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The Deteriorating Patient Smartphone App How Can Achievement Emotions Guide the Design of a Medical TRE? Jeffrey Wiseman Emmanuel G. Blanchard Susanne.

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Presentation on theme: "The Deteriorating Patient Smartphone App How Can Achievement Emotions Guide the Design of a Medical TRE? Jeffrey Wiseman Emmanuel G. Blanchard Susanne."— Presentation transcript:

1 The Deteriorating Patient Smartphone App How Can Achievement Emotions Guide the Design of a Medical TRE? Jeffrey Wiseman Emmanuel G. Blanchard Susanne Lajoie 1 LEADS 2 nd Annual Team Meeting May 2, 2013 San Francisco

2 Outline Rationale Research Questions Methods Data to be analyzed Deliverables Implications + Conclusion

3 Rationale Emergencies = emotionally challenging situations ABCDEFG algorithm guides emergency care & helps with some emotional challenges Medical Simulations: Role of debrief; “Hi Fi” versus “Low Fi” Deliberate practice with feedback (Ericsson, 2004)

4 Rationale The Deteriorating Patient Simulation (DPS) (Wiseman, Lajoie, Lu, Blanchard 2006, 2010, 2012) Human tutors – Small groups of learners + few tutors Digital tutors – Large numbers of learners + digital tutor TRE (Smartphone App: Authoring + Case tools) – Community of live & digital learners and tutors – Deliberate practice with feedback anywhere, anytime – Serious games 4

5 5 Emotions?

6 From the Live Tutor Deteriorating Patient Simulation… (Wiseman, Snell, 2008; Lu, Lajoie, Wiseman, 2010) 6 Patient Scenario Listen to Learner Your approachLearner’s approach Important differences or weaknesses Patient deteriorates by a small increment specific to the weakness Learner corrects Learner doesn’t correct Hints & Humor Prompt to consult Listen to next learner EE E E

7 …To the Digital Deteriorating Patient Application (Blanchard, Wiseman, Naismith, Hong, Lajoie, 2010; Blanchard, Wiseman, Naismith, Lajoie, 2012) 7 Action categories Information panel Vital signs Choice of actions in the selected category

8 Research Questions What types of achievement emotions (Pekrun, 2006) occur in the setting of medical learners attempting to solve an emergency case simulation presented by a human tutor? Are similar achievement emotions induced by a smartphone-based TRE presenting the same case? If not, what additional adjustments in the TRE are needed to bring the TRE-induced achievement emotions closer to those induced by a human tutor? 8

9 Methods User-centred design iterative approach (Lai et al 2010) – DP app developers interact with 5 target users to test and adjust TRE design choices – Modules for collecting user data embedded into the TRE Compare + adjust TRE to human Tutor with using an isometric case for 10 medical learners

10 Data to be Analyzed Technical – Self-report measures, log files Cognitive – Process: use of ABCDEFG algorithm to guide diagnostic and management choices; response to changes in vital signs & hints; persistence – Outcome: Diagnosis, Management, Timing of help- seeking Emotional – AEQ (Pre? During? As part of Debrief to guide recall?), Task value + control

11 Deliverables A new version of the DDPA running on smartphones A first version of the DDPA authoring tool running on smartphones A paper submission to ECTEL2014 An advanced draft of a paper to be submitted to a peer-reviewed international journal in late 2014 A grant proposal submission to the Royal College of Physicians and Surgeons of Canada for additional evaluations on the emotional and cognitive impacts of DDPA for medical learners 11

12 Implications + Conclusions Role of learner emotions – in medical simulations are relatively unexplored – in TRE design is new for medical contexts DPA Smartphone App promises to – Support further adaptation + application of the AEQ to a medical education context – Provide a TRE designed for learners’ emotions – Permit tracking of learner development over time – Provide links with Empathy/Giving Bad News/Cultural Differences/Bioworld

13 Thank You 13 Thank You!


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