1 / 13

Jeffrey Wiseman Emmanuel G. Blanchard Susanne Lajoie

The Deteriorating Patient Smartphone App How Can Achievement Emotions Guide the Design of a Medical TRE?. Jeffrey Wiseman Emmanuel G. Blanchard Susanne Lajoie. LEADS 2 nd Annual Team Meeting May 2, 2013 San Francisco. Outline. Rationale Research Questions Methods Data to be analyzed

fran
Download Presentation

Jeffrey Wiseman Emmanuel G. Blanchard Susanne Lajoie

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. The Deteriorating Patient Smartphone AppHow Can Achievement Emotions Guide the Design of a Medical TRE? Jeffrey Wiseman Emmanuel G. Blanchard Susanne Lajoie LEADS 2nd Annual Team Meeting May 2, 2013 San Francisco

  2. Outline • Rationale • Research Questions • Methods • Data to be analyzed • Deliverables • Implications + Conclusion

  3. Rationale • Emergencies = emotionally challenging situations • ABCDEFG algorithm guides emergency care & helps with some emotional challenges • Medical Simulations: Role of debrief; “Hi Fi” versus “Low Fi” • Deliberate practice with feedback (Ericsson, 2004)

  4. Rationale The Deteriorating Patient Simulation (DPS) (Wiseman, Lajoie, Lu, Blanchard 2006, 2010, 2012) • Human tutors • Small groups of learners + few tutors • Digital tutors • Large numbers of learners + digital tutor • TRE (Smartphone App: Authoring + Case tools) • Community of live & digital learners and tutors • Deliberate practice with feedback anywhere, anytime • Serious games

  5. Emotions?

  6. Patient Scenario From the Live TutorDeteriorating Patient Simulation… Listen to Learner (Wiseman, Snell, 2008; Lu, Lajoie, Wiseman, 2010) Your approach Learner’s approach Important differences or weaknesses E Patient deteriorates by a small increment specific to the weakness E Learner corrects Learner doesn’t correct Listen to next learner Prompt to consult Hints & Humor E E

  7. …To the DigitalDeteriorating Patient Application (Blanchard, Wiseman, Naismith, Hong, Lajoie, 2010; Blanchard, Wiseman, Naismith, Lajoie, 2012) Vital signs Information panel Choice of actions in the selectedcategory Action categories

  8. Research Questions • What types of achievement emotions (Pekrun, 2006)occur in the setting of medical learners attempting to solve an emergency case simulation presented by a human tutor? • Are similar achievement emotions induced by a smartphone-based TREpresenting the same case? • If not, whatadditional adjustments in the TRE are needed to bring the TRE-induced achievement emotions closer to those induced by a human tutor?

  9. Methods • User-centred design iterative approach (Lai et al 2010) • DP app developers interact with 5 target users to test and adjust TRE design choices • Modules for collecting user data embedded into the TRE • Compare + adjust TRE to human Tutor with using an isometric case for 10 medical learners

  10. Data to be Analyzed • Technical • Self-report measures, log files • Cognitive • Process: use of ABCDEFG algorithm to guide diagnostic and management choices; response to changes in vital signs & hints; persistence • Outcome: Diagnosis, Management, Timing of help-seeking • Emotional • AEQ (Pre? During? As part of Debrief to guide recall?), Task value + control

  11. Deliverables • A new version of the DDPA running on smartphones • A first version of the DDPA authoring tool running on smartphones • A paper submission to ECTEL2014 • An advanced draft of a paper to be submitted to a peer-reviewed international journal in late 2014 • A grant proposal submission to the Royal College of Physicians and Surgeons of Canada for additional evaluations on the emotional and cognitive impacts of DDPA for medical learners

  12. Implications + Conclusions • Role of learner emotions • in medical simulations are relatively unexplored • in TRE design is new for medical contexts • DPA Smartphone App promises to • Support further adaptation + application of the AEQ to a medical education context • Provide a TRE designed for learners’ emotions • Permit tracking of learner development over time • Provide links with Empathy/Giving Bad News/Cultural Differences/Bioworld

  13. Thank You! Thank You

More Related