Online virtual cases to teach resource stewardship
| Autor: | Sharron Sandhu, Gordon Tait, Shirley Lake, Amanda Steiman, Linghong Linda Zhou |
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| Rok vydání: | 2018 |
| Předmět: |
Time Factors
Computer science MEDLINE Sample (statistics) Virtual reality 01 natural sciences 03 medical and health sciences 0302 clinical medicine Resource (project management) Rheumatology Health care Humans 030212 general & internal medicine 0101 mathematics Medical diagnosis Medical education business.industry 010102 general mathematics Virtual Reality Internship and Residency General Medicine Patient Simulation Education Medical Graduate Review and Exam Preparation Transparency (graphic) Stewardship business Computer-Assisted Instruction |
| Zdroj: | The clinical teacher. 16(3) |
| ISSN: | 1743-498X |
| Popis: | Background As health care costs rise, medical education must focus on high-value clinical decision making. To teach and assess efficient resource use in rheumatology, online virtual interactive cases (VICs) were developed to simulate real patient encounters to increase price transparency and reinforce cost consciousness. To teach and assess efficient resource use in rheumatology, online virtual interactive cases (VICs) were developed METHODS: The VIC modules were distributed to a sample of medical students and internal medicine residents, who were required to assess patients, order appropriate investigations, develop differential diagnoses and formulate management plans. Each action was associated with a time and price, with the totals compared against ideals. Trainees were evaluated not only on their diagnosis and patient management, but also on the total time, cost and value of their selected workup. Trainee responses were tracked anonymously, with opportunity to provide feedback at the end of each case. Results Seventeen medical trainees completed a total of 48 VIC modules. On average, trainees spent CAN $227.52 and 68 virtual minutes on each case, which was lower than expected. This may have been the result of a low management score of 52.4%, although on average 92.0% of participants in each case achieved the correct diagnosis. In addition, 85.7% felt more comfortable working up similar cases, and 57.1% believed that the modules increased their ability to appropriately order cost-conscious rheumatology investigations. Discussion Our initial assessment of the VIC rheumatology modules was positive, supporting their role as an effective tool in teaching an approach to rheumatology patients, with an emphasis on resource stewardship. Future directions include the expansion of cases, based on feedback, wider dissemination and an evaluation of learning retention. |
| Databáze: | OpenAIRE |
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