Training Against Medical Error TAME Aim Create VPs

Training Against Medical Error (TAME) Aim: • Create VPs to train against Medical Error • Avoidance of error • Embed Virtual Patient Medical Error cases into Partner Country Curricula • Transfer knowledge, skills, use super-regional networks to disseminate resources www. tame-project. org tjivram@sgul. ac. uk

Why do we need VPs? (1 of 2) Why? • Provide students with an opportunity to develop and practice their clinical reasoning and decision making skills • Provide students with an opportunity to learn by making mistakes “. . we tried and still killed the baby! I will never forget that. . ”

How? VP repurposing workshop Interactive PBL training Error case writing training Case review training

TUTOR (57) experience survey LEARNER Experience (1726)/motivation (248) survey TUTOR TRAINER (5) written interview Evaluation CASE WRITER (adaptor) (30) written interview CASE implementation written interview CASE WRITER (creator) written interview

Findings Linear Branched n 809 917 While working on this case, I felt I had to make the same decisions a doctor would make in real life. 4. 04 4. 09 After completing this case I feel better prepared to care for a real life patient with this complaint. 4. 24 4. 25 Overall, working through this case was a worthwhile learning experience. 4. 43 4. 44 • Tutor trainers • Students are more active and interested • Leads to the development of clinical thinking • “this method of training using a virtual patient is very well merged into the system of medical education” • Case adaption • Differences in local culture and healthcare systems • Experience in writing good cases