ePOSTER
Abstract Title
Teaching / learning Child Psychiatry online: PBL-inspired virtual patients
Theme
7AA eLearning: Games, resources and platforms
INSTITUTION
1 McGill University
2 McGill University Health Centre
3 McGill University Centre for Medical Education
Background
- Establishment of new Child and Adolescent Psychiatry (CAP) subspecialty of the Royal College of Physicians and Surgeons of Canada
- Implementation of CAP subspecialty programs at 16 Canadian universities
- Requirement to develop curricula adapted to autonomous, senior trainee [1]
- Integration of problem-based learning (PBL) + online virtual patients (VPs) is one pedagogical strategy [2-4]
- Lack of psychiatry-oriented published VP cases
Summary of Work
- Delineated case example: adolescent female patient with Anorexia Nervosa (AN), learner in role of community-based psychiatrist
- Developed case example into online VP structure/process
- Designed case based on published guideline for authoring VPs [5]
- Created VP with online DecisionSim computer software
Summary of Results
- Psychiatry-relevant challenges to VP creation
- dearth of “absolute truths” in care formulations complicates creation of treatment algorithm
- teaching/learning about interactions with patient/family is challenging
- amount of prose information required makes VP text-dense
- Learning goals include assessment, diagnosis, and care management + concurrent review of literature; these are supported by VP [6-12]
- AN diagnosis allows exploration of both physical and mental health dimensions of patient/family care [3] + showcases flexibility of VP as a comprehensive teaching tool
- Case map illustrates interactive multi-node decision tree options
- Types of nodes: narrative, branching, multiple choice question, inquiry, input
- VP development process is short term time-intensive, but long term broad-reaching and time-saving
Conclusion
- Blended interactive online VP and PBL approach is a learner-centered pedagogical strategy with exciting and challenging educational possibilities.
- This innovative, transferable, and accessible strategy exemplifies potential of technology-enhanced learning in residency programs.
References
- McGee, J. B., & Kanter, S. L. (2011). How we develop and sustain innovation in medical education technology: Keys to success. Medical Teacher, 33(4), 279-285.
- Poulton, T., Conradi, E., Kavia, S., Round, J., & Hilton, S. (2009). The replacement of ‘paper' cases by interactive online virtual patients in problem-based learning. Medical Teacher, 31(8), 752-758.
- Cook, D. A., Erwin, P. J., & Triola, M. M. (2010). Computerized virtual patients in health professions education: A systematic review and meta-analysis. Academic Medicine, 85(10), 1589-1602.
- Cook, D. A., & Triola, M. M. (2009). Virtual patients: A critical literature review and proposed next steps. Medical Education, 43(4), 303-311.
- Posel, N., Fleiszer, D., & Shore, B. M. (2009). 12 Tips: Guidelines for authoring virtual patient cases. Medical Teacher, 31(8), 701-708.
- American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
- American Psychiatric Association (Ed.). (2006). American Psychiatric Association Practice Guidelines for the treatment of psychiatric disorders: Compendium 2006. Arlington, VA: American Psychiatric Publishing.
- Forsberg, S., & Lock, J. (2015). Family-Based Treatment of Child and Adolescent Eating Disorders. Child and Adolescent Psychiatric Clinics of North America, 24(3), 617-629.
- Le Grange, D., & Lock, J. (Eds.). (2011). Eating Disorders in Children and Adolescents: A clinical handbook. Guilford Press.
- Lock, J., & Le Grange, D. (2012). Treatment manual for anorexia nervosa: A family-based approach. Guilford Press.
- Lock, J., Le Grange, D., Agras, W. S., Moye, A., Bryson, S. W., & Jo, B. (2010). Randomized clinical trial comparing family-based treatment with adolescent-focused individual therapy for adolescents with anorexia nervosa. Archives of General Psychiatry, 67(10), 1025-1032.
- Rome, E. S., Ammerman, S., Rosen, D. S., Keller, R. J., Lock, J., Mammel, K. A., ... & Silber, T. J. (2003). Children and adolescents with eating disorders: The state of the art. Pediatrics, 111(1), e98-e108.
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