UCHC Virtual Patient: Clinical Case Adaptive Simulation Environment Yanko Michea, MD, PhD Joshua Simon, Academic Computing Specialist 1

UCHC Founded in 1961, has graduated 2700 Physicians Class Size ~80 students Tech Environment: ◦ Wired/wireless network ◦ Laptop and PDA required ◦ Multiple simulation environments (Clinical Skills, Mechanical/Task Simulation, Computer based) 2

Rationale What's a VP (for us)? ◦ A computer based interaction with an electronic representation of a clinical encounter Why VPs - Our Need ◦ Focused on clinical reasoning ◦ Open environment: Explore and reflect ◦ Flexible authoring ◦ User friendly ◦ Strong reporting 3

Technical Project ◦ Web based, data driven application ◦ Database MSSQL ◦ Application: ColdFusion, Ajax ◦ Imports and Exports Medbiq VP XML Medbiq VP Standard ◦ Virtual Patient Data Model ◦ Data Availability Model 4

Authoring Environment Patient centered (Patient  Case  Visit(s)) Data Items:  Multimedia support  Visibility and Dependency control Performance tracking/reporting: ◦ Outcomes ◦ Score ◦ Cost 5

Screenshot - Authoring

Viewer / Player Open environment Free Exploration ◦ Demographics ◦ Past History ◦ HPI  Interview  Physical Exam  Diagnostic Tests  Treatment End goal is to Diagnose and Treat 7

DEMO 8

Screenshot - Reporting

Questions? Contact Info Yanko Joshua 10

Screenshot - Scoring