ePoster
Students as producers of virtual patients: Exposing the expert knowledge through a virtual patient blueprint

Authors

  1. Charlotte Leanderson
  2. Karin Bjoerklund
  3. Nabil Zary

Theme

9II Virtual Patients/Social networking

INSTITUTION

Karolinska Institutet - Centre for Family Medicine
Karolinska Institutet -Dept of Learning, Informatics, Management and Ethics,

Take-home Messages

By applying a VP-blueprint, final year medical students can author a virtual-patient case on an expert level.

 

 

 

Background


In order to engage final year medical students in production of virtual-patients, using the primary care virtual-patient model described by Salminen et al (2014), there was a need to expose the expert thinking through a virtual-patient blueprint (VP-blueprint), to anticipate ambiguities and to ensure the quality and authenticity of the virtual-patient cases.

The objective of the study was to enable final semester medical students’ virtual-patient authorship, by use of a VP-blueprint.

References

Salminen H, Zary N, Björklund K, Toth-Pal E, Leanderson C,. (2014) Virtual Patients in Primary Care: Developing a Reusable Model That Fosters Reflective Practice and Clinical Reasoning. J Med Internet Res 2014;16(1):e3)
doi:10.2196/jmir.2616.

Summary of Work

A five-page VP-blueprint with predetermined headings and fill-in sections, in alignment with a patient encounter, was produced. Case-specific learning objectives, medical information, pre-formulated feedback, in-depth knowledge hyperlinks and a video-filmed patient encounter were to be provided by the students. Four groups of students (n=16) produced virtual-patient cases by use of the VP-blueprint. The cases were evaluated by an experienced clinical teacher (GP) regarding medical knowledge, clinical skills, clinical reasoning and professional attitudes. The final virtual-patient cases were performed in a group seminar. Students’ experiences of the VP-blueprint were collected in a semi-structured group discussion and by written evaluation

Summary of Results

The virtual-patient cases produced by the students demonstrated an adequate level regarding authenticity, knowledge, attitudes and skills in the performed patient encounters, and in the medical content throughout the cases. The students described the VP-blueprint as easy applicable in structure, content and pedagogical approach. They provided minor suggestions in order to further simplify the VP-blueprint.

Take-home Messages
Background

 

References

Summary of Work

1.

 

2. Virtual patient blueprint

Virtual patient (VP) - authors’ instructions 

The VPcase consists of four parts in alignment with a patient encounter:

  • Medical history
  • Medical examination
  • Clinical reasoning
  • Closing session/discussion.

 

Each part contains:

  1. Student’s own planning
  2. Film/picture
  3. Teachers pre-formulated feedback 
  4. Student’s self-reflection.

You will provide intended learning outcomes, introduction to the virtual patient case, 3 films, teachers comments and hyperlinks for in-depth knowledge.

Write your VPcase specific content on the dotted lines. Italics provides information about what to include in each part.
The numbers next to the heading facilitates the insertion into the data module. Please let them remain :) 

1. Learning outcome
Describe the intended learning outcome of the VPcase.

…………………………………………………………………………………………………

…………………………………………………………………………………………………

3. Introduction to the VP case

Describe the context and provide short summative information about the patient.

…………………………………………………………………………………………………

…………………………………………………………………………………………………

4b. Teachers’ Comments - Pre-thoughts
Enclose pre-formulated feedback regarding how you initiate your clinical reasoning even before you’ve met your patient (eg. acute, serious and common).

…………………………………………………………………………………………………

…………………………………………………………………………………………………

5b. Film – Medical history
Enclose patient-doctor medical history dialogue, including patient’s and doctor's part, in alignment with Calgary-Cambridge guides. If you are using an open dialogue without a written manuscript make a checklist in order to include all important information. Schedule your filming session.

…………………………………………………………………………………………………

…………………………………………………………………………………………………

5c Teachers’ Comments – Medical history

Enclose pre-formulated feedback regarding medical history. Teacher's comments regarding consultations skills is generic and is already enclosed in the VP data-program.

…………………………………………………………………………………………………

…………………………………………………………………………………………………

6b. Film - Clinical examination
Plan what content to include in the clinical examination of your patient.
Prepare an explanation of what you are examining and why, in order to clarify this to the patient while performing your examination. Alternatively you can, in teacher’s pre-formulated feedback, include appropriate hyperlinks for clinical examination video-clips. If you are using an open dialogue without a written manuscript make a checklist in order to include all important information. Schedule your filming session.

…………………………………………………………………………………………………

…………………………………………………………………………………………………

6c. Teachers’ Comments- Clinical examination
Enclose pre-formulated feedback regarding clinical examination and provide relevant comments about what should be included. You can also add relevant hyperlinks.
…………………………………………………………………………………………………

…………………………………………………………………………………………………

7a. Clinical reasoning

Enclose in-depth knowledge hyperlinks. Retrieve cautiously your information from continuously updated well known scientific, evidence-based sources.

…………………………………………………………………………………………………

…………………………………………………………………………………………………


7b. Teachers’ Comments – Clinical reasoning

Describe important differential diagnoses regarding outcome and findings in medical history and clinical examination. …………………………………………………………………………………………………

…………………………………………………………………………………………………

8b. Film - Discussion with patient/Closing session
Plan and write content regarding patient-doctor final discussion and agreement, in alignment with Calgary-Cambridge guides. If you are using an open dialogue without a written manuscript make a checklist in order to include all important information. Schedule your filming session.
…………………………………………………………………………………………………

…………………………………………………………………………………………………

8c. Teachers’ Comments - Discussion with patient/closing session
Enclose pre-formulated feedback regarding discussion/closing session. Clarify the most important findings and strategies for next step in discussion with the patient. Teacher's comments regarding consultations skills is generic and is already enclosed in the VP data-program. …………………………………………………………………………………………………

…………………………………………………………………………………………………

9b. Teachers’ Comments – Medical records and referrals
Enclose pre-formulated feedback regarding medical record/referrals.

Medcial record

…………………………………………………………………………………………………

…………………………………………………………………………………………………

Referrals

…………………………………………………………………………………………………

…………………………………………………………………………………………………

 

3.

Students' film - e.g. Medical history


 

 

Summary of Results
Send ePoster Link