Patient case-based simulation is a valuable tool for medical education and professional medical training. The use of patient simulations is limited in the real world by a reliance on live actors or expensive, manikin - based experiences. These experiences are limited in reach, may be inconsistent due to variation in actors, and are expensive to implement. We developed an online case simulation that reproduces many elements of the traditional live - action simulation while incorporating advantages of computer delivery, including immediate feedback on clinical choices, consistency across users, and 24/7 availability. The Patient Case Simulation was presented using an interface based on a typical Electronic Medical Record to be familiar to the medical professional audience. The simulation experience followed the standard sequence of events in a typical encounter between a medical professional and patient in a clinic setting. We conducted formative testing with over 250 users, and a summative test with 35 users. We were able to develop and refine a successful case presentation format. Results and lessons learned are presented.
Bauman, E. B. R. (2012). Game-Based Teaching and Simulation in Nursing and Health Care. Berlin: Springer Publishing Company. https://www.amazon.com/Game-Based-Teaching-Simulation-Nursing-Health/dp/0826109691/ref=sr_1_1?s=books&ie=UTF8&qid=1472588446&sr=1-1&keywords=Game-Based+Teaching+and+Simulation+in+Nursing+and+Health+Care+-+ Eric+B.+Bauman+PhD+RN
Bosch, J., Maaz, A., Hitzblech, T., Holzhausen, Y., & Peters, H. (2017). Medical Students’ Preparedness for Professional Activities in Early Clerkships. BMC Medical Education, 17, Article No. 140. https://doi.org/10.1186/s12909-017-0971-7
Buttussi, F., Pellis, T., Cabas Vidani, A., Pausler, D., Carchietti, E., & Chittaro, L. (2013). Evaluation of a 3D Serious Game for Advanced Life Support Retraining. International Journal of Medical Informatics, 82, 798-809. https://doi.org/10.1016/j.ijmedinf.2013.05.007
Chapple, C. (2014). New VR Treadmill the Virtualizer Hits Ground Running on Kickstarter. http://www.develop-online.net/news/new-vr-treadmill-the-virtualizer-hits-ground-running-on-kickstarter/0195649
Cook, D. A., Hatala, R., Brydges, R., Zendejas, B., Szostek, J. H., Wang, A. T., Erwin, P. J., & Hamstra, S. J. (2011). Technology-Enhanced Simulation for Health Professions Education: A Systematic Review and Meta-Analysis. JAMA, 306, 978-988. https://doi.org/10.1001/jama.2011.1234
De Noble, A. F., Jung, D., & Ehrlich, S. B. (1999). Entrepreneurial Self-Efficacy: The Development of a Measure and Its Relationship to Entrepreneurial Action. In Frontiers for Entrepreneurship Research (pp. 73-78). Waltham, MA: P&R Publication Inc. https://fusionmx.babson.edu/entrep/fer/papers99/I/I_C/IC.html
Dewey, J. (1938). Experience and Education. New York: Macmillan. http://ruby.fgcu.edu/courses/ndemers/colloquium/experienceducationdewey.pdf
Diehl, L. A., Souza, R. M., Alves, J. B., Gordan, P. A., Esteves, R. Z., Jorge, M. L. S. G., & Coelho, I. C. M. (2013). InsuOnline, a Serious Game to Teach Insulin Therapy to Primary Care Physicians: Design of the Game and a Randomized Controlled Trial for Educational Validation. JMIR Research Protocols, 2, e5. https://doi.org/10.2196/resprot.2431
Gibbs, D., Hewitt, B., & McLeod, A. (2018). The Gamification of Electronic Health Records: A Systematic Literature Review. https://perspectives.ahima.org/the-gamification-of-electronic-health-records-a-systematic-literature-review/
Gorbanev, I., Agudelo-Londono, S., González, R. A., Cortes, A., Pomares, A., Delgadillo, V., Yepes, F. J., & Munoz, ó. (2018). A Systematic Review of Serious Games in Medical Education: Quality of Evidence and Pedagogical Strategy. Medical Education Online, 23, Article ID: 1438718. https://doi.org/10.1080/10872981.2018.1438718
Graafland, M., Schraagen, J. M., & Schijven, M. P. (2012). Systematic Review of Serious Games for Medical Education and Surgical Skills Training. The British Journal of Surgery, 99, 1322-1330. https://doi.org/10.1002/bjs.8819
Kandiah, D. A. (2017). Perception of Educational Value in Clinical Rotations by Medical Students. Advances in Medical Education and Practice, 8, 149-162. https://doi.org/10.2147/AMEP.S129183
Karagiorgas, D. N., & Niemann, S. (2017). Gamification and Game-Based Learning. Journal of Educational Technology Systems, 45, 499-519. https://doi.org/10.1177/0047239516665105
Kasper, D. L., Fauci, A. S., Hauser, S. L., Longo, D. L., Jameson, J. L., & Loscalzo, J. (2015). Harrison’s Principles of Internal Medicine 19/E (Vol. 1 & Vol. 2) (ebook). New York: McGraw Hill Professional. https://books.google.com/books?id=wNKVBgAAQBAJ
Kolb, D. A. (1983). Experiential Learning: Experience as the Source of Learning and Development. Upper Saddle River, NJ: Prentice Hall. https://www.amazon.com/Experiential-Learning-Experience-Source-Development/dp/0132952610
Maddux, J. E. (2009). Self-Efficacy: The Power of Believing You Can. In C. R. Snyder, & S. J. Lopez (Eds.), Handbook of Positive Psychology (pp. 277-287). Oxford: Oxford University Press. https://doi.org/10.1093/oxfordhb/9780195187243.013.0031
Maloney, S., & Haines, T. (2016). Issues of Cost-Benefit and Cost-Effectiveness for Simulation in Health Professions Education. Advances in Simulation, 1, 13. https://doi.org/10.1186/s41077-016-0020-3
Drnovsek, M., Wincent, J., & Cardon, M. S. (2010). Entrepreneurial Self-Efficacy and Business Start-Up: Developing a Multi-Dimensional Definition. International Journal of Entrepreneurial Behavior & Research, 16, 329-348. https://doi.org/10.1108/13552551011054516
McLeod, A., Hewitt, B., Gibbs, D., & Kristof, C. (2017). Evaluating Motivation for the Use of an Electronic Medical Record Simulation Game. Perspectives in Health Information Management, 14, 1-19.
