The Virtual Patient:
Patient Case Simulation That Adapts to the Individual Learner
June 27 – 28, 2005 University of Maryland School of Medicine 655 W. Baltimore Street Baltimore, MD 21201
Workshop Co-Sponsored by Microsoft Corporation and Laerdal Medical Corporation
Workshop Organizers: Kay Howell, The Learning Federation and the Federation of American Scientists Gerry Higgins, Ph.D., U.S. Vice President, Research & Development, Laerdal Medical Corporation Bruce Jarrell, M.D., Dean of Academic Affairs, University of Maryland School of Medicine Advisory Committee: Patricia Abbott, Ph.D., RN, BC, FAAN. Johns Hopkins University School of Nursing Colonel Mark Bowyer, M.D., FACS, Director, Uniformed Services University of the Health Sciences Simulation Center Christoph Kaufmann, M.D., FACS, Chair, Advanced Trauma Life Support (ATLS) Committee, American College of Surgeons Walt Stoy, Ph.D., EMT-P, CCEMT-P, Professor and Director of Emergency Medicine, University of Pittsburgh Workshop Objective: This workshop will bring together educational researchers, medical practitioners, and simulation developers to produce a Medical Simulation Research Roadmap for defining the future of integrating learning technologies into simulation-based trainers in medicine. The focus of this workshop will be the development of a vision for the next generation of medical simulators. It will be based on the research roadmaps developed by The Learning Federation. Topics will include: Intelligent Generation of Patient Case Scenarios in Medical Simulation. A central question in designing simulation-based practice environments involves the design of scenarios and cases that can be generated on-the-fly to optimize the learning objectives required by the specific learner, serving as the benchmark for medical instruction. Sub-topics might include: A framework for identifying the essential features of scenarios/cases that make them good learning tools. Guidelines for linking scenario features with task types and learner characteristics.
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Lessons learned from the gaming environment: Requirements for automated scenario/case authoring tools, including simulation engines. Technology systems for Learner Modeling with an Emphasis on Intelligent Coaching in the Simulation Environment. In this context, learner modeling refers to the process of generating and maintaining a continuous/dynamic model or profile of the learner and using the data for analysis, feedback, coaching, and prescription of content during instruction. This approach is critical for the development of intelligent tutoring in the medical simulation environment. Debriefing and Assessment in Medical Simulation-based Learning. Using flight and military simulation, as well as traditional medical education approaches as templates, different strategies for optimizing cognitive and psychomotor skills assessment will be investigated in the context of whole and part-task training. Behavioral, motivational and human factors engineering will be instrumental in crafting optimal approaches to engaging and rewarding successful outcomes. Approximately 40 workshop participants are expected, with balanced representation from industry, post secondary institutions, and federal representation. The workshop will be comprised of experts in allied health and medical education and training, information technology, and the learning sciences. The agenda will follow the “Utstein” conference format with 3 breakout groups, where each breakout group will initially tackle one of the 3 focus topics. The breakout groups will progressively review the results for other groups, and a group consensus is will be forged at the end of the conference. Premeeting reference materials will be made available to participants, a collaborative website has been created for the conference, and selected individuals will be chosen to contribute to the research roadmap at the end of the conference. The resulting roadmap will be used to update and expand the Learning Federation’s comprehensive research roadmap for learning science and technology, specifically the Instructional Design: Using Simulations and Games in Learning and Building Simulations & Exploration Environments for Technology-Enabled Learning Systems component roadmaps (www.fas.org/learnfed/).
