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VP authoring with vpSIM

VP authoring with vpSIM. Choices, consequences and branching Choosing a case Starting - the ideal pathway Developing choices Dealing with consequences Narrative Finishing.

pandora-rutledge
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VP authoring with vpSIM

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  1. VP authoring with vpSIM

  2. Choices, consequences and branching • Choosing a case • Starting - the ideal pathway • Developing choices • Dealing with consequences • Narrative • Finishing

  3. A 47-yr-old teacher, Ms. Heidi Fox comes to see you in A&E. She seems exhausted and tired with dark circles under her eyes. She tells you that since she returned from Senegal 5 days ago she has been suffering from diffuse headaches on and off. She has had temperatures up to 39.6°C rectally, but overall with great undulation. Her GP prescribed Paracetamol which did not help at all. He also took blood and she shows you the results: (Normal values in parenthesis): Haemoglobin 9.5 g/dl (12-16) Erythrocytes 3.8 T/l (3.9-5.3) Haematocrit 35% (35-47) MCV 92 fl (78-98) MCH 32 pg (28-34) Leucocytes 2.4 G/l (4-11) Platelets 75 G/l (150-400) Sodium 141 mmol/l (135-150) Potassium 4.4 mmol/l (3.5-5.5) Creatinine 1.8 mg/dl GPT 98 U/L (5-19) GOT 76 U/l (5-15) GGT 80 U/l (<28) LDH 440 U/l (80-240) Bilirubin 3.2 mg/dl (<1.0) TPZ (Quick) 85% (70-100) aPTT 25 s (20-35) Because she has been to Senegal you ask a few more questions and Mrs. Fox says that she had shots for yellow fever and hepatitis and took malaria prophylaxis (Chloroquin). You perform a blood film and Malaria tropica with a parasite density of >2 percent is diagnosed. Due to the laboratory findings this is classified as complicated malaria. Mrs. Fox is transferred to ICU and started on i.v. quinine and doxycycline.

  4. Choices, consequences and branching A 47-yr-old teacher, Ms. Heidi Fox comes to see you in A&E. She seems exhausted and tired with dark circles under her eyes.

  5. Choices, consequences and branching Location established Patient has a name and a character A 47-yr-old teacher, Ms. Heidi Fox comes to see you in A&E. She seems exhausted and tired with dark circles under her eyes. The player’s Involvement begins Hook line

  6. Choices, consequences and branching A 47-yr-old teacher, Ms. Heidi Fox comes to see you in A&E. She seems exhausted and tired with dark circles under her eyes. She tells you that since she returned from Senegal 5 days ago she has been suffering from diffuse headaches on and off. She has had temperatures up to 39.6°C rectally.

  7. Choices, consequences and branching A 47-yr-old teacher, Ms. Heidi Fox comes to see you in A&E. She seems exhausted and tired with dark circles under her eyes. What would you like to do now? • Ask about travel history • Complete medical history • Proceed to examination

  8. Choices, consequences and branching Unrealistic Give game away A 47-yr-old teacher, Ms. Heidi Fox comes to see you in A&E. She seems exhausted and tired with dark circles under her eyes. She tells you that since she returned from Senegal 5 days ago she has been suffering from diffuse headaches on and off. She has had temperatures up to 39.6°C rectally.

  9. Choices, consequences and branching Rather too obvious A 47-yr-old teacher, Ms. Heidi Fox comes to see you in A&E. She seems exhausted and tired with dark circles under her eyes. What would you like to do now? • Ask about travel history • Complete medical history • Proceed to examination

  10. Choices, consequences and branching Clearly states what has been done • You chose to start the examination. • This is the wrong response. Please try again. • Ask about travel history • Complete medical history • Proceed to examination Instant negative feedback - no learning

  11. Presenting problem Travel More history Examination

  12. Branching • Allows real choices that make a difference • Learning from having to make a choice • Learning from the consequences

  13. Branching

  14. Choosing a case Relevant to the user and course In an area you know Enough choices to make

  15. Starting - ideal pathway Presents with fever + headache Travel Examination Thick/thin film Improving on Quinine

  16. Developing choices Presents with fever + headache Travel Lumbar puncture Examination CT scan Thick/thin film Symptomatic management Improving on Quinine

  17. Developing choices • Realistic • Related to learning objectives • Cued by text • Must require thought by player or players

  18. Consequences The logical result of your choice Potent promotor of learning Allow realism in the VP Exponential increase in VP complexity

  19. Consequences Model real life - some mistakes can be redeemed multiple mistakes often disastrous

  20. Narrative • To give clear instructions for the player • To involve the player - emotionally, intellectually • To make choices taxing NOT to waffle!

  21. Finishing Checking links Peer review plausibility choice realism consequence realism learning objectives

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