Metcalf, M. P., Tanner, T. B., & Buchanan, A. (2010a). Effectiveness of an Online Curriculum for Medical Students on Genetics, Genetic Testing and Counseling. Medical Education Online, 15, 4856. https://doi.org/10.3402/meo.v15i0.4856
Metcalf, M. P., Tanner, T., & Wilhelm, S. (2010b). Assessing the Impact on Medical Students of an Online Curriculum on Opioid Dependence and Treatment. Substance Abuse, 32, 60-61. https://www.researchgate.net/publication/297912212_Assessing_the_Impact_on_ Medical_Students_of_an_Online_Curriculum_on_Opioid_Dependence_and_Treatment
Nickerson, M., Morrison, B., & Pollard, M. (2011). Simulation in Nursing Staff Development: A Concept Analysis. Journal for Nurses in Staff Development: JNSD: Official Journal of the National Nursing Staff Development Organization, 27, 81-89. https://doi.org/10.1097/NND.0b013e3181a68abd
Nielsen, J. (2012). Usability 101: Introduction to Usability. http://www.nngroup.com/articles/usability-101-introduction-to-usability
Oblinger, D. G. (2004). The Next Generation of Educational Engagement. Journal of Interactive Media in Education, 8, 10. https://doi.org/10.5334/2004-8-oblinger
Ofei-Dodoo, S., Goerl, K., & Moser, S. (2018). Exploring the Impact of Group Size on Medical Students’ Perception of Learning and Professional Development during Clinical Rotations. Kansas Journal of Medicine, 11, 70-75. https://doi.org/10.17161/kjm.v11i3.8694
Olszewski, A. E., & Wolbrink, T. A. M. (2017). Serious Gaming in Medical Education: A Proposed Structured Framework for Game Development. Journal of the Society for Simulation in Healthcare, 12, 240-253. https://doi.org/10.1097/SIH.0000000000000212 https://www.ncbi.nlm.nih.gov/pubmed/28027076
Shoemaker, M. J., Beasley, J., Cooper, M., Perkins, R., Smith, J., & Swank, C. (2011). A Method for Providing High-Volume Interprofessional Simulation Encounters in Physical and Occupational Therapy Education Programs. Journal of Allied Health, 40, e15-e21.
Sitzmann, T. (2011). A Meta-Analytic Examination of the Instructional Effectiveness of Computer-Based Simulation Games. Personnel Psychology, 64, 489-528. https://doi.org/10.1111/j.1744-6570.2011.01190.x
Tai, G., & Yuen, M. (2007). Authentic Assessment Strategies in Problem Based Learning. In Ascilite Singapore 2007. http://www.ascilite.org.au/conferences/singapore07/procs/tai.pdf
Tanner, T. B., Wilhelm, S. E., Rossie, K. M., & Metcalf, M. P. (2012). Web-Based SBIRT Skills Training for Health Professional Students and Primary Care Providers. Substance Abuse, 33, 316-320. https://doi.org/10.1080/08897077.2011.640151
USMLE (2020). Step 2 CS Patient Note Information. United States Medical Licensing Examination, Practice Materials. https://www.usmle.org/practice-materials/step-2-cs/patient-note.html
Wang, R., DeMaria, S., Goldberg, A., & Katz, D. (2017). A Systematic Review of Serious Games in Training Health...: Simulation in Healthcare. Journal of the Society for Simulation in Healthcare, 11, 41-51. https://doi.org/10.1097/SIH.0000000000000118
Westera, W. (2017). Why and How Serious Games Can Become Far More Effective: Accommodating Productive Learning Experiences, Learner Motivation and the Monitoring of Learning Gains. Educational Technology & Society, 22, 59-69.
Yang, B., Zhao, X., Ou, Y., Zhang, J., Li, Q., & Liu, Z. (2012). Design and Implementation of Virtual Reality Software with Psychological Treatment for Drug-Dependent Patients. Journal of Biomedical Engineering, 29, 1174-1177.