1. Virtual Patients Michael Sylvester David Topps Sonya Lee Montreal November 2011

2. OpenLabyrinth Virtual Patients http://openlabyrinth.ca

3. 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

4. Introductions Who are you? Role in education? Brevity is the soul of wit Brevity or a whole of sit

5. Overview of Virtual Patients 13:50

6. What are Virtual Patients?

7. Not Virtual Reality

8. Power of the Narrative

9. Choose Your Own Adventure

10. Branching and Linear cases Dealing with the consequences

11. Classic HEIDR case

12. Hide the Complexity

13. Sarah-Jane case St George’s University, London http://www.elu.sgul.ac.uk/virtualpatients/exam ples/sarah_jane/SJP_h_21_NT_HM.html

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

15. Cues in the environment

17. Uses of Virtual Patients Simple case presentations Small group discussions

18. PINE Library

19. Everything is tracked Timing Paths Counters

20. Everything is tracked

21. Everything is measured

22. Assessment of clinical reasoning

23. Providing Context Bookending Virtual EMR

24. Virtual patients as bookends

25. Breakout to SimMan

26. Virtual EMR

29. Educational Resources Interested clinicians Simple web design support

30. Case authoring

31. Complexity isn’t everything

33. Demo of a case Gail‘s Dilemma – http://pine.nosm.ca/mnode.asp?id=qlsdn671rx7jz1rx 7jzgxlrdb http://pine.nosm.ca/mnode.asp?id=qlsdn671rx7jz1rx 7jzgxlrdb Death by Chocolate – http://pine.nosm.ca/mnode.asp?id=q1rx7jzqdknamtp r9kqlsdn67 http://pine.nosm.ca/mnode.asp?id=q1rx7jzqdknamtp r9kqlsdn67 VP on VPs – http://pine.nosm.ca/mstartnode.asp?mapid=371 http://pine.nosm.ca/mstartnode.asp?mapid=371 PINE cases – http://pine.nosm.ca http://pine.nosm.ca

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

35. SharcFM case list 20 objectives – https://sites.google.com/site/sharcfm/ https://sites.google.com/site/sharcfm/ We’ll publish it with you Creative Commons licensing – http://creativecommons.org/ http://creativecommons.org/

36. 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

37. Steps in case building 14:15

38. Using VUE Google on VUE and Tufts http://vue.tufts.edu/ Free flexible concept mapping tool

39. Define the Design

40. Your first - KISS

41. Uncle Sam needs you! Second person narrative style

42. Discover the facts Just the facts, ma’am Don’t hand it to them on a plate

43. Learning from mistakes Err in safety Emotion in Learning

44. Break Return in 5 mins 15:20

45. Working with OpenLabyrinth Create a case Visual editor Node editor HTML editing Images Avatars 16:15

46. Sonya’s first case Contraception

47. 3 main objectives

48. Growth in stages

49. Expand first objective

50. Expand 2 nd & 3 rd objectives

51. Expand text within nodes

54. Keep coming back to your objectives

55. The final map

58. Tweaks from Chris

59. How does it look? Plain text on Olab http://pine.nosm.ca/mstartnode.asp?mapid= 437 http://pine.nosm.ca/mstartnode.asp?mapid= 437 Screen shots or live?

63. Making it pretty Show – images, – infobuttons, – URL links – Avatars? In Olab itself – Chris D working on a few of these

64. Working with VUE 14:35

65. Creating a single node

66. Working with links

67. Rapid mode

68. Selecting stuff

69. Lose your palette?

70. Generic start

71. Layout of a node

72. Break Return in 5 mins 15:20

73. 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

74. Refining your case Use colors & shapes to help you, not Olab How does your story end? Don’t worry about wordsmithing yet

75. Next steps 17:00

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

77. What do I need? VUE Web designer or a teenager Access to an OpenLabyrinth server –http://fmsharc.cfpc.ca/openlabyrinth/http://fmsharc.cfpc.ca/openlabyrinth/ All are free – (except for the teenager!)

78. Further resources OLab web site –http://openlabyrinth.cahttp://openlabyrinth.ca SharcFM OLab Server –http://fmsharc.cfpc.ca/openlabyrinth/http://fmsharc.cfpc.ca/openlabyrinth/ – Running v2.5 – upgrade when? Virtual Patient on Virtual Patients – http://pine.nosm.ca/mstartnode.asp?mapid=371 http://pine.nosm.ca/mstartnode.asp?mapid=371