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Development of a virtual patient environment to facilitate teaching of medical students Lester AH Critchley Anaesthesia & Intensive Care CUHK

Development of a virtual patient environment to facilitate teaching of medical students

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Development of a virtual patient environment to facilitate teaching of medical students. Lester AH Critchley Anaesthesia & Intensive Care CUHK. Development of a virtual patient environment to facilitate teaching of medical students. Teaching Development Grant: 2005-08 - PowerPoint PPT Presentation

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Development of a virtual patient environment to facilitate teaching of medical students

Lester AH Critchley

Anaesthesia & Intensive Care

CUHK

8 Sept 2007 Curriculum Retreat – Virtual Patient

Development of a virtual patient environment to facilitate teaching of medical students

• Teaching Development Grant: 2005-08

• PI: Lester AH Critchley• Co.Is: Shekhar Kumta, Anthony Ho• Application: Sept 2006• Duration: 01 Jan 2007 to 31 Dec 2008• Award: HK$ 386,000• Location: Teaching & Learning Resources Centre

8 Sept 2007 Curriculum Retreat – Virtual Patient

What is a virtual patient?

8 Sept 2007 Curriculum Retreat – Virtual Patient

Thinking behind virtual patients:

• Illness & treatment take places over weeks / months / years.

• Undergraduate teaching is fragment

– “Snap shots” of the process

– Don’t witness the whole disease process

• Virtual environments allow students to follow a single patient

scenario from start to end.

• Patient’s history and condition is teacher controlled.

8 Sept 2007 Curriculum Retreat – Virtual Patient

8 Sept 2007 Curriculum Retreat – Virtual Patient

Virtual patientscan be interactiveand formative

“Student types in 50-100 work answer”

8 Sept 2007 Curriculum Retreat – Virtual Patient

“Student answer”

8 Sept 2007 Curriculum Retreat – Virtual Patient

Objectives:

• Create a virtual patient (VP) to teach:– peri-operative care

• Determine the best method of delivery:– Existing CUHK internet systems

8 Sept 2007 Curriculum Retreat – Virtual Patient

Why chose peri-operative care?

• 1st year surgical interns:– Preparing patients for surgery

– Treating patients after surgery• Pain / nausea & vomiting / iv fluids regimens / etc

• Problem of how to teach peri-operative:– Ideally - full-time 1-week attachment to anaesthetist

– In practice – teaching & exposure very fragmented

– Virtual Patient - help us demonstrate the whole process

8 Sept 2007 Curriculum Retreat – Virtual Patient

Original timelines & deliverables

1. Create a virtual patient by July 07

2. Assess performance & modify [Year 07/08]

3. Apply to other areas of the medical curriculum

[Year 08/09]

4. Set up workshops on developing virtual patients

8 Sept 2007 Curriculum Retreat – Virtual Patient

Progress report:

March 07 Appointed research assistant

June Written script / Taken photos / etc

July Conducted focus interviews / feedback

August Created preliminary web-pages

Sept Developing / modifying software

Working on the second draft

8 Sept 2007 Curriculum Retreat – Virtual Patient

Main Characters

• Patient: Mrs. Shirley Kwok:– Fibroids – Hysterectomy– Hypertension, Diabetes, DVT

• Medical staff:– Dr. Cynthia Chan - (POAC) – Dr. Sleepwell – (anaesthetist)– Medical student

8 Sept 2007 Curriculum Retreat – Virtual Patient

Outline of scenarios:

Sections

1 Pre-assessment outpatient clinic

2 Pre-operative assessment on ward

3 Preparing for the anaesthetic

4 The anaesthetic

5 Recovery room

6 Post operative care

8 Sept 2007 Curriculum Retreat – Virtual Patient

8 Sept 2007 Curriculum Retreat – Virtual Patient

8 Sept 2007 Curriculum Retreat – Virtual Patient

8 Sept 2007 Curriculum Retreat – Virtual Patient

8 Sept 2007 Curriculum Retreat – Virtual Patient

8 Sept 2007 Curriculum Retreat – Virtual Patient

8 Sept 2007 Curriculum Retreat – Virtual Patient

8 Sept 2007 Curriculum Retreat – Virtual Patient

8 Sept 2007 Curriculum Retreat – Virtual Patient

8 Sept 2007 Curriculum Retreat – Virtual Patient

8 Sept 2007 Curriculum Retreat – Virtual Patient

8 Sept 2007 Curriculum Retreat – Virtual Patient

8 Sept 2007 Curriculum Retreat – Virtual Patient

8 Sept 2007 Curriculum Retreat – Virtual Patient

8 Sept 2007 Curriculum Retreat – Virtual Patient

Feedback

• Generally well received:– “Like a drama” – “Too much like a story” – “Needs to be more interactive”– “Questions too simple”

8 Sept 2007 Curriculum Retreat – Virtual Patient

QUESTION:

free text answer

MODEL ANSWER

self assessed & scored

8 Sept 2007 Curriculum Retreat – Virtual Patient

Future

• Still yet to launch the VP website:

• If successful, hope to apply to other areas of the curriculum:

8 Sept 2007 Curriculum Retreat – Virtual Patient

THE WEDDING PARTY

Thank you

“All the characters portrayed are totally factious and are not based on any real-life persons”.