virtual patients michael sylvester david topps sonya lee montreal november 2011
TRANSCRIPT
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Virtual Patients
Michael SylvesterDavid ToppsSonya Lee
MontrealNovember 2011
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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
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Introductions
• Who are you?• Role in education?
• Brevity is the soul of wit• Brevity or a whole of sit
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Overview of Virtual Patients
13:50
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What are Virtual Patients?
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Not Virtual Reality
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Power of the Narrative
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Choose Your Own Adventure
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Branching and Linear cases
• Dealing with the consequences
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Classic HEIDR case
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Hide the Complexity
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Sarah-Jane case
St George’s University, Londonhttp://www.elu.sgul.ac.uk/virtualpatients/
examples/sarah_jane/SJP_h_21_NT_HM.html
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“The pictures are better on the radio.”
Alistair Cooke
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Cues in the environment
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Cues in the environment
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Uses of Virtual Patients
• Simple case presentations• Small group discussions
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PINE Library
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Everything is tracked
• Timing• Paths• Counters
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Everything is tracked
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Everything is measured
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Assessment of clinical reasoning
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Providing Context
• Bookending• Virtual EMR
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Virtual patients as bookends
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Breakout to SimMan
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Virtual EMR
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Educational Resources
• Interested clinicians• Simple web design support
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Case authoring
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Complexity isn’t everything
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Demo of a case
• Gail‘s Dilemma– http://pine.nosm.ca/mnode.asp?id=qlsdn671rx7jz1rx7j
zgxlrdb
• Death by Chocolate– http://pine.nosm.ca/mnode.asp?id=
q1rx7jzqdknamtpr9kqlsdn67 • VP on VPs
– http://pine.nosm.ca/mstartnode.asp?mapid=371 • PINE cases
– http://pine.nosm.ca
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What’s in it for me?
• Fame, fortune...• Academic credit for publishing
– MedEdPortal– Peer reviewed
• SharcFM cases
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SharcFM case list
• 20 objectives– https://sites.google.com/site/sharcfm/
• We’ll publish it with you• Creative Commons licensing
– http://creativecommons.org/
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Objective TopicsClinical ScenariosA1 abdominal pain A11 headache A2 anxiety A12 hypertensionA3 asthma A13 ischemic heart diseaseA4 chest pain A14 low back painA5 contraception A15 palliative careA6 cough & dyspnea A16 prenatal careA7 depression A17 type 2 diabetesA8 dizziness A18 well baby/child care A9 fatigue A19 female PHEA10 fever A20 male PHE
Patient ContextsB1 aboriginal B5 recent immigrantB2 family stressors B6 same-sex relationshipB3 polypharmacy B7 work statusB4 poverty
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Steps in case building
14:15
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Using VUE
• Google on VUE and Tufts• http://vue.tufts.edu/ • Free flexible concept mapping tool
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Define the Design
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Your first - KISS
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Uncle Sam needs you!
Second person narrative style
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Discover the facts
• Just the facts, ma’am• Don’t hand it to them on a plate
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• Learning from mistakes• Err in safety
Emotion in Learning
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Break
Return in 5 mins
15:20
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Working with OpenLabyrinth
• Create a case• Visual editor• Node editor• HTML editing• Images• Avatars
16:15
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Sonya’s first case
Contraception
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3 main objectives
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Growth in stages
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Expand first objective
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Expand 2nd & 3rd objectives
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Expand text within nodes
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Expand text within nodes
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Keep coming back to your objectives
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The final map
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Tweaks from Chris
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How does it look?
• Plain text on Olab• http://pine.nosm.ca/mstartnode.asp?mapid=
437 • Screen shots or live?
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Making it pretty
• Show – images, – infobuttons, – URL links– Avatars?
• In Olab itself– Chris D working on a few of these
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Working with VUE14:35
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Creating a single node
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Working with links
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Rapid mode
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Selecting stuff
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Lose your palette?
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Generic start
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Layout of a node
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Break
Return in 5 mins
15:20
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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
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Refining your case
• Use colors & shapes to help you, not Olab• How does your story end?• Don’t worry about wordsmithing yet
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Next steps
17:00
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What’s in it for me?
• Fame, fortune...• Academic credit for publishing
– MedEdPortal– Peer reviewed
• SharcFM cases• Creative Commons licensing
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What do I need?
• VUE• Web designer or a teenager• Access to an OpenLabyrinth server
– http://fmsharc.cfpc.ca/openlabyrinth/
• All are free – (except for the teenager!)
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Further resources
• OLab web site– http://openlabyrinth.ca
• SharcFM OLab Server– http://fmsharc.cfpc.ca/openlabyrinth/– Running v2.5 – upgrade when?
• Virtual Patient on Virtual Patients– http://pine.nosm.ca/mstartnode.asp?mapid=371