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Branching Simulation Designs for Virtual Patients

Branching Simulation Designs for Virtual Patients. Kira King , PhD Decision Simulation Rosalyn P. Scott , MD, MSHA Dayton Veterans Affairs Medical Center Wright State University Mary Davidson , MSN APRN CHPN Veterans Affairs Healthcare System of Ohio Edward Bope , MD

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Branching Simulation Designs for Virtual Patients

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  1. Branching Simulation Designs for Virtual Patients Kira King, PhD Decision Simulation Rosalyn P. Scott, MD, MSHA Dayton Veterans Affairs Medical Center Wright State University Mary Davidson, MSN APRN CHPN Veterans Affairs Healthcare System of Ohio Edward Bope, MD Chief of Primary Care/Palliative Care Physician Columbus Veterans Affairs Ambulatory Care Center

  2. Types of Branching Alternate Learning Paths Gaming Personalized Feedback

  3. Branching: Examples & Non-Examples Concept: Triangle • Conceptual knowledge “kinds of” • Explore examples of what is and what is not the concept • Reflection highlights the distinguishing criteria of the concept • Works with a variety of media Decision Reflection Reflection Example: Non-Example: Triangle Circle (Merrill, 2009)

  4. Branching: Delayed Consequences • Demonstrates the consequences as the simulation flashes forward • Drama supports engagement and retention • Promotes insightful learning • Provides autonomy Decision Consequences Consequences Reflection Reflection

  5. Branching: Second Chance Decision • Provides preliminary results of decisions • Go back and add choices for a better outcome • Models problem solving approach • Encourages self-reflection Initial Results Initial Results Initial Results Poor Outcome Optimal Outcome Sub-Optimal Outcome

  6. Branching: Interrupter Patient Interview • Interrupt learners if they make a dangerous decision • Create an alternate path or remediate via a mentor • Models the real world • Uses drama to portray dire consequences Patient Deteriorates Order Lab Tests Stabilize Patient Results Too Many Essential Questions Questions Only

  7. Branching: Personalized Feedback Decision • Assesses learners • Provides a second chance with support • Remediates learners who select both optimal and sub-optimal choices • Ensures mastery • Allows skilled learners to advance quickly Try Again w/Hints Mastery Remediation Continue

  8. Branching: Personalized Feedback Remediation: You identified the 3 clinically significant findings. However, you also selected symptoms that are not clinically significant: rigidity, mood swings and difficulty sleeping.

  9. Branching: Gaming • Earn points • High scorers progress to harder challenges • Lower scorers can repeat Level 1 • Motivates learners • Mastery learning Challenge4 Challenge5 Challenge6 Level Two Score Challenge 1 Challenge2 Challenge3 Level One

  10. Branching: Gaming 10

  11. Branching: Gaming 11

  12. Types of Branching

  13. Questions?

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