Evidence map›Paper›PMID 28938884›Full record

SynthesisBMC medical education2017

Do virtual patients prepare medical students for the real world? Development and application of a framework to compare a virtual patient collection with population data.

M Urresti-Gundlach, D Tolks, C Kiessling, M Wagner-Menghin, A Härtl, I Hege

Registry-linked trialAbstract readComparative StudyMeta-Analysis
In one paragraph

Synthesis in BMC medical education, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05686187 (Establishing and Evaluating the Effectiveness of an Augmented Reality Technology in Gender Empowerment System for Long-term Care Workers), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05686187 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Establishing and Evaluating the Effectiveness of an Augmented Reality Technology in Gender Empowerment System for Long-term Care Workers: A Randomized Controlled Trial

TypeinterventionalSponsorNational Taipei University of Nursing and Health SciencesRan2023 to 2025Enrolled120ConditionsGender, Empowerment, Long Term CareArmsAR's platform for gender empowerment
3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Use of Virtual Patients and Related Training Outcomes in Postgraduate Psychiatry Residency Education: A Scoping Review.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026
    Review
  2. Review
  3. Article
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  6. Virtual simulations for neonatal education.Seminars in perinatology · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

M Urresti-GundlachInstitute for Medical Education, University Hospital of LMU Munich, Munich, Germany.
D TolksInstitute for Medical Education, University Hospital of LMU Munich, Munich, Germany.
C KiesslingInstitute for Medical Education, University Hospital of LMU Munich, Munich, Germany.
M Wagner-MenghinMedical University Vienna, Teaching Center, Vienna, Austria.
A HärtlInstitute for Medical Education, University Hospital of LMU Munich, Munich, Germany.
I HegeInstitute for Medical Education, University Hospital of LMU Munich, Munich, Germany. inga.hege@med.uni-muenchen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn important aspect of virtual patients (VPs), which are interactive computer-based patient scenarios, is authenticity. This includes design aspects, but also how a VP collection represents a patient population and how a patient is presented in a VP scenario. Therefore, our aim was to analyze VP scenarios integrated into the combined internal medicine and surgery curriculum at the University of Munich (LMU) and compare the results with data from the population in Germany.

methodWe developed a coding framework with four main categories: patient data, patient representation, diagnoses, and setting. Based on the framework we analyzed 66 VP and compared the results with data from the German healthcare system.

resultsEspecially in the categories of patient data and patient representation, the VPs presented an unrealistic image of the real world; topics such as unemployment, disability, or migration background were almost non-existent. The diagnoses of the VPs and the onset of diseases were comparable with the healthcare data.

conclusionsAn explanation for the lack of representativeness of the patient data and representation might be a trend to create VPs based on fictional patient stories with VP authors trying to minimize complexity and cognitive load for the students. We suggest raising awareness among VP authors concerning personalized representations of patients without overwhelming their students. Our framework can support educators to assess the authenticity and diversity of a VP collection.

Indexed as

Patient SimulationStudents, MedicalClinical CompetenceComputer-Assisted InstructionCurriculumEducation, Medical, UndergraduateGermanyHumansUser-Computer InterfaceAuthenticityHealthcare systemMedical educationVirtual patients

Identifiers

PMID28938884
PMCPMC5610434

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.