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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

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Jeffrey Wiseman Emmanuel G. Blanchard Susanne Lajoie

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  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

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