Reaching parts medical education doesn’t reach Innovative Approaches in Clinical Education using Virtual Patients. Jonathan Round, Alex Higton , Terry Poulton. What do Virtual Patients do well?. Take you to places you can’t or shouldn’t go Risk free practice
Jonathan Round, Alex Higton, Terry Poulton
Take you to places you can’t or shouldn’t go
Risk free practice
Deliver standardised experience in a (virtually) real way
The virtual ward round
The virtual clinic
The multi-professional virtual patient
What’s missing…ward savvy, ward nouse, the clinical process
Rationale…online delivery of a week’s ward action
Design…html, frames driven, multiple linear, control over information
Resources…internet connection, projector, facilitator
THE CLINICAL PROCESS
221 students, 6 rotations
Most valuable session
Virtual ward round gave us an insight into the
management of different conditions.
The Virtual WR were good at bringing
all topics together and making you think.
Virtual ER - management of common problems
and what happens in real life.
The virtual ward round may be less cases,
but to go through them in more detail.
Virtual Ward Round is a great idea, but feels
a bit much and 30 mins is not enough time.
I loved the Virtual WR.
Virtual Ward Rounds at the start of the day.
I was exhausted and brain dead by the time the
Virtual Ward Round came around.
Maybe do it in the morning!
Less (maybe 3) Virtual WR patients or longer time.
Virtual WR is helpful but too many patients.
What’s missing…multiple sequential clinical related challenges
Rationale…prepare students, expose students to a “morning’s” work. consolidation of learning
Design…decision simulation, linear/branched
Resources…individual or small group learning, internet connection
Please provide more to medical schools
very useful excersize
Excellent resource - promote
Allowed numerous cases to be explored
at once in quick succession
Good to be given numerous clinical scenarios
You get to think like a doctor
Choices within vignettes allow clinical reasoning
Brought it to life – nice to do PBL process on my own.
Guidance needed on …
CXR intrepretation…UEC values
Where’s the back button?
I’d like to review CXRs later in the case
I’d like to explore different outcomes
Doesn’t tell you the idea path,
can’t be bothered to do it again
Too long to complete.
What’s missing...seeing patients from another angle, integrated care, teamwork
Rationale…expose students to same VP, but from different angles, allow to switch
Design…multitrack VP, with crossover points and joint meetings. Decisionsimulation/labyrinth
Resources…individual/small group, internet enabled computer
What’s missing…learning from past mistakes
Rationale…professionals make the same mistakes over and over and over again
Resources…decision sim, for asynchronous or group work
What will I take away
Standing up to someone who is more “specialised” than you
is difficult and scary but sometimes it needs doing and is an
important thing to learn how to do
Many situations where ‘typical’ VP may not be mimic clinical reality
Adaptions to VP model stretch reach of the virtual patient
Students challenged and appreciative of new designs