NDLI: Virtual patient simulations and optimal social learning context: a replication of an aptitude-treatment interaction effect.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Johnson, Teresa R. Lyons, Rebecca Kopper, Regis Johnsen, Kyle J. Lok, Benjamin C. Cendan, Juan C.
Description	Country affiliation: United States Author Affiliation: Johnson TR ( University of Central Florida , USA .)
Abstract	BACKGROUND: Virtual patients (VPs) offer valuable alternative encounters when live patients with rare conditions, such as cranial nerve (CN) palsies, are unavailable; however, little is known regarding simulation and optimal social learning context. AIM: Compare learning outcomes and perspectives between students interacting with VPs in individual and team contexts. METHODS: Seventy-eight medical students were randomly assigned to interview and examine four VPs with possible CN damage either as individuals or in three-person teams, using Neurological Examination Rehearsal Virtual Environment (NERVE). Learning was measured through diagnosis accuracy and pre-/post-simulation knowledge scores. Perspectives of learning context were collected post-simulation. RESULTS: Students in teams submitted correct diagnoses significantly more often than students as individuals for CN-IV (p = 0.04; team = 86.1%; individual = 65.9%) and CN-VI (p = 0.03; team = 97.2%; individual = 80.5%). Knowledge scores increased significantly in both contexts (p < 0.001); however, a significant aptitude-treatment interaction effect was observed (p = 0.04). At pre-test scores ≤25.8%, students in teams scored significantly higher (66.7%) than students as individuals (43.1%) at post-test (p = 0.03). Students recommended implementing future NERVE exercises in teams over five other modality-timing combinations. CONCLUSION: Results allow us to define best practices for integrating VP simulators into medical education. Implementing NERVE experiences in team environments with medical students in the future may be preferable.
File Format	HTM / HTML
ISSN	0142159X
e-ISSN	1466187X
DOI	10.3109/0142159X.2014.890702
Journal	Medical Teacher
Issue Number	6
Volume Number	36
Language	English
Publisher	Taylor & Francis
Publisher Date	2014-06-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Research Support, N.i.h., Extramural Clinical Competence User-computer Interface Social Environment Randomized Controlled Trial Discipline Medical Education Cranial Nerve Diseases Computer Simulation Education, Medical, Undergraduate Educational Measurement Diagnosis
Content Type	Text
Resource Type	Article
Subject	Education Medicine

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
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