1. Virtual Patients with Rules Can adding rules to virtual patients enhance deliberate practice to optimize performance? Tufts University

2. What are the attributes of a TUSK VP ? Linear Global Displays the student’s path through global vp’s Associates costs with options selected provides cost summary Form-based authoring tool Provides a printable summary of the VP for students Flexible… it multi-tasks Administrator tools to populate with default normal data according to patient types …ever growing in functionality e.g RULES at the request of faculty Tufts University

3. In Support of Mannequin Simulation Tufts University

4. Reinforce Knowledge: Statistics Tufts University

5. Clinical Reasoning Courses in Veterinary and Medical Schools Tufts University

6. Clinical Decision Making and knowledge reinforcer: Genetics Tufts University

7. VP: Problem Based Learning

8. The Problems Some Students found they could click through and get to the end without “thinking” Doctors have to work in an imperfect world – test results don’t come back the minute you submit the paper work… what do you do while you are waiting? The decision to move forward without enough information shouldn’t be rewarded Tufts University

9. “I would want to see more genetics cases posted on TUSK. It was one thing to learn about modern clinical genetics procedures, but it was infinitely more interesting to see how they would be applied to actual cases (i.e. which tests are useful in which situations, what results might give you a positive diagnosis or might just allow you to rule one possibility out, etc.) “ “I was confused about when I gave the right answer or not. Or how "right" my answers were” “I thought it was a good study tool. It was good practice for analyzing, incorporated a lot of the lecture material - making it feel very relevant - and it did all of this without adding to much pressure. It was good practice without being penalized for getting answers wrong. I definitely think you should continue to use this in the future.” Tufts University

11. ✓ Consultants expect the student to have already identified items of concern. ✓ Consultants expect students to come with specific questions to ask? Tufts University

12. Opportunities for the future We may need to ask the VP working group for some modifications to the spec ◦ Triggers on elements ◦ Rules on elements Do rules make a difference in virtual patients? Tufts University