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

2. 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

3. 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

4. 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

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

6. Screenshot - Authoring

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

8. DEMO 8

9. Screenshot - Reporting

10. Questions? Contact Info Yanko Micheaymichea@uchc.edu Joshua Simonjsimon@uchc.edu 10

11. Screenshot - Scoring