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NMC Online Conference December 2005 Assessing Learning in a MORPG Patricia Youngblood, PhD Director...

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NMC Online Conference December 2005 Assessing Learning in a MORPG Patricia Youngblood, PhD Director of Evaluation, SUMMIT (Stanford University Medical Media & Information Technology) Phillip M. Harter, MD Residency Program Director Division of Emergency Medicine Stanford University School of Medicine
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Page 1: NMC Online Conference December 2005 Assessing Learning in a MORPG Patricia Youngblood, PhD Director of Evaluation, SUMMIT (Stanford University Medical.

NMC Online ConferenceDecember 2005

Assessing Learning in a MORPG

Patricia Youngblood, PhD Director of Evaluation, SUMMIT(Stanford University Medical Media & Information Technology)

Phillip M. Harter, MDResidency Program DirectorDivision of Emergency Medicine Stanford University School of Medicine

Page 2: NMC Online Conference December 2005 Assessing Learning in a MORPG Patricia Youngblood, PhD Director of Evaluation, SUMMIT (Stanford University Medical.

NMC Online ConferenceDecember 2005

Comparison of the Virtual ED & HPSHuman Patient

Simulator

Virtual ED (Emergency Department)

Page 3: NMC Online Conference December 2005 Assessing Learning in a MORPG Patricia Youngblood, PhD Director of Evaluation, SUMMIT (Stanford University Medical.

NMC Online ConferenceDecember 2005

Virtual ED (Emergency Department)

Page 4: NMC Online Conference December 2005 Assessing Learning in a MORPG Patricia Youngblood, PhD Director of Evaluation, SUMMIT (Stanford University Medical.

NMC Online ConferenceDecember 2005

Debriefing with instructor

Student being assessed

Standardized team member

Page 5: NMC Online Conference December 2005 Assessing Learning in a MORPG Patricia Youngblood, PhD Director of Evaluation, SUMMIT (Stanford University Medical.

NMC Online ConferenceDecember 2005

Study Design: Pretest/Posttest

30 medical students & interns

Virtual ED Simulator (n=16)pretest case 4 training cases posttest case

Human Patient Simulator “HPS” (n=14)pretest case 4 training cases posttest case

Is there a significant difference in performance between the two student

groups?

Page 6: NMC Online Conference December 2005 Assessing Learning in a MORPG Patricia Youngblood, PhD Director of Evaluation, SUMMIT (Stanford University Medical.

NMC Online ConferenceDecember 2005

EMCRM Rating Scale of Team Performance (1-5)

• Knowledge of the environment• Anticipation of & planning for potential problems• Assumption of leadership role• Communication with other team members• Distribution of workload/delegation of responsibility• Attention allocation• Utilization of information• Utilization of resources• Recognition of limitations/call for help early enough• Professional behavior/interpersonal skills• Overall team leadership skills (1= not acceptable; 5=excellent)

Page 7: NMC Online Conference December 2005 Assessing Learning in a MORPG Patricia Youngblood, PhD Director of Evaluation, SUMMIT (Stanford University Medical.

NMC Online ConferenceDecember 2005

4. Communication with other Team Members

1 2 3 4 5

Average performance (3): Communicates clearly with all team members; speaks clearly, calls team members by name, can be heard easily

Below Average (1-2): Cannot be heard easily, doesn’t identify to whom he is speaking, talks ‘down’ to other members, does not close the communication loop

Above Average (4-5): Closes the communication loop, thinks/talks out loud so other members can follow his problem solving approach

Guidelines for Scoring Team Leadership in the Virtual ED

Page 8: NMC Online Conference December 2005 Assessing Learning in a MORPG Patricia Youngblood, PhD Director of Evaluation, SUMMIT (Stanford University Medical.

Comparison of Pre & Post Mean ScoresM

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HPS Group

Pretest Sum Scores Posttest Sum Scores Pretest Sum Scores Posttest Sum Scores

Virtual ED Group

Page 9: NMC Online Conference December 2005 Assessing Learning in a MORPG Patricia Youngblood, PhD Director of Evaluation, SUMMIT (Stanford University Medical.

NMC Online ConferenceDecember 2005

Results Summary

• Users’ performance rating scores improved between pretest case and posttest case with both the MORPG and the Human Patient Simulator;

• Analysis of performance data shows no statistically significant differences between the two treatment groups;

• Reliability of the EMCRM rating scale was high (Cronbach’s alpha = .96);

• Users liked both types of simulation training.

Page 10: NMC Online Conference December 2005 Assessing Learning in a MORPG Patricia Youngblood, PhD Director of Evaluation, SUMMIT (Stanford University Medical.

NMC Online ConferenceDecember 2005

The Stanford Research Team


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