Evidence map›Paper›PMID 29973333›Full record

ArticleJMIR serious games2018

Web-Based Immersive Patient Simulator as a Curricular Tool for Objective Structured Clinical Examination Preparation in Surgery: Development and Evaluation.

Seung-Hun Chon, Sabrina Hilgers, Ferdinand Timmermann, Thomas Dratsch, Patrick Sven Plum, Felix Berlth, Rabi Datta, Hakan Alakus, Hans Anton Schlößer, Christoph Schramm and 3 more

Abstract read
In one paragraph

Article in JMIR serious games, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. 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

13 authors.

Seung-Hun ChonDepartment of General, Visceral and Cancer Surgery, University Hospital of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0002-8923-6428
Sabrina HilgersFaculty of Medicine, University of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0002-7896-5078
Ferdinand TimmermannFaculty of Medicine, University of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0002-2210-9459
Thomas DratschFaculty of Medicine, University of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0003-4014-7763
Patrick Sven PlumDepartment of General, Visceral and Cancer Surgery, University Hospital of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0002-8165-4553
Felix BerlthDepartment of General, Visceral and Cancer Surgery, University Hospital of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0002-3780-0728
Rabi DattaDepartment of General, Visceral and Cancer Surgery, University Hospital of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0002-6829-7379
Hakan AlakusDepartment of General, Visceral and Cancer Surgery, University Hospital of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0002-3889-3276
Hans Anton SchlößerDepartment of General, Visceral and Cancer Surgery, University Hospital of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0002-1304-7719
Christoph SchrammDepartment of Gastroenterology and Hepatology, University Hospital Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0001-6752-0690
Daniel Pinto Dos SantosDepartment of Radiology, University Hospital of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0003-4785-6394
Christiane BrunsDepartment of General, Visceral and Cancer Surgery, University Hospital of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0001-6590-8181
Robert KleinertDepartment of General, Visceral and Cancer Surgery, University Hospital of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0002-5691-2493

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObjective 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.

objectiveTherefore, 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.

methodsA 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.

resultsThe 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.

conclusionsALICE 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.

Indexed as

artificial learning interfaceimmersive patient simulatorObjective Structured Clinical Examinationsimulator-based curriculum

Identifiers

PMID29973333
PMCPMC6052344

What OpenQuestion holds

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Registered trials

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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.