From Virtual Reality to Reality: What Next?

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From Virtual Reality to Reality What Next?

• Grace Huang, MD
• Creating Games and Simulation for Learning
• January 23, 2006

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The Agenda

• Where we are
• Nobody knows the troubles Ive had
• What were trying to do
• What you can do to help

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What do we call Virtual Patients?
interactive computer programs that simulate
real-life clinical scenarios in which the learner
acts as a health care professional obtaining a
history and physical exam and making diagnostic
and therapeutic decisions
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does it radiate anywhere
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Many Challenges in Production
Programming
Multimedia development
Case creation
Resource-intensive
Faculty time
Insufficient Collaboration
NIH syndrome
Time
Ownership
Customization
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The Ultimate Result
Limited impact Duplication Scarce data Limited
breadth Hampered technical advancement
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MedEdPORTAL

• Was created by the AAMC Group on Educational
  Affairs (GEA) as a way to value educational
  scholarship
• Serves two roles
• A publication venue for teaching materials
• A search engine for educational resources

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Rationale for VP Inventory Sharing

• Determine prevalence of virtual patients at AAMC
  member schools
• Understand the current uses of virtual patients
• Determine content coverage
• Survey willingness to share

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Fair Response Rate
Total member schools 145
Schools responding 107
Schools not developing VPs 81
Schools responding to VPs 26 (24)
Schools entering VPs 13
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Technology Internet, Videos
Delivery Mechanism n ()
CD-ROM 8 (33)
DVD-ROM 3 (13)
Internet 20 (83)
Workstation 4 (17)
Multimedia Assets n ()
Images 22 (92)
Audio 17 (71)
Video 20 (83)
3-D animation 8 (25)
Macromedia Flash 8 (33)
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Audience Mainly Medical Students
Intended Audience n ()
Pre-Clinical Teaching 15 (63)
Clinical Teaching 20 (83)
Residency Training 8 (33)
CME 5 (21)
Continuing Education of Allied Health Professionals 0 ()
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Clinical Discipline Representation
Pediatrics 39
Internal Medicine/Adult Family Medicine 29
Clinical Neurosciences 23
Psychiatry 13
Preventive Medicine 8
Surgery 5
Geriatrics 5
Obstetrics/Gynecology 2
Palliative care 1
Dermatology 1
Emergency Medicine 1
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VPs are Not Diverse in Race and Ethnicity
Ethnicity
Not Hispanic 41
Mexican, Chicano 5
Other 4
Not applicable 50
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Virtual Patients Production Costs
Production Cost
0-10,000 14
10-50,000 50
50-100,000 29
100-250,000 6
250-500,000 1
gt500,000 0
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Virtual Patient Production Time
Production Length
lt6 months 39
6-12 months 4
12-24 months 41
gt24 months 16
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VP Sharing Most are willing
Willingness to make VP available to other medical schools in exchange for using their cases 85
Willingness to make available to other medical schools the paper based script for the VPs 62
Willing to share multimedia assets 29
Willing to host outside users 57
Willing to share entire package 56
Allow modifications of work 9
Allow commercial users of work 0
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What Opportunities Exist for Virtual Patients?

1. Production streamlining virtual patient
   production
2. Content needs acute care, surgery, culturally
   diverse virtual patients
3. Sharing collaboration and research
4. Academics virtual patients as scholarship

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Our Next Steps for Virtual Patients

• Review of virtual patients in inventory for
  availability
• COMET use cases for interoperability,
  multi-institutional research
• Medbiquitous and technical standards
• Merging multiple types of medical simulation
• Grant support for content development

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Your Next Steps for Simulation and Gaming

• Sharing
• Working alongside course directors and/or
  institution leadership
• Rigorous evaluation
• All in the name of patient safety