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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
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
Virtual patientscan be interactiveand formative
“Student types in 50-100 work 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
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: