SlideShare a Scribd company logo
Repurposing Virtual Patients
for
Scenario Based Learning
David Topps
Nishan Sharma
Sonya Lee
Alaa Aboulhoda
Peter Colbert
ICRE workshop, Sept 2013
Timetable
What is SBL?
Activity theory Miller's Pyramid
Fink's
Significant
learning
Situated
Learning
Theory
SBL Components
Task
deliverable
Trigger event
Scenario
data
Guidance &
instruction
Feedback
Reflection
What’s it good for?
• Critical thinking
• (Clinical) Decision Making
• High stakes tasks
SBL ≠ Simulation
Practicum Continuum
Ellaway, Kneebone, Lachapelle, Topps
Med Teach 2009, Aug;31(8):725-31
Learn from your mistakes
“...the way that you do it”
“Focus not only on correct or incorrect
answer but the process used to derive
that answer”
Ruth Colvin Clark
Cognitive task analysis
• “Expert voices the task aloud as she performs
or reflects back”
• “heuristics that underpin skilled problem
solving are frequently tacit knowledge”
Dynia Study Protocol
• Webinars
• Virtual patients
• Secure forum
Not Virtual Reality
Choose Your Own Adventure
SCT pattern design examples
Reasonable choices
Various forms of input
How does Disney do it?
Simulation bookending
Case examples
• Nishan – Camping
• Sonya – Lackadaisical Larry
• Alaa – Abdominal Pain
• Peter – Bob’s Blues
• David – Chester Angermeier
OpenLabyrinth login
• http://demo.openlabyrinth.ca/
• Username: demo1... to... demo8
• Password: demo
• Menu at top: Labyrinths | My Labyrinths

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SBL for ICRE workshop

Editor's Notes

  1. http://informationr.net/ir/13-2/paper340.html
  2. Aspects of gamingFind the pic with a range of sims and tasks
  3. http://www.flickriver.com/photos/gracekifer/5042922854/ CC BY-NCCan’t help thinking that will be a mistake in later life.
  4. This flow diagram represents the timeline of activities in the project. CoP Commons: this is the discussion forum (Community of Practice Commons)SME: subject matter expertThere are virtual patient cases before during and after each webinar.
  5. http://www.flickr.com/photos/adisetiawan/2332993278/ - CC BY-NC-SAVirtualPatientsare not the same as virtualreality, 3D worlds, Second Life etc. Much simplertechnology, using a web browser.
  6. http://www.flickr.com/photos/lovine/3592070740/ - cc BY-NC-NDhttp://www.flickr.com/photos/mediafury/2515910647/ CC BYTypical VP cases used in our other projects are more like a Choose-Your-Own-Adventure story. You choose your path through the case, which unfolds in different ways. BUT the cases in Dynia are shorter and simpler, typically only 3-4 steps long and generally quite linear in style. However, there are still plenty of decisions to be made.
  7. Using SCT approach to VP mini-cases – If we visualize the VP case as a series of connected nodes or web pages. Moving downwards on each column, at each point, the learner has a set of (5 in this example but can be any number) choices. The thickness of the lines represents the number of experts who would choose that particular pathway. Left column – complete agreement – useless because the “correct” answer is the same for everyone. Same as an MCQ. Middle – ideal design with moderate agreement at each point. Majority of experts agree or are in concordance about a couple of options at each decision point, with few picking the other choices. Right – typical case with variable agreement. The first branch set is good with some but not total agreement. The second shows total agreement (answer too obvious? MCQ style?). The 3rd and 5th branches are good. The 4th set shows poor agreement (all the choices equally valid) – not so helpful.
  8. http://www.disneyeveryday.com/wp-content/uploads/2012/07/Walt-Disney-World-Florida-Haunted-mansion-Blueprints-Track-Map.jpg
  9. http://neatdesigns.net/wp-content/uploads/2012/07/1122.jpg