Implementing virtual patients into the medical curriculum at JUMC

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    September 2006September 2006

    www.virtualpatient

    Scenarios for the implementation of Scenarios for the implementation of VPs into the medical curriculumVPs into the medical curriculum

    by the example of JUMC'sby the example of JUMC'sparticipationparticipation

    in the eViP-Programmein the eViP-ProgrammeA.J. Stacho, A.A. Kononowicz, I. Roterman-KoniecznaDepartment of Bioinformatics and Telemedicine,

    Jagiellonian University Medical College, Krakw, Poland

    I. Hege, M. Holzer, M.R. FischerMedical Education Unit, Medizinische Klinik-Innenstadt,

    Ludwig-Maximilians-University, Mnchen, Germany

    M. AdlerInstruct AG, Mnchen, Germany

    http://www.virtualpatients.eu/http://www.virtualpatients.eu/http://www.virtualpatients.eu/http://www.virtualpatients.eu/
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    eViPSeptember 2006

    The eViP Project

    http://www.virtualpatients.eu

    3-years project co-funded by the European Union

    Aims

    Creating large international repository of virtual patients Sharing/exchanging of virtual patients Repurposing of virtual patients (adaptation of VPs to national

    health care standards and conditions) Implementation of virtual patients into the local medical curricula

    Project Partners St Georges, University of London

    Karolinska Institutet Ludwig-Maximilians University Munich University of Warwick Maastricht University University of Heidelberg University "Iuliu Hatieganu" Cluj-Napoca Jagiellonian University Medical College

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    eViPSeptember 2006

    First year of eViPGoal: close collaboration between pairs of project partners

    Jagiellonian UniversityMedical College, Krakw, Poland

    Ludwig-Maximilians-UniversityMunich, Germany

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    eViPSeptember 2006

    content

    translation

    adaptation

    media

    ready

    further repurposing

    Virtual Patient (VP) content is obtained from Munich(including text, figures, images, videos)

    Translation of the text fromGerman or English into Polish

    Content matter expertsrepurpose the case to national

    standards and conditions

    Adaptation of multimedia materials(e.g. movie subtitles,

    localized images&forms)

    VP waiting to be introduced intomedical curriculum

    e.g. interdisciplinary repurposing:medicine nursery structure repurposinglinear branched

    LMU & UJ repurposing workflow

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    eViPSeptember 2006

    Examples of media adaptation activities

    Adding subtitles

    Localization (medical documentation)

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    eViPSeptember 2006

    Repurposing time effortRepurposing time effort

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    # P_ S C H

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    Repurposed virtual patients (ordered by repurposing start date)

    H o u r s

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    eViPSeptember 2006

    creation of Flash

    animation

    VP contentEnrichmentE-learning4th27

    Applied Computer Science Students

    (supervised by medical experts)

    creation of

    14 new VPs

    learning-by-

    teachingComputer Sciencepost-graduate48Medical PhD

    2 eViP casesin Englishself-study

    Basis of Computer Science1st68

    Medical ForeignStudents

    2 eViP casesin Polishself-study

    Medicalinformatics and

    statistics 23rd76Dentistry Polish Students

    2 eViP casesin Polishself-studyTelemedicine 23rd231

    Medical Polish Students(Pilot Study)

    Material/Virtual Patients

    Scenario of implementationClass Year of Study

    Numer of StudentsGroup of Students

    UJs VP scenarios realized in the first year of the eViP project

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    eViPSeptember 2006

    Key factors for supporting theintegration

    Support from experienced eViP partners

    Support from studentsTranslations

    Content enrichment (Students of Comp. Science)VP authoring (PhD Candidates)

    Willingness to participate in VPs classes

    Incentives for authors guaranteed by eViPMixed bottom-up & top-down approach

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    eViPSeptember 2006

    Future goals and perspectives

    Continue/Broaden integration with clinical

    courses

    Share experiences with other partners

    Joint research studies with other institutes

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    eViPSeptember 2006

    1 st International Conference on Virtual Patients

    Krakw, Polan5 J une to 6 J une 2009www.icvp.eu

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    eViPSeptember 2006

    Surveys in the projects first year - results

    7,47,3

    60% self study56% classes16% revision48% assessment

    3,9-3,63,93,8-3,83,9self-study25Medical ForeignStudents

    8,08,2

    81% self study60% classes72% revision48% assessment

    4,64,33,94,44,64,34,44,4self-study56Dentistry PolishStudents

    7,47,8

    75% self study52% classes65% revision29% assessment

    4,64,33,94,14,24,2-4,2self-study134Medical Polish

    Students(Pilot Study)

    Scale 1 - 10Likert Scale 1 - 5

    VPs markStudentspreferences

    Q12Q11Q9Q8Q7Q6Q4Q3Scenario of implementationN

    Group of Students

    Q3 Was the presented clinical case interesting for you?Q4 Would you like to have VPs implemented to your medical study?Q6 Was the content of the VP understandable?Q7 Was the content of the VP logically structured?Q8 Did the presented case contain useful knowledge?Q9 Do you believe that learning using virtual patients is more efficient than conventional methods?Q11 Was the language of the VP appropriate?Q12 Was the VP system (CASUS) easy to operate?

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    eViPSeptember 2006

    Virtual Patients at JUMC before eViP

    Non-coordinated bottom-up initiatives of individualfaculty members

    Little experience with case-based learning

    MicroSIM http://www.laerdal.com

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    eViPSeptember 2006

    Key factors to remember

    Legal issues

    Patients consentVPs copyright clearedIncentives for content authors and educators

    FinancialOrganizational

    Changes in curriculumWhere to use VPs?How to motivate student to use VPs?

    Technical IssuesVP System (own development, existing system)VP Model (linear, branched)

    VP repository profileSpecialized (few discipilnes with many cases) ?Broad Scoped (VPs should cover as many disciplines as possible withpotentially few cases) ?

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    eViPSeptember 2006

    VP Content Enrichment

    S t u d e n

    t s p r o

    j e c

    t s