Development of a Chatbot to Train Physiotherapy Students in Clinical Questioning and Reasoning

This paper presents the development of a chatbot to train physiotherapy students in clinical questioning and reasoning. The features in this tool consist of semi-scripted practice conversations between a physiotherapist and virtual patient to determine a clinical diagnosis on a given scenario, automated scoring and feedback on their performance, and instructor tracking of students’ progress. Challenges and lessons learned in developing this chatbot are discussed. Experimental evaluation on whether the use of the chatbot improves students’ self-efficacy in clinical questioning and reasoning is ongoing.

[1]  M. Co,et al.  Using clinical history taking chatbot mobile app for clinical bedside teachings – A prospective case control study , 2022, Heliyon.

[2]  M. Gau,et al.  Promoting students' learning achievement and self-efficacy: A mobile chatbot approach for nursing training , 2021, Br. J. Educ. Technol..

[3]  T. Robbins,et al.  Qualitative exploration of digital chatbot use in medical education: A pilot study , 2021, Digital health.

[4]  D. Papanagnou,et al.  Developing standardized patient-based cases for communication training: lessons learned from training residents to communicate diagnostic uncertainty , 2021, Advances in Simulation.

[5]  S. Shorey,et al.  The use of virtual reality simulation among nursing students and registered nurses: A systematic review. , 2020, Nurse education today.

[6]  H. Duboc,et al.  Standardized Patients or Conventional Lecture for Teaching Communication Skills to Undergraduate Medical Students: A Randomized Controlled Study , 2020, Psychiatry investigation.

[7]  Hong Wang,et al.  Assessing the quality of primary healthcare in seven Chinese provinces with unannounced standardised patients: protocol of a cross-sectional survey , 2019, BMJ Open.

[8]  C. Combs,et al.  Emerging Roles of Virtual Patients in the Age of AI. , 2019, AMA journal of ethics.

[9]  M. Hojat,et al.  The Jefferson Scale of Empathy: a nationwide study of measurement properties, underlying components, latent variable structure, and national norms in medical students , 2018, Advances in health sciences education : theory and practice.

[10]  G. Gliva-McConvey,et al.  The Association of Standardized Patient Educators (ASPE) Standards of Best Practice (SOBP) , 2017, Advances in Simulation.

[11]  Sandra H. Sulzer,et al.  Assessing empathy development in medical education: a systematic review , 2016, Medical education.

[12]  Fabrizio Consorti,et al.  Efficacy of virtual patients in medical education: A meta-analysis of randomized studies , 2012, Comput. Educ..

[13]  J. Bensing,et al.  Analyzing the "nature" and "specific effectiveness" of clinical empathy: a theoretical overview and contribution towards a theory-based research agenda. , 2009, Patient education and counseling.

[14]  B. Shore,et al.  12 Tips: Guidelines for authoring virtual patient cases , 2009, Medical teacher.

[15]  J. Shapiro Philosophy, Ethics, and Humanities in Medicine Walking a mile in their patients' shoes: empathy and othering in medical students' education , 2022 .

[16]  J. Benbassat,et al.  What Is Empathy, and How Can It Be Promoted during Clinical Clerkships? , 2004, Academic medicine : journal of the Association of American Medical Colleges.

[17]  J. Bensing,et al.  Effectiveness of empathy in general practice: a systematic review. , 2013, The British journal of general practice : the journal of the Royal College of General Practitioners.