The Use of a Mixed Reality Breast Simulator with an Innovative Feedback System (Touch Map) to Enhance Breast Examination Skills Angela Gucwa MD, Aaron.

Slides:

Advertisements

Similar presentations

Numbers Treasure Hunt Following each question, click on the answer. If correct, the next page will load with a graphic first – these can be used to check.

Advertisements

& dding ubtracting ractions.

Copyright © 2011, Elsevier Inc. All rights reserved. Chapter 6 Author: Julia Richards and R. Scott Hawley.

Solving the Faculty Shortage in Allied Health 9 th Congress of Health Professions Educators 4 June 2002 Ronald H. Winters, Ph.D. Dean College of Health.

Partnership for Quality Education (PQE) Partnership for Quality Education (PQE) Collaborative Interprofessional Team Education Initiative (CITE) Carol.

Relational or operational: Primary students understanding of the equal sign Jodie Hunter University of Plymouth BSRLM November 2009.

We Can Read About Mixing Colors

Collect Patient Data 3.01 Understand Diagnostic and Therapeutic Services 1.

Standardized Patients in Training and Evaluation Judith G. Gearhart, MD.

The SCPS Professional Growth System

GRADUATE SCHOOL FORUM Research students: growth and experience Themes – 1.Effective ways of enhancing the research student experience 2.The scale and nature.

Summary of the Results October 13,

TCCI Barometer September “Establishing a reliable tool for monitoring the financial, business and social activity in the Prefecture of Thessaloniki”

2011 WINNISQUAM COMMUNITY SURVEY YOUTH RISK BEHAVIOR GRADES 9-12 STUDENTS=1021.

2011 FRANKLIN COMMUNITY SURVEY YOUTH RISK BEHAVIOR GRADES 9-12 STUDENTS=332.

Subtraction: Adding UP

©Brooks/Cole, 2001 Chapter 12 Derived Types-- Enumerated, Structure and Union.

& dding ubtracting ractions.

Fourth Quarter Oklahoma Data (October-December 2011)

Think of a good resident teacher you encountered when in medical school. What one or two things made the resident a good teacher?

© Sarah Baillie Combining a Veterinary Surgeon, Computing Scientist and Teacher... Sarah Baillie BVSc PhD MRCVS The Royal Veterinary College, University.

1 Truman Medical Center Lakewood General Practice Residency in Dentistry.

Collecting Patient Data 3.01 Understand Diagnostic and Therapeutic Services 1.

Maria A. Wamsley, MD Professor of Clinical Medicine UCSF School of Medicine.

Virtual Experiences Research Group PhD Students –Kyle Johnsen, Aaron Kotranza, John Quarels, Andrew Raij, Xiyong Wang, Brent Rossen Undergraduates –Joshua.

The Breast Health Initiative: Standardizing Breast Cancer Screening at Planned Parenthood Affiliates Courtney Benedict, CNM, MSN Manager, Medical Standards.

Weighting CanMEDS Roles & Competencies Marilyn Singer MD, FCFP Director, Clinician Assessment Programs Brenda Stutsky RN, PhD, Program Advisor, Manitoba.

Learning Real Medicine in a Virtual World: Using Simulation to Integrate Essential Critical Thinking and Communication Skills Lynn Crespo, Ph.D. Assistant.

Printed by THE USE OF MEDEdPORTAL TO TEACH AND ASSESS THE MENTAL STATUS EXAMINATION IN A SECOND YEAR CLINICAL SKILLS COURSE Jose.

Technology –Based Approaches to Competencies in Women’s Health in the VA Michael Stogsdill, PA-C Manager, Simulation Center Dayton VA Medical Valerie Fulmer.

VIRTUAL PATIENTS CONSORTIUM MEETING University of Florida July 13 th, 2009.

VIRTUAL PATIENTS GROUP University of Florida July 20 th, 2009.

Simulation for Patient Safety Slideset 1 Rachel Yudkowsky, MD MHPE UIC CPC.

