Universität zu Köln

Chon, Seung-Hun ORCID: 0000-0002-8923-6428, Hilgers, Sabrina ORCID: 0000-0002-7896-5078, Timmermann, Ferdinand ORCID: 0000-0002-2210-9459, Dratsch, Thomas, Plum, Patrick Sven, Berlth, Felix ORCID: 0000-0002-3780-0728, Datta, Rabi, Alakus, Hakan, Schloesser, Hans Anton, Schramm, Christoph, dos Santos, Daniel Pinto, Bruns, Christiane and Kleinert, Robert (2018). Web-Based Immersive Patient Simulator as a Curricular Tool for Objective Structured Clinical Examination Preparation in Surgery: Development and Evaluation. JMIR Serious Games, 6 (3). TORONTO: JMIR PUBLICATIONS, INC. ISSN 2291-9279

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Abstract

Background: Objective Structured Clinical Examination is a standard method of testing declarative and process knowledge in clinical core competencies. It is desirable that students undergo Objective Structured Clinical Examination training before participating in the exam. However, establishing Objective Structured Clinical Examination training is resource intensive and therefore there is often limited practice time. Web-based immersive patient simulators such as ALICE (Artificial Learning Interface of Clinical Education) can possibly fill this gap as they allow for the training of complex medical procedures at the user's individual pace and with an adaptable number of repetitions at home. ALICE has previously been shown to positively influence knowledge gain and motivation. Objective: Therefore, the aim of this study was to develop a Web-based curriculum that teaches declarative and process knowledge and prepares students for a real Objective Structured Clinical Examination station. Furthermore, we wanted to test the influence of ALICE on knowledge gain and student motivation. Methods: A specific curriculum was developed in order to implement the relevant medical content of 2 surgical Objective Structured Clinical Examination stations into the ALICE simulator framework. A total of 160 medical students were included in the study, where 100 students had access to ALICE and their performance was compared to 60 students in a control group. The simulator performance was validated on different levels and students' knowledge gain and motivation were tested at different points during the study. Results: The curriculum was developed according to the Kern cycle. Four virtual clinical cases were implemented with different teaching methods (structured feedback, keynote speech, group discussion, and debriefing by a real instructor) in order to consolidate declarative and process knowledge. Working with ALICE had significant impact on declarative knowledge gain and Objective Structured Clinical Examination performance. Simulator validation was positive for face, content, construct, and predictive validity. Students showed high levels of motivation and enjoyed working with ALICE. Conclusions: ALICE offers Web-based training for Objective Structured Clinical Examination preparation and can be used as a selective didactic intervention as it has positive effect on knowledge gain and student motivation.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Chon, Seung-Hun UNSPECIFIED orcid.org/0000-0002-8923-6428 UNSPECIFIED Hilgers, Sabrina UNSPECIFIED orcid.org/0000-0002-7896-5078 UNSPECIFIED Timmermann, Ferdinand UNSPECIFIED orcid.org/0000-0002-2210-9459 UNSPECIFIED Dratsch, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Plum, Patrick Sven UNSPECIFIED UNSPECIFIED UNSPECIFIED Berlth, Felix UNSPECIFIED orcid.org/0000-0002-3780-0728 UNSPECIFIED Datta, Rabi UNSPECIFIED UNSPECIFIED UNSPECIFIED Alakus, Hakan UNSPECIFIED UNSPECIFIED UNSPECIFIED Schloesser, Hans Anton UNSPECIFIED UNSPECIFIED UNSPECIFIED Schramm, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED dos Santos, Daniel Pinto UNSPECIFIED UNSPECIFIED UNSPECIFIED Bruns, Christiane UNSPECIFIED UNSPECIFIED UNSPECIFIED Kleinert, Robert UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-180772
DOI:	10.2196/10693
Journal or Publication Title:	JMIR Serious Games
Volume:	6
Number:	3
Date:	2018
Publisher:	JMIR PUBLICATIONS, INC
Place of Publication:	TORONTO
ISSN:	2291-9279
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MOTIVATION Multiple languages Medical Informatics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/18077