An Online Application Enabling Remote Encounters between Learners and Standardized Patients for the Practice, Assessment, and Remediation of Clinical Skills. Gregory J. McGee Christof J. Daetwyler, MD Dennis Novack, MD

 Learning, Assessment, and Remediation in one tool  First version presented at MedBiquitous 2009  2 Parts  Interview only – WebInterview  Interview + Physical Exam - WebEncounter Gregory J. McGee Christof J. Daetwyler, MD Dennis Novack, MD

 Communication  OSCE - Objective Structured Clinical Exam  In person  WebOSCE  Webcam communciation  Does not significantly detract from exercise Gregory J. McGee Christof J. Daetwyler, MD Dennis Novack, MD

 Learning  OSCE  Mainly for assessment  Learning through Practice  WebOSCE – Practice plus:  Immediate feedback  Example videos  Review of interview  Post-encounter report with recommendations for further study  Archiving Gregory J. McGee Christof J. Daetwyler, MD Dennis Novack, MD

 Assessment  Customizable skills checklist available during encounter and feedback  Expense  No dedicated physical space needed  Only equipment is a computer with webcam and internet  Little faculty involvement Gregory J. McGee Christof J. Daetwyler, MD Dennis Novack, MD

 Enhanced Learning  Reduced Institutional Demands Conclusion: WebOSCE Beats a Real OSCE! Gregory J. McGee Christof J. Daetwyler, MD Dennis Novack, MD

 Adobe Flash Player  Ubiquitous on large devices  Cross-browser/OS compatible  Media-rich experience  Much more than animations/video  Built-in webcam integration  Built-in video streaming and recording Gregory J. McGee Christof J. Daetwyler, MD Dennis Novack, MD

 Adobe Flash Media Server  Allows video stream broadcasting & recording  Allows real-time data sharing SPLearner Flash Media Server Gregory J. McGee Christof J. Daetwyler, MD Dennis Novack, MD

 Microsoft SQL Database  Holds user, case, institution, and recording data  Microsoft ASP.NET  Integrates database information with web interface Gregory J. McGee Christof J. Daetwyler, MD Dennis Novack, MD

 Data sharing  Video Streaming over Flash Media Server  Shared Objects  Match learners with available SPs  Share layout between SP and learner  Share feedback checklist as SP completes it  Share example videos  Ensuring Communication  Optimized for low-bandwidth connections  Stream resetting in the event of disconnect Gregory J. McGee Christof J. Daetwyler, MD Dennis Novack, MD

 SP Training for Effective Feedback  Example Videos  Review of Interview  Remediation  Archiving Gregory J. McGee Christof J. Daetwyler, MD Dennis Novack, MD

 Effective Feedback = Better Learning  Skills Checklist  Available during interview - Timestamps  Shared with learner during feedback  Example Videos  Shows experts demonstrating important skills  Interview Review  Allows SP to refer to specific parts of interview Gregory J. McGee Christof J. Daetwyler, MD Dennis Novack, MD

 Remediation  Personalized Report  ed to Learner Post-Encounter  Addresses strengths and weaknesses  Links to Learning Resources  Archiving  “Recreation” of Encounter  Screen capture unfeasible  Streams recorded  Events captured with timestamps in database Gregory J. McGee Christof J. Daetwyler, MD Dennis Novack, MD

WebOSCE Reviewer Gregory J. McGee Christof J. Daetwyler, MD Dennis Novack, MD

 Utilize new streaming protocol  Enables peer-to-peer connections using UDP  Virtual Physical Exam  Make a complete “WebOSCE”  Asynchronous Evaluation  Better facilitate high-stakes assessment  Robust scheduling system Gregory J. McGee Christof J. Daetwyler, MD Dennis Novack, MD

Webosce.net Gregory J. McGee Christof J. Daetwyler, MD Dennis Novack, MD