scholarly journals Salvaging COVID‐19 interrupted Alzheimer clinical trials using virtual patient simulations

2020 ◽  
Vol 16 (S9) ◽  
Author(s):  
Hugo Geerts ◽  
Piet Van der Graaf
Biodiscovery ◽  
2018 ◽  
Vol 21 ◽  
Author(s):  
Dimitar Trifonov ◽  
Peter Huntjens ◽  
Erik Willemen ◽  
Tammo Delhaas ◽  
Joost Lumens

Nowadays cardiac simulations are becoming increasingly sophisticated. This trend, part of the maturing field of computational medicine, has provided medical students and cardiologists alike with a new tool for education and research – their very own virtual “patient”. The CircAdapt biophysical model of the human heart and circulation (www.circadapt.org) allows the creation of a virtual “patient” for the study of the cardiovascular system and circulatory haemodynamics under diverse physiological and pathophysiological conditions in real time. The interactive CircAdapt model with its modular design based on established physical and physiologial principles allows dynamic monitoring of blood flow velocities, pressures and volumes in the heart and blood vessels, and across valves and shunts. As an educational tool, the CircAdapt model enables medical students and residents in cardiology, neonatology and intensive care medicine to analyze complex situations while improving their comprehension of cardiovascular physics and (patho)physiology. Moreover, the CircAdapt model has been successfully utilized as a research tool for cardiac resynchronization therapy as well as for various cardiovascular pathologies (e.g. pulmonary arterial hypertension, LBBB). All in all the CircAdapt perspective is as follows: bridge education and research - from classroom to bedside – to foster the future of clinical practice.


Author(s):  
Andrzej A Kononowicz ◽  
Luke Woodham ◽  
Carina Georg ◽  
Samuel Edelbring ◽  
Natalia Stathakarou ◽  
...  

2014 ◽  
Vol 36 (6) ◽  
pp. 486-494 ◽  
Author(s):  
Teresa R. Johnson ◽  
Rebecca Lyons ◽  
Regis Kopper ◽  
Kyle J. Johnsen ◽  
Benjamin C. Lok ◽  
...  

Author(s):  
A. J. Kleinheksel

The field of health professions continues to struggle with the impact of increasing practitioner and educator shortages. Health professions education is also faced with the issues of limited clinical placements and an increasing demand for online education. To address these issues, health professions educators have increasingly turned to simulations to provide experiential learning in safe, controlled environments. One of the newest simulation technology innovations to emerge is that of virtual patient simulations. This chapter reviews the context in which virtual patients have emerged, the range of virtual patient technologies available, and the ways in which health professions educators currently use virtual patient simulations.


2019 ◽  
Author(s):  
Andrzej A Kononowicz ◽  
Luke A Woodham ◽  
Samuel Edelbring ◽  
Natalia Stathakarou ◽  
David Davies ◽  
...  

BACKGROUND Virtual patients are interactive digital simulations of clinical scenarios for the purpose of health professions education. There is no current collated evidence on the effectiveness of this form of education. OBJECTIVE The goal of this study was to evaluate the effectiveness of virtual patients compared with traditional education, blended with traditional education, compared with other types of digital education, and design variants of virtual patients in health professions education. The outcomes of interest were knowledge, skills, attitudes, and satisfaction. METHODS We performed a systematic review on the effectiveness of virtual patient simulations in pre- and postregistration health professions education following Cochrane methodology. We searched 7 databases from the year 1990 up to September 2018. No language restrictions were applied. We included randomized controlled trials and cluster randomized trials. We independently selected studies, extracted data, and assessed risk of bias and then compared the information in pairs. We contacted study authors for additional information if necessary. All pooled analyses were based on random-effects models. RESULTS A total of 51 trials involving 4696 participants met our inclusion criteria. Furthermore, 25 studies compared virtual patients with traditional education, 11 studies investigated virtual patients as blended learning, 5 studies compared virtual patients with different forms of digital education, and 10 studies compared different design variants. The pooled analysis of studies comparing the effect of virtual patients to traditional education showed similar results for knowledge (standardized mean difference [SMD]=0.11, 95% CI −0.17 to 0.39, I2=74%, n=927) and favored virtual patients for skills (SMD=0.90, 95% CI 0.49 to 1.32, I2=88%, n=897). Studies measuring attitudes and satisfaction predominantly used surveys with item-by-item comparison. Trials comparing virtual patients with different forms of digital education and design variants were not numerous enough to give clear recommendations. Several methodological limitations in the included studies and heterogeneity contributed to a generally low quality of evidence. CONCLUSIONS Low to modest and mixed evidence suggests that when compared with traditional education, virtual patients can more effectively improve skills, and at least as effectively improve knowledge. The skills that improved were clinical reasoning, procedural skills, and a mix of procedural and team skills. We found evidence of effectiveness in both high-income and low- and middle-income countries, demonstrating the global applicability of virtual patients. Further research should explore the utility of different design variants of virtual patients.


2017 ◽  
Vol 6 (1) ◽  
pp. 49-65 ◽  
Author(s):  
Atsusi Hirumi ◽  
◽  
Kyle Johnsen ◽  
Andrea Kleinsmith ◽  
Ramsamooj Reyes ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document