Near Peers: Residents as Teachers in a Pre-Clinical Patient Safety Course Anne C. Gill, DrPH Elizabeth A. Nelson, MD Sally R. Raty, MD Cayla R. Teal, PhD.

Simulation in the Shared Discovery Curriculum Dept. of Pediatrics and Human Development Sept. 16, 2015 Robin DeMuth, M.D.

/ 221 THE ROLE OF FAMILY PRACTICE IN UNDERGRADUATE MEDICAL EDUCATION Trakya University Medical Faculty, Edirne, Turkey Zekeriya Aktürk, MD Nezih Dağdeviren,

Immersive Virtual Humans for Educating Medical and Pharmacy Communication Skills A. Raij, A. Kotranza, B. Rossen, J. Chuah, L. Cao, B. Lok Computer and.

Kazakhstan Health Technology Transfer and Institutional Reform Project Day 2 Developing standardised patient roles.

Cross-cultural Medical Education at Stanford University Clarence H. Braddock III, MD, MPH Ronald D. Garcia, PhD.

Virtual Reality and HCI at UF. Virtual Experiences Research Group PhD Students PhD Students Kyle Johnsen, Aaron Kotranza, John Quarels, Andrew Raij, Xiyong.

AN INNOVATIVE & INTEGRATED TESTING FORMAT COMBINING ANATOMY, PRIMARY CARE SKILLS, AND OMM IN A SIMULATED PATIENT ENCOUNTER Gail Dudley, DO, Francine Anderson,

Introduction Aimed at educators from wide-ranging backgrounds and with varying levels of experience, the Teaching and Assessment for Medical Educators.

The Diagnostic Process A BRIEF OVERVIEW diagnostic process What is it? to figure out to problem solve method scheme.

Applying Advances Rosalyn P. Scott, MD, MSHA Professor of Surgery Wright State University Boonshoft School of Medicine.

The Patient Safety Challenge Charleston Southern University Tara Hulsey, PhD, RN, CNE April DeGuzman, MSN, APRN, BC Anita Korbe, MSN, APRN, BC.

Developing Clinical Skills using a Virtual Patient Simulator in a Resource-limited Setting G. Bediang, C. Perrin, M.A Raetzo et al. Medinfo 2013 (Copenhagen),

® UTHSCSA Experience (I): SPs for Baseline Assessment We incorporated SP scenarios in our Objective Structured Clinical Evaluation (OSCE), which is administered.

The Electronic Health Record Lab: A Comprehensive Educational Intervention for Outpatient Electronic Records Bruce Britton M.D. Cy Cedar MS4 Christine.

Do Group Visits Improve Care? Results of a Diabetes Group Visit Model in a Family Medicine Residency Authors: Josephine Agbowo MD, Grace Chen Yu, MD Location:

The use of OSCE to assess Patient Care, Professionalism and Interpersonal Communication Milestones in EM residents Miriam Kulkarni, MD, Harsh Sule, MD,

An Online Self-Directed Research Curriculum Adrienne A. Williams, PhD Shana O. Ntiri, MD, MPH.

“STAR (Safe Transitions Across CaRe): A resident and faculty initiative to improve patient care across the healthcare continuum Nancy M. Denizard-Thompson,

Can Computers Teach Empathy? A Randomized Controlled Study Using Virtual Patients to Enhance Medical Students’ Empathic Communication Adriana Foster, MD.

Interprofessional Education: Second Life, SPICE, and the Quest for Meaningful IPE Clinton Pong, MD Amy L. Lee, MD Tufts University School of Medicine.

Ultrasound-Guided Hip Injections Using Hip Simulation: A Curriculum for Family Medicine Residents Jennifer Oberstar, MD, CAQ SM Joseph J. Brocato, PhD.

Pedagogy of Interprofessional Education: The Development of a Multidisciplinary Approach to Evidence Based Teaching. Healthcare delivery in the United.

EILEEN HAWKINS, MSN, ARNP BREAST ASSESSMENT. Brief Anatomy Review Breast Location Landmarks Composition.