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The Virtual Patient:
Patient Case Simulation That Adapts to the Individual Learner
June 27 – 28, 2005 University of Maryland School of Medicine 655 W. Baltimore Street Baltimore, MD 21201
http://medschool.umaryland.edu/
Workshop Co-Sponsored by Microsoft Corporation and Laerdal Medical Corporation
Workshop Agenda
Monday, June 27 7:30 am 8:15 am 8:30 am 9:00 am 9:20 am 9:40am 10:00 am 10:20 am 10:40 am BREAKFAST Welcome – Bruce Jarrell, M.D., Dean of Academic Affairs, University of Maryland School of Medicine Introduction and Objectives – Henry Kelly, President Federation of American Scientists Current Status of Patient Simulation Technologies - Gerry Higgins, U.S. Vice President, Research & Development, Laerdal Medical Corporation The Use of Simulation in the Nursing Simulation Environment - Patricia Abbott Ph. D., RN, BC, FAAN. Johns Hopkins University School of Nursing The Use of Simulation in EMS Training - Walt Stoy, University of Pittsburg Emergency Airway Management Training - Ron Walls, M.D., Harvard Medical School BREAK Automated Tutoring Systems for Medical Simulation – Peter Domeshek, Ph.D. and Sowmya Ramachandran, Ph.D., Stottler-Henke Associates
11:00 am 11:20 am 11:40 am NOON 12:20 pm 1:00 pm 1:30pm
Team Training - Jan Cannon-Bowers, Ph.D., Institute for Simulation and Training, University of Central Florida Simulation-Based Assessment - Tony Gallagher, Ph.D., Emory University Practical Lessons from the Medical Simulation Center- Daniel Raemer, Ph.D., Harvard Simulation Center John J. Schaefer, III, M.D., Director, Peter M. Winter Institute for Simulation, Education and Research LUNCH Charge to Working Groups, Kay Howell and Henry Kelly Define initial research roadmaps: Working Group #1 – Intelligent Generation of Patient Case Scenarios in Medical Simulation Working Group #2 - Technology systems for Learner Modeling with an Emphasis on Intelligent Coaching in the Simulation Environment
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Working Group #3 - Debriefing and Assessment in Medical Simulation-based Training 3:00 pm 4:30 pm 7:00 pm 9:00 – 11:00pm Tuesday, June 28 7:30 am 8:00 am 8:20 am 8:40 am 9:00 am 9:00 am 11:00 am 11:15 am 12:30 pm 1:30 pm 2:30 pm Working Working Working Working Working Working DINNER Working Group Group Group Group Group Group #1 #2 #3 #1 #2 #3 – – – – – – Review/revise Review/revise Review/revise Review/revise Review/revise Review/revise roadmap roadmap roadmap roadmap roadmap roadmap from from from from from from Working Working Working Working Working Working Group Group Group Group Group Group #3 #1 #2 #2 #3 #1
Group Leaders prepare presentations
BREAKFAST Emergency Airway Management Training - Ron Walls, M.D., Harvard Medical School (title to be determined) Debra Spunt, Ph.D., University of Maryland School of Nursing Review of activities and mission, Kay Howell, Henry Kelly and Gerry Higgins Review of activities and mission, Kay Howell, Henry Kelly and Gerry Higgins Presentations from Working Groups, half-hour each followed by discussion BREAK Definition of Research Roadmaps – assignments for draft report LUNCH Working Group Leaders and other participants plan next steps AJOURN
The workshop, sponsored by Laerdal Medical Corporation and Microsoft Corporation, is part of a series organized and sponsored by The Learning Federation (www.learningfederation.org). Please join us! We invite you to join us and about 30 top researchers and practioners to focus on key research questions associated with simulation-based trainers in medicine, including: what do we know and what do we want research to explore over the next 3, 5, and 10 years. Hotel Accommodations and Meeting Logistics: We have a block of rooms reserved at the Marriott Baltimore/ Washington Int'l Airport, 1743 West Nursery Road, Baltimore, MD, 21240, (410) 859-8300. The rate is $149 per night. Please inform them that you are attending the Learning Federation Workshop when you book. We need your help and believe that you will benefit as well. Please RSVP by replying to this email, or call Adam Burrowbridge, Federation of American Scientists, 202-454-4681 at the Federation of American Scientists regarding your availability. Feel free to contact Kay Howell (khowell@fas.org) or Gerry Higgins, (Gerry.Higgins@laerdal.com) if you have any questions. What participants can contribute: • From the Learning Technologies Domain: Lessons Learned from other Applications in the Learning Sciences that can Inform the Development of a new Generation of Patient Simulators 4
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From the Gaming World: The Utility of Dynamic Campaign Engines for Generating the Next Best Case for the Learner From the Military Simulation Experience: Performance Modeling of the Student for Optimization of Pedagogy in Simulation Trainers From the Medical Educator’s Perspective: Development and Use of Patient Simulators that can Respond Appropriately to User Queries and Interventions for Clinical Training From the Medical Simulation Developer’s Standpoint: Tools for Authoring Patient Case Scenarios in Medical Simulation Training Products From the Computer Scientist’s View: How Can We Integrate Ontology, Interoperable Simulations and the Electronic Health Record to Enhance Student Training?
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