1. VIRTUAL PATIENT - Computer based teaching CAMPUS SOFTWARE Srdjan Masic, MBI, MPH Dejan Bokonjic, MD, PhD

2. Virtual patients Virtual patients are an interactive, realistic, computer based simulation of patient care, with the goal of simulating real-life health care practice. Virtual patient used in different levels and areas of health care education. 2

3. Virtual patients (types) 1) Artificial patients (computer simulations of biochemical processs), 2) E- patients (electronic health records), 3) Physical simulators (mannequins), 4) Simulated patients (role- play), 5) Electronic case studies (scenarios through problems). 3

4. Why do we need Virtual Patients ? Lack of real patients for training of students - Shorter stays of patients in hospital - Seasonal diseases Lack of connection between preclinical and clinical information - Lack in practical training of patient management. - Lack of practical training in clinical reasoning Lack of valuable feedback. 4

5. Possible benefits of VPs ☝ Increase the availability of training opportunities for medical students. ☝ Learn about a wide range of clinical topics. ☝ Practice in a virtual and therefore safe environment. ☝ VPs can be accessed on demand and they can be endlessly replayable. 5

6. ☝ Virtual patients can assist medical educators by reducing their teaching load. ☝ Suitable instrument to test active and applied knowledge. 6

7. ☝ Once developed, are relatively easy and inexpensive to access and distribute, when compared to other simulation modalities such as standardized patients and mannequin-based simulators. 7 Electronic case studies vs other types of VPs

8. Disadvantages ☟ Development of virtual patients is expensive and time consuming. ☟ Require additional training for faculty and trainees. ☟ Requires the existence of a technological infrastructure for access and delivery. 8

10. Introduction CAMPUS is a project of the MediCase team from the Laboratory Computer-Based Training in Medicine of the University Hospital Heidelberg (http://www.hyg.uni-heidelberg.de/CBT).http://www.hyg.uni-heidelberg.de/CBT Interactive, case based multimedia learning programme. From 2007. this software is integrated in two sillaby (Medical informatics and Pediatrics) in study program Medicine. CAMPUS is comprised of two components:  Campus Authoring Tool  Campus Player

11. The CAMPUS authoring component is used to edit multimedia medical learning cases from the hospital everyday life, which can be presented later by the CAMPUS player component in an interactive and thus realistic form. The authoring tool enables to store the data of a real clinical case in details, which is necessary for a simulative demonstration of the case.

12. Handling a case means to perform findings and tests (medical history, physical, technical and laboratory tests) and to make diagnostic and therapeutic decisions. The user can apply almost all possibilities occurring in reality also in the modelled system, he can model the requirement for an investigation from the list of actually possible kinds of investigations.

13. Didactic components Case operation model Each case in CAMPUS follows:

15. 1. After the completion of medical history and physical examination, a user has to choose his first suspected diagnoses. 2. Then a diagnostics-therapy-loop follows. The loop can be processed n-times until the case can be concluded. 3. After the user has found the primary diagnoses and ordered a corresponding therapy principle the case can be closed. 4. Within a diagnostics-therapy-loop the user has to order physical, technical,and laboratory examinations until he can choose a more differentiated diagnosis and a potentially changed therapy is indicated. For measuring the success of a therapy, a user can order follow-up examinations. Depending on complexity of the case, one or several "diagnostics-therapy-loops" must be runthrough.

16. The CAMPUS player shows learning cases from the clinical everyday life in a multimedia, interactive and therefore realistic way. Users can improve and test their problem solving competence while working alone with a CAMPUS case simulation.

21. Media

22. CAMPUS supports the different image, video and audio formats.

24. Thank you