Virtual Patients Michael Sylvester David Topps Sonya Lee Montreal November 2011

OpenLabyrinth Virtual Patients

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, London ples/sarah_jane/SJP_h_21_NT_HM.html

“The pictures are better on the radio.” Alistair Cooke

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 – 7jzgxlrdb 7jzgxlrdb Death by Chocolate – r9kqlsdn67 r9kqlsdn67 VP on VPs – PINE cases –

What’s in it for me? Fame, fortune... Academic credit for publishing – MedEdPortal – Peer reviewed SharcFM cases

SharcFM case list 20 objectives – We’ll publish it with you Creative Commons licensing –

Objective Topics Clinical Scenarios A1 abdominal painA11 headache A2 anxietyA12 hypertension A3 asthmaA13 ischemic heart disease A4 chest painA14 low back pain A5 contraceptionA15 palliative care A6 cough & dyspneaA16 prenatal care A7 depressionA17 type 2 diabetes A8 dizzinessA18 well baby/child care A9 fatigueA19 female PHE A10 feverA20 male PHE Patient Contexts B1 aboriginalB5 recent immigrant B2 family stressorsB6 same-sex relationship B3 polypharmacyB7 work status B4 poverty

Steps in case building 14:15

Using VUE Google on VUE and Tufts 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 2 nd & 3 rd objectives

Expand text within nodes

Keep coming back to your objectives

The final map

Tweaks from Chris

How does it look? Plain text on Olab 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 VUE 14:35

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

Further resources OLab web site – SharcFM OLab Server – – Running v2.5 – upgrade when? Virtual Patient on Virtual Patients –