Dev-Kahol Amia 2009 Workshop

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This slide set was part of a workshop on virtual environments at AMIA 2009 with Kanav Kahol of ASU.

This slide set was part of a workshop on virtual environments at AMIA 2009 with Kanav Kahol of ASU.

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  • In contrast to the abstract nature of the two-dimensional web, virtual worlds offer a very concrete three-dimensional information structure, modeled after the real world. While these worlds are virtual in being made up out of pixels on a screen, the experience of the users in navigating through such a world is very concrete. Virtual worlds call upon our abilities of perception and locomotion in the same way as the real world does. This means that we do not need a manual to interpret a three-dimensional information structure modeled on the world around us: our whole nervous system has evolved precisely to interact with such a three-dimensional environment. Remembering where you have seen something, storing information in a particular location,getting an overview of a situation, all those functions are far more natural in a 3D environment than in an abstract 2D tree of web pages.
  • Should we work with civilian or government content?

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  • 1. Virtual Environments for Training in Healthcare (Plaza A, Hilton, San Francisco) Parvati Dev , PhD, Innovation in Learning Inc, Los Altos Hills, CA Kanav Kahol , PhD, Arizona State University, Tempe, AZ (sponsored by the Education Working Group) AMIA’2009 Workshop #09
  • 2. Today’s Program
    • Overview of virtual worlds, from Flash to immersive 3D
    • Teaching clinical procedures and team work in virtual worlds
    • Teaching business processes in virtual environments
    • Using virtual worlds to capture activities in real worlds
    • Discussion and Brainstorming
  • 3. Getting together
  • 4. Sharing information - collaboration
  • 5. Social
  • 6. Fun ! -- Extends real life (World of Warcraft)
  • 7. Why?
    • The space feels real, its three-dimensional
      • I know how to move and find things
        • Though I wish it was easier to navigate !
    • I feel the others are really present
    • It is quite easy to share and collaborate
      • Wish it was easier to bring in my simulations and programs
      • Powerpoints and spreadsheets are not enough
      • But I like that my documents can be left behind for next time
    • Voice is good
    • Often the technology does not work
  • 8. MD Kiosk Virtual Health Island (Second Life) http://www.youtube.com/watch?v=U3Szet7MJEM&feature=related
  • 9. Medical Centers Ann Myers Medical Center http://www.youtube.com/watch?v=QnTzgon-Wto&feature=related National Health Service Polyclinic, UK http://secondhealth.wordpress.com/
  • 10. Medical Centers Stanford University Emergency Department http://summit.stanford.edu/research/VEDII.html
  • 11. Healthcare Logistics (U Arkansas) http://vw.ddns.uark.edu/index.php?page=overview
  • 12. Virtual Patients for Virtual Worlds
  • 13. Virtual Surgeon Open Heart Game http://www.youtube.com/watch?v=8SAder8uMro&feature=related
  • 14. Related medical information - cleft palate 3D surgical model
  • 15. Virtual World Platforms Virtual World Platform Virtual Patients 3D Building Clinic Medical Objects with behaviors Virtual World server Client Scenarios based on Curriculum Tracking and Performance Assessment User Authentication and Performance Database Client
  • 16. Virtual World Platforms Virtual World server Client User Authentication and Performance Database Client
    • CLIENT:
      • Renders 3D world, avatars
      • GUI for interaction
      • Code for ‘behaviors’ of objects
      • May have application support (ppt etc)
    • SERVER:
      • Has copy of world for download on login
      • Maintains status of each avatar and object
      • Sends/receives status updates to/from all clients
      • Supports application sharing fromany client
    • MULTIPLE SERVERS:
      • There may be additional servers for media e.g. VOIP, video
  • 17. Virtual World Platforms Virtual World server Client User Authentication and Performance Database Client
    • CLIENT:
    • Forterra client (download)
    • Second Life client (download)
    • Qwaq/Teleplace (download)
    • Sun, Sirikata, …
    • Metaplace (in browser, Flash)
    • Unity3D (in browser, plugin)
    • Unisfair (in browser, Flash?)
