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MedBiquitous Virtual Patient Standard: An Educator ’ s Overview. What is are virtual patients?.
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MedBiquitous Virtual Patient Standard: An Educator’s Overview
What is are virtual patients? “interactive computer programs that simulate real life clinical scenarios and provide an effective way for healthcare professionals to not only learn about a wide range of clinical topics, but to practice in a virtual and therefore safe environment.”
MedBiquitous Virtual Patient Standard (MVP) • A technical specification for the exchange of Virtual Patient activities across Virtual Patient systems <XML> Institution A Institution B
Who is using Virtual patients? • eViP • Karolinska Institute • Jagellonian University • Northern Ontario School of Medicine • St George’s University of London • Tufts University • University of Cluj Napoca • University of Heidelberg • University of Maastricht • University of Munich • University of Pittsburgh • University of Warwick • US Department of Veterans Affairs
What is unique about Virtual patients? • Assess decision making • Explore cognitive processes • Contextual “glue” for coordinating other simulation modalities • Flexible learning & activity designs
What the experts say “If expertise in clinical reasoning is indeed developed through exposure to a large number of cases, then VPs are ideally suited to this task.” “Virtual patients should be designed and used to promote clinical reasoning skills.” Cook DA and Triola MM. Virtual patients: a critical literature review and proposed next steps. Medical Education 2009; 43: 303–311.
Why look for a standards conformant system? • Sharing • Protecting investment • Research • Repurposing existing content
Implementing in the Curriculum • Synthesize concepts after a didactic session • Practice before an assessment • As an assessment • Clinical reasoning
Getting started • Learn more about how others are using virtual patients • See presentations from MedBiquitous 2012 (www.medbiq.org/conference2012/agenda ) • Plan to attend MedBiquitous 2013 • See articles in the literature • Check out different systems: www.medbiq.org/virtual_patient/implementers • Think about your educational goals • Present some examples to faculty
1: Kononowicz AA, Krawczyk P, Cebula G, Dembkowska M, Drab E, Fraczek B, Stachon AJ, Andres J. Effects of introducing a voluntary virtual patient module to a basic life support with an automated external defibrillator course: a randomised trial. BMC Med Educ. 2012 Jun 18;12(1):41. [Epub ahead of print] PubMed PMID:22709278. • 2: Shah H, Rossen B, Lok B, Londino D, Lind SD, Foster A. Interactive virtual-patient scenarios: an evolving tool in psychiatric education. Acad Psychiatry. 2012 Mar 1;36(2):146-50. PubMed PMID: 22532209. • 3: Gunning WT, Fors UG. Virtual patients for assessment of medical student ability to integrate clinical and laboratory data to develop differential diagnoses: comparison of results of exams with/without time constraints. Med Teach. 2012;34(4):e222-8. PubMed PMID: 22455713. • 4: LeFlore JL, Anderson M, Zielke MA, Nelson KA, Thomas PE, Hardee G, John LD. Can a virtual patient trainer teach student nurses how to save lives—teaching nursing students about pediatric respiratory diseases. Simul Healthc. 2012 Feb;7(1):10-7. PubMed PMID: 22228285. • 5: McEvoy M, Butler B, MacCarrick G. Teaching professionalism through virtual means. Clin Teach. 2012 Feb;9(1):32-6. doi: 10.1111/j.1743-498X.2011.00487.x. PubMed PMID: 22225890. • 6: Sumner W 2nd, O'Neill TR, Roussel G, Xu JZ, Fu H, Ivins D, Hagen MD. Family physicians' completion of scoring criteria in Virtual Patient encounters. AMIA Annu Symp Proc. 2011;2011:1355-60. Epub 2011 Oct 22. PubMed PMID: 22195197; PubMed Central PMCID: PMC3243160. • 7: McEvoy MM, Butler B, MacCarrick G, Nicholson AJ. Virtual patients: an effective educational intervention to improve paediatric basic specialist trainee education in the management of suspected child abuse? Ir Med J. 2011 Sep;104(8):250-2. PubMed PMID: 22125882. • 8: Guise V, Chambers M, Välimäki M. What can virtual patient simulation offer mental health nursing education? J Psychiatr Ment Health Nurs. 2012 Jun;19(5):410-8. doi: 10.1111/j.1365-2850.2011.01797.x. Epub 2011 Nov 1. PubMed PMID: 22070549. • 9: Williams K, Wryobeck J, Edinger W, McGrady A, Fors U, Zary N. Assessment of competencies by use of virtual patient technology. Acad Psychiatry. 2011 Fall;35(5):328-30. PubMed PMID: 22007093. • 10: Gormley GJ, McGlade K, Thomson C, McGill M, Sun J. A virtual surgery in general practice: evaluation of a novel undergraduate virtual patient learning package. Med Teach. 2011;33(10):e522-7. PubMed PMID: 21942488.
For more information Download: http://bit.ly/mbq_vp Valerie Smothers vsmothers@jhmi.edu