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Virtual Patients
Michael SylvesterDavid ToppsSonya Lee
MontrealNovember 2011
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