    • Whyville (in browser, Java)
    • SERVER:
    • Forterra server (hosted)
    • Second Life server (hosted)
    • Qwaq/Teleplace (hosted)
    • Sun, Sirikata, … (you host)
    • Metaplace server (hosted, Flash)
    • Unity3D server (hosted)
    • Unisfair (hosted)
    • Whyville (hosted)
    Tixeo
  • 18. Faux 3D + video/voice
  • 19. Lesson Plans ? Collaborators: Stanford University and Hospital Forterra Systems Innovation in Learning Inc
  • 20. A Medical Virtual World
  • 21. Subject Matter Experts Develop Content Develop Behaviors Integrate Analysis & Design Evaluate Develop Curriculum Analysis with SMEs determines high-value curriculum
  • 22. Example Scenario Timeline Overall Timeline: Out-of-Hospital Scenario - Detonation of Radioactive Dirty Bomb
  • 23. Pre-Hospital Curriculum
    • Emergency Preparedness – Pre-hospital
    Decontaminate at Scene Triage, Decontamination, and Transport Set the Stage for In-Hospital Treatment Triage at the scene Transport to hospital
  • 24. In-Hospital Curriculum
    • Users are emergency physicians and nurses
    • Present the stresses and challenges of a disaster – task loading
    • Teams can succeed or fail to save patients
    • Team coordination, communication, and leadership are key
    . Patient avatars live or die in this persistent virtual world Emergency Preparedness – In-hospital to Emergency Department
  • 25. High School CPR Preparedness
    • Students practice decision making
    • When should CPR be given
    • What actions besides CPR are needed
  • 26. Curricula for Virtual Worlds
    • Start by identifying the task(s) to be learned/practiced – the learning goal(s)
    • Deconstruct the task into parts;
    • Identify the desired behaviors and attitudes
    • – the KSAs;
    • Set the context/situation in which these behaviors and attitudes will be elicited;
    • Specify the desired actions of the trainees as well as the “supporting roles”;
    • Elaborate on the basic scenario with more complex ones.
  • 27. Deconstruct the tasks
  • 28. Place tasks in a Scenario
  • 29. Example Scenario Timeline
  • 30. Score Sheet for Performance
    • CPR Performance Checklist
  • 31. Teaching business processes
  • 32. Tabletop Exercises
    • These are broadly intended to:
        • Validate plans and policies
        • Promote team-building
        • Achieve consensus
        • Provide exposure to the decision-making process during an emergency
        • Provide pre-event training and practice for operations or exercises
        • Provide an opportunity to practice skills and improve individual performance under varying degrees of stress.
  • 33. Incident Command Training
    • COMMAND STAFF
    • Incident Commander
    • Operations Chief
    • Logistics Chief
    • Planning Chief
    • Administration (Finance) Chief
    • Security Chief
    Dispensing antibiotic for Anthrax emergency Fire on ship http://www.commandsim.com/fireworld2007/startHere.html
  • 34. Virtual oil rigs for emergency training http://www.youtube.com/watch?v=uzr5UbdAuwQ
  • 35. Building a virtual oil refinery
  • 36. Collaborative Business Intelligence
    • Business Intelligence
      • A process of information collection, mining, analysis, decision making
      • Small number of experts
      • Weeks to months
    • Collaborative Business Intelligence
      • For example - Data center for hospital system has heating problem
      • Problem resolution needs many stakeholders
      • Need to move from strategic decision-making to operational decision-making
      • Need real-time data, which is distributed, and requires multiple experts
      • Use document sharing, blogs, wikis, email, instant messaging, conferencing, Webex, application sharing
      • Virtual worlds
      • The virtual collaboration platform provides mechanisms to capture user decisions recorded in the virtual world and re-associate them with specific events, models and business processes
  • 37. Links
    • 3-D real-virtual worlds in health and healthcare, Maged N Kamel Boulos
    • http://www.slideshare.net/sl.medic/3d-realvirtual-worlds-for-health-and-healthcare
    • Second Health (National Health Service in Second Life)
    • http://secondhealth.wordpress.com/
    • http://www.youtube.com/watch?gl=GB&hl=en-GB&v=Qtn5wcDA0is
    • and numerous other videos
    • Imperial College, London:
    • Ten weeks of activities to understand social networks, gaming and virtual worlds (Second Life)
    • http://learning20atimperial.wordpress.com/
    • http://www.slideshare.net/learning20/2009-virtual-worlds-and-second-life
