VIRTUAL PATIENTS GROUPUniversity of FloridaJuly 20th, 2009
Virtual Patients ConsortiumUniversity of Florida Medical College of
Georgia
University of Georgia
University of Central Florida
University of Florida
PIsBenjamin Lok, Ph.D.Juan Cendan, M.D.Rick Ferdig, Ph.D.Mike Robinson, Ph.D.
Senior PersonnelYong Ho Hwang, Ph.D.
StudentsJoon Hao ChuahAaron KotranzaMallory McManamonBrent RossenEthan BlackwelderShivashankar Halan
Medical College of Georgia
PIsD. Scott Lind, M.D.
Senior PersonnelAdriana Foster, M.D.Angela Gucwa, M.D.Candelario Laserna, M.D.Brenda Rosson, R.N.Peggy Wagner, Ph.D.
StudentsSteven BlackwoodAshita GehlotChandni KalariaHevil ShahAlyssa Wier
University of Georgia
PIsKyle Johnsen, Ph.D.
StudentsQian MaTyler NilesAnimesh Thakre
University of Central Florida
PIsLaura Cuty-Ruiz, Ph.D.
Senior PersonnelMoshe Feldman, Ph.D.
StaffMike EakinsDan Sagendorf
Consortium Overview Started in Spring 2004 Four universities 32-person team including
Computer Science Medicine Education Psychology
53 active members
Consortium Overview Experiences
Immersive: 567 Online: 1000+ Public exhibits and demos: 100s 24 scenarios
Publications: 9 journal, 16 conference, 18 abstracts
Awards: IEEE VR 2008 Best Paper Research and Clinical Abstract Awards
(Georgia ACS) $2.8 million in funding (NSF, NIH, and
ASE)
Publicity www.virtualpatientsgroup.com www.virtualpeoplefactory.com Virtual Patients Webpage
Experiences with Virtual Patients Students practice communication +
diagnostic skills Scenarios can be:
Repeatable Standardized Feedback Longitudinal learning Abnormal findings Diverse virtual patients Tailored for each student
Scripts (24) http://vpf.cise.ufl.edu/wiki/index.php/VPF_Script_Tracking
Anesthesia Pre-op OSA (UF) Conscious sedation (UF)
Cancer Abnormal mammogram (UF) BRCA Pedigree (UCF) Clinical breast exam (UF/MCG) Melanoma (MCG)
Pain Abdominal Pain (UF) Chest pain (UF) Gallstones (UCF) Lower back pain (UF) Lower back pain (PCOM)
Psychiatry Failure to thrive (UF) Depression (MCG) Bi-polar (MCG)
General Breaking bad news (MCG) Cranial Nerve (UF) Dyspepsia – Pharmacy (UF) Gastro-Band (UF) GI Hemorrhage (UF) Meningitis (PCOM) Patient-Centered Counseling
(USF) Post Operative Hemorrhage
(UF) Sexually Transmitted Diseases
(UF) Contraceptive Counseling (UF)
Continuum of Experiences
Second Life
Immersive
Interaction
Video Conference
Chat
Web BrowserInstant Message
Developing Virtual Character Cognition
• Virtual People Factory– Web-based interface– End-user creation of
content– Pharmacy patient
• In one year– Over 2000
interactions– 24 end-user created
scenarios• End-user created
scripts can reach 85% accuracy
NERVE: The Neurological Examination Rehearsal Virtual Environment
Virtual multi-tool interface to VH Single input device (Wii
Remote) controls multiple virtual tools used in eye exam
Gestural and tool input, in addition to speech
Medical students can Learn how to use
neurological tests to diagnose a patient with a vision disorder
Receive additional exposure to patients with abnormal findings (e.g. double vision, lazy eye)
Physical Examinations of Virtual Human Patients
Mixed reality humans Passive-haptic
interface to life-sized virtual human
Applications Clinical breast exam Prostate exam
(upcoming) Medical students
can Practice merging
physical examination and communication skill sets
Get real-time feedback of exam performance E.g. coverage,
pressure
Developing a learning experience Short term
Faculty member leads medical students to use Virtual People Factory
Test with students Publish and demo
Long term Develop a deployable teaching unit Integrate into curricula at UF Federal funding (e.g. NIH, NSF)
After-Action Review by Students
• IPSViz– Web-based interface– Students received email
with link (automated)– Sample student
(Brent/45169)– Self-directed review of
content, video, and feedback
• Each student can review their performance and compare with experts
After-Action Review by Educators
• IPSVizn
– Web-based interface
– Educators can review completed student interactions
– Data from study– Filter based on user
background• Level of expertise• Gender• Educator-defined
metrics• Experts can
– Identify trends (mean of class)
– Identify outliers
Experiences 24 Patient-Doc scenarios Intimate Exams Abnormal Findings (Neurological Exam) Conscious Sedation (VP+IPS) Audiology Testing After-Action Reviews You, M.D. Bias studies: Pain perception
Video Conference with a VP All VPF scripts
can be experienced video-conference style
Interact with 3D VPs using a webcam and typing
Enables study of distributed medicine
Audiologycollaboration with Mark Billinghurst (NZ) Students administer
audiology exams to VP Exams include:
History VP visual examination Hearing screen Testing speech
understanding Highlights
Procedure and communications skills
VP presenting abnormal conditions
Pain Perception PI: Mike Robinson Video vignettes of VPs expressing low or
high levels (FACS) of pain VPs varied in gender, age, and
ethnicities Doctors, nurses, and dentists evaluate
perceived levels of pain Identifies variables and weighting of
variables that affect healthcare provider’s pain perception
Sponsors Current support
Prior Support
National Science Foundation
National Institutes of Health
Association of Surgical Education
University of Florida Medical College of Georgia
Keele University
Consortium Expertise University of Florida
Technology development Scenario development Abnormal findings
Medical College of Geogia Intimate Exmas
University of Georgia Patient-centered
experiences University of Central
Florida
Assessment Curricular integration