REVi P An AngloGerman Virtual Patient case study

REVi. P An Anglo-German Virtual Patient case study exploring ‘repurposing and enriching’ as an effective way to share Soeren Huwendiek, Chara Balasubramaniam, Jonathan Round

‘Repurposing and Enriching’ as an effective way to share • High cost of development of new VP’s • ? Can effective VP’s be moved into another setting – Institution – Healthcare setting – Culture – Language

Project outline • JISC funded project to look at practicalities and problems • Partnership between. St. George’s, University of London Heidelberg University, Germany

Different VP systems: CAMPUS • Linear • Multiple options LABYRINTH • Branching • Several different routes in VP • Enrichment possible • Needs installed player • Runs on most browsers

Project Outline Case selection in CAMPUS German English Transfer to Word Cultural adaption R E Case review Updating of case in CAMPUS V Transfer to VUE I E W Case review Transfer to Labyrinth Creation of branching

• Mission Impossible (~3 mins)

Results: Challenges • Cultural differences – Protocols (e. g. Convulsions) – Language and medical terminology (drug names) – Different cultural contexts (US army patient to Asian family) – Lab value units (mg/d. L to mmol/L for glucose) • Multimedia (technical) – editing in different formats • Structure – from linear to branched

Time taken Case selection in CAMPUS German English Transfer to Word Cultural adaption 10 hours R E Case review Updating of case in CAMPUS V Transfer to VUE I E W Case review Transfer to Labyrinth Creation of branching

Time taken Case selection in CAMPUS German English Transfer to Word Cultural adaption R E Case review Updating of case in CAMPUS V I Transfer to VUE 18 hours E W Case review Transfer to Labyrinth Creation of branching

10 -80 hours Time taken Case selection in CAMPUS German English Transfer to Word Cultural adaption R E Updating of case in CAMPUS Case review V Transfer to VUE I E W Case review Transfer to Labyrinth 10 -15 hours Creation of branching

What we learnt • A case is not hard to repurpose across systems and into a different course • Beware transfer between systems - you might lose features • Repurposing doesn’t necessarily save time • Collaboration brings other benefits

Future developments Using automated repurposing (e. Vi. P) RCT - 4 th year paediatric students 50% see labyrinth, 50% Campus cases integrated into module comparison study

Thanks to: • • • Tejal Patel Sheetal Kavia Emily Conradi Sophie Vaughan-Davies Benjamin Hanebeck

www. elu. sgul. ac. uk/revip/

Results: time taken per case • Language translation • Cultural differences – – 5 hours 2 hours Protocols (e. g. Convulsions) Language and medical terminology (drug names) Different cultural contexts (US army patient to Asian family) Lab value units (mg/d. L to mmol/L for glucose) • Multimedia (technical) 3 hours – editing in different formats • Structure – from linear to branched 8 hours

• Repurposing VP’s is worthwhile if systems similar • Danger of losing best features during repurposing across systems

Comparisons (estimates) • CAMPUS case from scratch 10 -80 hours • Revip-ed case without branching 10 hours • Labyrinth case from scratch Revip-ed case with branching 8 -15 hours 18 hours