    • Podcasting in Plain English from CommonCraft
    • http://www.youtube.com/watch?v=y-MSL42NV3c
    • Twitter in plain English
    • http://www.youtube.com/watch?v=ddO9idmax0o
    • Social Networking in Plain English
    • http://www.youtube.com/watch?v=6a_KF7TYKVc
    • Daden, a virtual worlds consulting company inUK
    • http://www.daden.co.uk/pages/knowledge.html
    • has a number of interesting white papers
    • Heart Murmur Sim by Jeremy Kemp (San Jose State College)
    • http://www.youtube.com/watch?v=xJY2Iwbzop4&feature=related
    • Ann Myers Medical Center (Second Life)
    • http://www.youtube.com/watch?v=QnTzgon-Wto&feature=related
    • MD Kiosk on Virtual Health Island
    • http://www.youtube.com/watch?v=U3Szet7MJEM&feature=related
    • Emergency Preparedness simulations
    • http://www.youtube.com/watch?v=3lanlNxY-2E&feature=related
    • http://www.youtube.com/watch?v=RwQlHNlpVcE&feature=related
    • Virtual Patient
    • http://www.youtube.com/watch?v=TU-TRXdSN7s&feature=related
    • New York University
    • http://www.youtube.com/watch?v=K546pruIa0A&NR=1&feature=fvwp
    • Stanford University
    • http://www.youtube.com/watch?v=TkuLAOzL0zU&NR=1
    • MUVERS
    • http://www.youtube.com/watch?v=NxwUMs4VCag&feature=related
    • Univ Texas and Breakaway
    • Virtual Surgeon Open Heart Game
    • http://www.youtube.com/watch?v=8SAder8uMro&feature=related
    • Virtual World Platforms (not exhaustive)
    • http://www.forterrainc.com/
    • http://www.secondlife.com/ and http://www.secondlifegrid.net/
    • http://www.multiverse.net/
    • http://www.metaplace.com/
    • http://www.vastpark.com/
    • http://www.unity3d.com
    • http://www.sirikata.com/
    • http://www.teleplace.com/ previously Qwaq
    • Sun Wonderland http://wiki.java.net/bin/view/Javadesktop/ProjectWonderland#Content_Creation
    • Learning
    • whyville.net
  • 38. Links to our movies
    • Virtual Emergency Department (VEDII) - Users
    • Virtual Emergency Department (VEDII) Interface - GUI
    • Virtual Emergency Department (VEDII) - entire video (2:11 min)
    • http://www.youtube.com/watch?v=zUb2Z8ZTl6g
    • http://www.youtube.com/watch?v=6FEdUndV1Aw
    • http://www.youtube.com/watch?v=7KfO4vjf_II
  • 39. Thank you ! [email_address]
  • 40. Abstract: AMIA’2009
    • ABSTRACT Virtual Environments for Training in Healthcare
    • Parvati Dev, PhD, Innovation in Learning Inc, Los Altos Hills, CA
    • Kanav Kahol, PhD, Arizona State University, Tempe, AZ
    • (sponsored by the Education Working Group)
    • Abstract
    • Three-dimensional virtual environments are the basis of highly popular online multi-person video games (World of Warcraft, Neverwinter Nights). The same technology has been used by educators to construct virtual learning environments for education in business, humanities, libraries, military, and healthcare. Some environments, such as those in Second Life, are exploratory, with structure provided through organized meetings and presentations ‘in-world’. Other environments resemble videogames, with sequential levels of play, providing a structured progress through the learning material, albeit in a game-like format. This workshop invites informatics educators and practitioners to participate in discussing current and potential uses of 3D virtual environments for learning and work in healthcare. Selected presentations on the topic will seed the discussion in the workshop.
    • Structure of Workshop:
    • The workshop will open with short presentations on different healthcare training applications that use virtual environments.
        • キ  Short overview of virtual worlds, from Flash to immersive 3D
        • キ  Examples of coursework in virtual worlds
        • キ  Teaching clinical procedures and team work in virtual worlds
        • キ  Teaching business processes in virtual environments
        • キ  Using virtual worlds to capture activities in real worlds
    • We will then move to an open brainstorming session where we list ideas for potential new applications. Small groups will each choose an idea to elaborate. Groups will come back to present their results.
    • Education goals:
          • キ  What are virtual environments for learning
          • キ  Technologies underlying these virtual environments
          • キ  Current uses of virtual environments
    • Who should attend:
    • Educators and researchers; physicians, nurses, and other healthcare professionals; hospital administrators; computer scientists, system developers, and programmers.