Communication & organizational professionalism in clinical settings

WORKSHOP How to integrate basic clinical skills and simulation adjuncts in an undergraduate pre-clerkship medical curriculum? Dr. Muhammad Zafar MBBS,

OBJECTIVES METHODS CONCLUSIONS RESULTS REFERENCES ACKNOWLEDGMENTS

Title of the Change Project

Training Medical Students in Patient Care for People with Disabilities: A Pilot Clinical Encounter Program Authors: Jill Crane, BA, Jessica Prokup, RN,

Dorothy Trevino, Ph.D. Catalina Triana, M.D.

Clinical Assessment Dr. H

History of VERG.

Training Against Medical Error (TAME)

Sharon Souter, PhD, RN, CNE, Tracy L. Booth, MS. Ed

Metastatic Breast Cancer

Gerald H. Sterling, Ph.D. Senior Associate Dean, Education

The Simulation-Based Medical Education of a Medical Center in Barcelona Juan Martín Salgado.

Presentation transcript:

The Use of a Mixed Reality Breast Simulator with an Innovative Feedback System (Touch Map) to Enhance Breast Examination Skills Angela Gucwa MD, Aaron Kotranza BS, Andrew Raij PhD, Brenda Rosson RN, John Beatty MD, Candelario Laserna MD, Mary Anne Park RN, MSN, Carla Pugh MD, PhD, Kyle Johnsen PhD, Benjamin Lok PhD, D. Scott Lind MD *Research supported by CESERT grant

Background 10% of palpable breast cancers are not detected by radiography % of breast cancers are identified by clinical breast examination (CBE) alone. Fear of missing a lesion as #1 cause of anxiety –50% of medical students performing CBE

Standardized Breast Curriculum Transfer of skills from silicone models to live patients. Use of standardized patients (SP) to teach CBE improves student learning. –SP usually have normal anatomy Constructive feedback improves performance of CBE.

Hypothesis Implementation of an OBJECTIVE and IMMEDIATE feedback system using a MRH improves the thoroughness of CBE Reflected in learners of higher professional levels

Our Previous Work Validation of Virtual Patients (VP) 1.To teach history-taking and examination skills 2.To decrease anxiety in sexual history-taking 3.To decrease anxiety in intimate examinations

Virtual PatientLife-sized Mannequin Mixed Reality Human (MRH)

Breast Simulator Foam rubber breast overlying a silicone implant –24 pressure sensors –Interchangeable masses Breast Masses –M1 periareolar, deep, hard –M2 UOQ, superficial, soft

Methods Baseline survey completed 10 minute interview and CBE on a MRH patient with a breast complaint Feedback of CBE performed –Percentage of breast examined –Color-coded Touch Map (Figure) Green = Area palpated Red = Area missed Second interaction with a different MRH patient

Results 28 participants –19 medical students –4 surgery residents –5 faculty CBE Coverage –24 of 28 participants improved –MRH % ± 11.12% –MRH % ± 9.42% Group Breast Exam (%) p value * Overall (n=28)7.34 ± 7.72<0.001 Students (n=19)6.75 ± 6.92<0.001 Residents (n=4)3.22 ± Faculty (n=5)12.90 ± * p value<0.05, data analyzed by repeated measures ANOVA

Most Commonly Missed Areas * p value<0.05, data analyzed by repeated measures ANOVA Percentage of Participants Missing Area of Examination

Palpation of Masses During CBE * p value<0.05, data analyzed by repeated measures ANOVA Percentage of Participants Palpating Masses

Masses Palpated by Patient Experience Reported as percentage of participants * p value<0.05, data analyzed by repeated measures ANOVA Participants Palpating M1Participants Palpating Both Masses Number of CBE on Real Patients

Conclusions 1.CBE thoroughness and palpation of breast lesions are improved with feedback. –Application to higher levels of learners 2.Supraclavicular, NAC, and parasternal regions most commonly overlooked during CBE. 3.Experience in CBE correlates with improved detection of lesions. –Irrespective of experience, participants improved with feedback