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This presentation from the Medbiquitous Conference 2008 discusses the innovative use of Virtual Patients (VPs) as a tool for assessing clinical reasoning and patient management skills in medical education. Presented by Emily Conradi and Dr. Jonathan Round, it outlines the benefits of VPs, including consistent feedback, adaptability, and user satisfaction. The session highlights various VP models for assessment, their trialing process with graduate medicine cohorts, and future applications. Attendees expressed appreciation for the engaging and interactive nature of VPs compared to traditional assessment methods.
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Virtual Patients as a Tool for Assessment Presented to Medbiquitous Conference 2008 Presented by Emily Conradi, e-Projects Manager Jonathan Round, Senior Lecturer and Consultant Paediatrician
Why use VPs for assessment? • Clinical reasoning skills; • Patient management; • Applicability of knowledge; • Consistent feedback; • Online.
The perfect method of assessment? • Validity • Feasibility • Reliability
Models of VPs for assessment • Branching VPs: Scenario Adapts to reflect choices • Three models of AVPs: • Model 1: Ranking
Models of VPs for assessment • Branching VPs: Scenario Adapts to reflect choices • Three models of AVPs: • Model 1: Ranking • Model 2: Ranking with increasing difficulty
Models of VPs for assessment • Branching VPs: Scenario Adapts to reflect choices • Three models of AVPs: • Model 1: Ranking • Model 2: Ranking with increasing difficulty • Model 3: Scenario adapts
Trialling VPs for Assessment • Third year Graduate Medicine • Six cohorts of 12 (n=73) • Formative assessment • Four Paediatric cases • Five decision points per case • Between 4 and 8 choices • Blind scoring
Feedback • 97% felt they had time to complete the assessment • 96% felt the VP was user-friendly • 86% reported no problems using the technology • Frustration with lack of ‘back’ button
General Comments • much more interesting to have a scenario than standard MCQs • absolutely lovely, great fun and much more interactive then dry paper questions • great way to be assessed and to self-assess • it's great practise and good way to test learning • don't like that you can't go back and look at previous information • requires both general and specific knowledge • i hope more exams will be carried out like this in the future • the more practical experience I have, the better I will perform!
Conclusions • Validity • Feasibility • Reliability
Future Work • More comprehensive trial; more iterations; • More, shorter VP cases; • Different VP cases; • Different assessment models.
Thank you Dr Jonathan Round jround@sgul.ac.uk Emily Conradi econradi@sgul.ac.uk