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METTLE

METTLE. Developed By Stottler Henke Associates, Inc. Eric A. Domeshek domeshek@stottlerhenke.com. Monitored by USAMRMC TATRC Mr. Harvey Magee magee@tatrc.org. Web-Based Training. Diagnosis Treatment System Response. Decision-Making. Language & Forms Multimedia Interaction

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METTLE

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  1. METTLE Developed By Stottler Henke Associates, Inc.Eric A. Domeshek domeshek@stottlerhenke.com Monitored by USAMRMC TATRC Mr. Harvey Magee magee@tatrc.org

  2. Web-Based Training Diagnosis Treatment System Response Decision-Making Language & Forms Multimedia Interaction Rule-Based Behaviors Character Simulation Assessment/Tracking Hinting/Feedback Tutorial Annotations Automated Tutoring Authoring Tools Scripting Language Extensible Framework Authorability

  3. Instructional Strategy Role-Play Scenarios Constrained Free-Play Any-Time/Anywhere Learn While Doing Hints on Request Proactive Feedback After-Action Review Coached Experience Tutor-Initiative Dialog Probe for Reasoning Offer Critiques Rationale Discussion Curriculum Tree Linked Instruction Reference Materials Facts in Context

  4. Character Behavior Rule (=> Test-Hemacoag-CSF (choose tests:CSF-cell-count-and-diff) (test "Order CSF Cell Count & Diff." CSF-cell-count-diff 00:00:01) :test (line Test-Image-CT-Head) :hint (say "Given a patient with possible meningitis, consider looking for signs of CNS mass lesion or midline shift. Most infections in the CNS will have a normal CT, but some will not.") :what (say "Consider a CSF Cell Count and Differential test to suggest presence of infection.") :how (say "Click the \"Test\" button and choose the \"Hematology/Coagulation\" menu item, then order a CSF Cell Count and Differential test.") :why (say "The presence of WBCs in CSF would strongly suggest an infection in the CNS.") :nope (say "If you suspect the possibility of meningitis, you should not collect CSF before doing a Head CT CT in this case. This patient has a somewhat abnormal mental status, and as such needs a CT prior to LP. Some young patients with normal neuro exam and mental status may have LP without CT, though this remains an area of discussion in the literature.") )

  5. Major Features of METTLE Simulated interaction with characters (patients and medical team-mates) Language-based interaction, student initiative and character initiative Tutor tracks/assesses student actions tied to curriculum and student model Tutor offers hints, feedback, dialog, scorecard, and reference materials Scenario scripting with reusable assets and web-based authoring tools Medical content, including interview questions, and test order forms Retargetable for range of character interaction/decision-making apps. Multi-modal character interaction Simulated dialogs Automated assessment Tutor response Authoring tools Reusable medical content General framework

  6. 10. METTLE Runtime Servlet Authoring Servlet 9. Enact Enact Structures Enact Interpreter 8. Discuss Discuss Structures Discuss Interpreter 7. GRAIN GRAIN Structures GRAIN Interpreter 6. Interpreter Test Interpreter Action Interpreter 5. Interaction SVG Interaction Concept HTML Forms 4. Concept Concept Structures Concept HTML Widgets 3. Registry Registry Structures Editable HTML Widgets 2. Web Web Server Config. Servlet Framework 1. Utility XML Processing Text Processing Architecture

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