Virtual Patients Michael Sylvester David Topps Sonya Lee Montreal November 2011

Virtual Patients

Michael SylvesterDavid ToppsSonya Lee

MontrealNovember 2011

OpenLabyrinth Virtual Patients

http://openlabyrinth.ca

Workshop Outline

• Introductions & Needs (10 mins)• Overview of Virtual Patients• Steps in case building• Hands-on with VUE• Linking to OpenLabyrinth• Conclusions and next steps

Introductions

• Who are you?• Role in education?

• Brevity is the soul of wit• Brevity or a whole of sit

Overview of Virtual Patients

13:50

What are Virtual Patients?

Not Virtual Reality

Power of the Narrative

Choose Your Own Adventure

Branching and Linear cases

• Dealing with the consequences

Classic HEIDR case

Hide the Complexity

Sarah-Jane case

St George’s University, Londonhttp://www.elu.sgul.ac.uk/virtualpatients/

examples/sarah_jane/SJP_h_21_NT_HM.html

“The pictures are better on the radio.”

Alistair Cooke

Cues in the environment

Cues in the environment

Uses of Virtual Patients

• Simple case presentations• Small group discussions

PINE Library

Everything is tracked

• Timing• Paths• Counters

Everything is tracked

Everything is measured

Assessment of clinical reasoning

Providing Context

• Bookending• Virtual EMR

Virtual patients as bookends

Breakout to SimMan

Virtual EMR

Educational Resources

• Interested clinicians• Simple web design support

Case authoring

Complexity isn’t everything

Demo of a case

• Gail‘s Dilemma– http://pine.nosm.ca/mnode.asp?id=qlsdn671rx7jz1rx7j

zgxlrdb

• Death by Chocolate– http://pine.nosm.ca/mnode.asp?id=

q1rx7jzqdknamtpr9kqlsdn67 • VP on VPs

– http://pine.nosm.ca/mstartnode.asp?mapid=371 • PINE cases

– http://pine.nosm.ca

What’s in it for me?

• Fame, fortune...• Academic credit for publishing

– MedEdPortal– Peer reviewed

• SharcFM cases

SharcFM case list

• 20 objectives– https://sites.google.com/site/sharcfm/

• We’ll publish it with you• Creative Commons licensing

– http://creativecommons.org/

Objective TopicsClinical ScenariosA1 abdominal pain A11 headache A2 anxiety A12 hypertensionA3 asthma A13 ischemic heart diseaseA4 chest pain A14 low back painA5 contraception A15 palliative careA6 cough & dyspnea A16 prenatal careA7 depression A17 type 2 diabetesA8 dizziness A18 well baby/child care A9 fatigue A19 female PHEA10 fever A20 male PHE

Patient ContextsB1 aboriginal B5 recent immigrantB2 family stressors B6 same-sex relationshipB3 polypharmacy B7 work statusB4 poverty

Steps in case building

14:15

Using VUE

• Google on VUE and Tufts• http://vue.tufts.edu/ • Free flexible concept mapping tool

Define the Design

Your first - KISS

Uncle Sam needs you!

Second person narrative style

Discover the facts

• Just the facts, ma’am• Don’t hand it to them on a plate

• Learning from mistakes• Err in safety

Emotion in Learning

Break

Return in 5 mins

15:20

Working with OpenLabyrinth

• Create a case• Visual editor• Node editor• HTML editing• Images• Avatars

16:15

Sonya’s first case

Contraception

3 main objectives

Growth in stages

Expand first objective

Expand 2nd & 3rd objectives

Expand text within nodes

Expand text within nodes

Keep coming back to your objectives

The final map

Tweaks from Chris

How does it look?

• Plain text on Olab• http://pine.nosm.ca/mstartnode.asp?mapid=

437 • Screen shots or live?

Making it pretty

• Show – images, – infobuttons, – URL links– Avatars?

• In Olab itself– Chris D working on a few of these

Working with VUE14:35

Creating a single node

Working with links

Rapid mode

Selecting stuff

Lose your palette?

Generic start

Layout of a node

Break

Return in 5 mins

15:20

Key design points - reprise

• Have you defined your main learning points?

• Do you have a story to tell?• Have you made them think?

15:30

Refining your case

• Use colors & shapes to help you, not Olab• How does your story end?• Don’t worry about wordsmithing yet

Next steps

17:00

What’s in it for me?

• Fame, fortune...• Academic credit for publishing

– MedEdPortal– Peer reviewed

• SharcFM cases• Creative Commons licensing

What do I need?

• VUE• Web designer or a teenager• Access to an OpenLabyrinth server

– http://fmsharc.cfpc.ca/openlabyrinth/

• All are free – (except for the teenager!)

Further resources

• OLab web site– http://openlabyrinth.ca

• SharcFM OLab Server– http://fmsharc.cfpc.ca/openlabyrinth/– Running v2.5 – upgrade when?

• Virtual Patient on Virtual Patients– http://pine.nosm.ca/mstartnode.asp?mapid=371