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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
NMC Online ConferenceDecember 2005
Comparison of the Virtual ED & HPSHuman Patient
Simulator
Virtual ED (Emergency Department)
NMC Online ConferenceDecember 2005
Virtual ED (Emergency Department)
NMC Online ConferenceDecember 2005
Debriefing with instructor
Student being assessed
Standardized team member
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?
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)
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
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
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.
NMC Online ConferenceDecember 2005
The Stanford Research Team