Standardized Virtual Patient Simulation for Enhancing Medical Students' Performance in Cardiac Clinical Care During the Coronavirus Pandemic Outbreak in Brazil. (1090-003740) (Developmental Research Projects: Distanced and Virtual Education (By Invitation Only))
Start time: Friday, February 5, 2021, 2:00 PM End time: Friday, February 5, 2021, 3:00 PM Session Type: Research Study Development and Presentation Program Abstracts
In most Brazilian universities, medical education is based in, extensive periods of theorical study alternated with clinical practice. These cycles may promote, difficulties for the theoretical-practical integration, necessary for adequate content delivery and competencies based learning curricula. In addition to that, due to the COVID-19 pandemic outbreak and the consequent social distancing measures, medical graduate students may not have enough clinical training and patient contact hours. Our group hypothesize that, the use of technology and virtual reality can fill the gap of real patient contact, and training, promoting a better learner experience and performance improvement. Objectives: To evaluate medical students performance towards a live standardized patient after a 3 months period of the virtual patient experience (Miller Level 3); reaction towards the virtual patient actity (Kirkpatric Level 1) and knowledge acquistion immediate after the session (Kirkpatric Level 2).
Prospective, single-center, randomized study, held at the University of Santo Amaro (UNISA). 120 medical gradutation students on the 5th semester, will be randomized in 2 groups of 60 (inteventon and control) during their 6 month cardiology rotation. Sealed envelope system will be used for randomization after consent form signing. Standardized Virtual Patient (SVP) activity will by provided by the cardiology department, SVP training will use “Patient 360®” platform. After a 3 months period both groups will undergo a live 15-minute cardiological clinical care appointment with an SP. 2 content expert raters will evaluate each individual student. Raters will be blinded to both groups and inter-rater validity will be achived prior to evaluation. Lickert scale, BARS and Net Promoter Scale will be used as evaluation tools. Parametric and non-parametric tests will be used according to the nature of the variables. The level of rejection of the null hypothesis will be set at 0.05 or 5%.
A pilot virtual patient session was conducted for medical graduation students, members of the Academic League of Primary Care Service for Urgencies and Emergencies of UNISA in may 2019 to assess study feaseblity and participants reaction. 17 students were part of this pilot actity and practiced clinical care assessing a standardized virtual patient referring a cardiological chief complain. Session lenght was 1 hour and a content expert led the experience. Students were asked to fill in a survey immediately after the session. According to Net Promoter Score, 70% demonstrated positive reactions regarding the Virtual Patient activity.