The impact of repurposing to different educational levels in the attitudes of medical students towards virtual patients

1
The impact of repurposing to different
educational levels in the attitudes of medical
students towards virtual patients

• Zofia Mazurek,
• Jagiellonian University, Faculty of Medicine
• Andrzej A. KononowiczJagiellonian University,
  Faculty of Medicine,
• Department of Bioinformatics and Telemedicine

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The aim of the study

• to present the workflow for repurposing a case to
  different educational levels
• to evaluate attitudes of medical students towards
  2 versions of the same VP case destined for
  different target groups

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Methods

• The original case was obtained from the eVIP
  project repository, translated and addapted
• The simplified version of the case was created
• The students were randomly allocated to receive
  the original or the simplified version of the
  case
• All the students were asked to complete an
  electronic questionnaire about VIP

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Repurposing

• The original case
• developed at the Ludwig Maximilian University in
  Munich
• System
• Linear structure

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Repurposing to different educational level
Enrichment with hints, explanations and images
Simplification
Revising by subject matter expert
Comparison of the curricula (3rd 5th year)
Removal of advanced, too difficult less
significant content
30 hours
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Original German case Case suitable for 5th year MS Case suitable for 3th year MS
Cards 22 27 29
Words 3212 5473 6285
Characters (without spaces) 21311 35390 40841
Images 9 30 30
Questions 8 11 16
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Data base
145 advanced ViP
150 simplified ViP
Randomization
14,7
12,4
Activity 22
Activity 18
Number of students Time (min) Correct answers Completeness Time/card (min)
VP for 5th year MS 18 19,9 44,8 55,1 0,74
Simplified VP for 3th year MS 22 41 73,4 85,6 1,42
MannWhitney U test plt0,05
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eViP student questionnaireassessing their
experience with virtualpatients for learning
clinical reasoning

• Source
• de Leng B., Donkers J., Brasch. C., Huwendiek S.,
  Kononowicz A., Evaluation instruments to support
  educators in making deliberate choices when they
  use virtual patients to teach clinical
  reasoning", Bio-Algorithms and Med-Systems,
  5(9),2009 pp. 45
• 6,8 of answers Only 19 questionnaires
  completed
• The response rate comparable with different
  studies 8,8 of acceptance
• Hege I., Ropp V., Adler M., Radon K., Maesch G.,
  Lyon H, Fischer M. R.
• Experiences with different integration
  strategies of case-based e-learning, Medical
  teacher 29, 2007 pp. 791-797

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Students opinion
Strongly disagree
Strongly agree
Remarks and commentaries made the simplified
case workable at almost every level of medical
education
Due to small number of answers statistical
analysis showed no significant differences
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Conclusions

• Voluntary course - unsatisfactory reponse rate
• The more difficult the content the smaller the
  interest
• Better acceptance of curriculum-matching VP
• The importance of educational repurposing