Theme
9II Virtual Patients/Social networking
INSTITUTION
Karolinska Institutet - Centre for Family Medicine
Karolinska Institutet -Dept of Learning, Informatics, Management and Ethics,
By applying a VP-blueprint, final year medical students can author a virtual-patient case on an expert level.
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.
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.
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
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.