidelines for Leprosy Ministry of Health (Conitec) | 2022 | protocol | 30 | 1 |
| Clinical Protocol and Therapeutic Guidelines for Comprehensive Care of People with Sexually Transmitted Infections (PCDT-IST) Ministry of Health — DATHI/SVSA | 2022 | protocol | 30 | 1 |
| Clinical Protocol and Therapeutic Guidelines for Systemic Arterial Hypertension (PCDT HAS) Ministry of Health (Conitec) | 2025 | protocol | 29 | 2 |
| Dengue: diagnosis and clinical management — adults and children Ministry of Health | 6th ed., 2024 | manual | 28 | 1 |
| Guidance Guide for Health Professionals: Influenza-like Illness (ILI) and Severe Acute Respiratory Syndrome (SARS) Ministry of Health | 2025 | manual | 27 | 1 |
| PACK Brasil Adulto Brazilian adaptation of PACK, with the Knowledge Translation Unit (University of Cape Town) as the original authorship | 2025 | manual | 24 | 1 |
| Manual of Recommendations for Tuberculosis Control in Brazil Ministry of Health — National Tuberculosis Control Program | 2th ed., 2019 | manual | 22 | 1 |
| Clinical Protocol and Therapeutic Guidelines for Type 2 Diabetes Mellitus Ministry of Health (Conitec/SECTICS) | Ordinance SECTICS/MS No. 7, of 28/02/2024 | protocol | 22 | 1 |
| Brazilian Guidelines on Arterial Hypertension (DBHA) Brazilian Society of Cardiology, Brazilian Society of Hypertension, and Brazilian Society of Nephrology | 2025 | guideline | 20 | 2 |
| Technical Note No. 5/2026-CGCOVID/DEDT/SVSA/MS Ministry of Health — Health and Environment Surveillance Secretariat, General Coordination of Covid-19 Surveillance | 2026 | technical note | 6 | 1 |
| Technical Note No. 27/2023-CGDE/DEDT/SVSA/MS — leprosy Ministry of Health — CGDE/DEDT/SVSA | 2023 | technical note | 4 | 1 |
| Brazilian Guidelines on Blood Pressure Measurement In and Out of the Office Brazilian Society of Cardiology | 2023 | guideline | 3 | 1 |
| Tuberculosis in Primary Health Care: nursing protocol Ministry of Health | 2022 | protocol | 2 | 1 |
| Technical Note GVIMS/GGTES No. 04/2020 — precautions in care for suspected or confirmed respiratory virus cases Anvisa — Health Services Surveillance and Monitoring Management | updated on 25/06/2024 | technical note | 1 | 1 |
| Surveillance Protocol for Latent Mycobacterium tuberculosis Infection in Brazil Ministry of Health | 2th ed., 2022 | protocol | 1 | 1 |
An item may cite two documents and counts in both — if either changes, that item needs to be reread. That is why the items column adds up to more than the archive total. The "Cases" column says in how many simulations the document is used, not in which: the document–simulation pair would give away the diagnosis the title hides.
What these numbers are, and what they are not
They are aggregated. Each row gathers many simulations, and none of them can be reconstructed from here. The denominator is always the number of simulations, never of students: a pair who see patients together counts once.
Small subsets are not published. When a subset has fewer than ten simulations, the percentage disappears from the table and so does the number of simulations that make it up — because "suppressed, 3 simulations" would already say too much about a small group. And when hiding a single subset would allow it to be deduced by subtraction, a second one is hidden along with it.
Time appears only by month. Day and hour, in a class that simulates on Tuesday night, would say who was in the room.
No class, group, or pair code crosses this page. No session identifier, no account, no consultation transcript.
Where they come from
The historical base was compiled on August 18, 2026 and gathers what the School recorded before SimulaPacientes: printed simulations, simulations in forms, and in earlier chat assistants. It no longer changes.
What comes next belongs to SimulaPacientes, the School's digital patient hub, and is updated automatically.
How to cite and reuse
The data on this page may be freely reused, with attribution to Escola de Pacientes (UnB). The JSON file has the same information as the table, with the methodology embedded.
Escola de Pacientes. *Simulações em números*. Brasília: UnB, 2026. Disponível em escoladepacientes.com/simulacoes-em-numeros.
Questions this page does not answer
Who saw the patient, exactly when, from which class, with which individual score. None of this is published, and not by editorial choice: the aggregation that produces this page does not receive those fields.
Neither what the diagnosis of each simulation is, nor which document supports which case. This is the only omission here that protects no person: it protects the task. A student who arrived at this page knowing the answer before opening the consultation would lose exactly what the simulation exists to train.
