Screen-Based Simulation, Virtual Reality, and Haptic Simulators

Screen-based simulations (SBSs) use available digital technology to represent patients, populations, or other healthcare encounters on a computer screen or a mobile tablet, smartphone, or other screen-based device. These include uses of virtual patients, virtual worlds, screen-based haptic trainers, and resource management simulators. Simulations using screens have advantages over mannequin-based simulations—the software is infinitely replicable, the simulation programs can be portable, they can be accessed asynchronously without a live instructor present, the software can be distributed to many devices, and the programming can track massive amounts of usage data. The screen, however, is the key disadvantage—for healthcare tasks that do not normally use a screen, SBSs lack functional fidelity. Additionally, upfront costs in programming and development can be prohibitive—both financially and in terms of time and labor. Examples of types of SBS that currently exist in pediatric health care, general health care, and non-health care applications are provided, as well as consideration in developing SBS as part of the pediatric simulation education repertoire.

[1]  R. Schoefl,et al.  Effect of virtual endoscopy simulator training on performance of upper gastrointestinal endoscopy in patients: a randomized controlled trial , 2010, Endoscopy.

[2]  Nada Dabbagh,et al.  Pedagogical Models for E-Learning: A Theory-Based Design Framework , 2005 .

[3]  K. A. Ericsson,et al.  Deliberate practice and acquisition of expert performance: a general overview. , 2008, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[4]  James B. McGee,et al.  An XML Standard for Virtual Patients: Exchanging Case-Based Simulations in Medical Education , 2007, AMIA.

[5]  M. Merialdi,et al.  Learning in a Virtual World: Experience With Using Second Life for Medical Education , 2010, Journal of medical Internet research.

[6]  S. Yamaguchi,et al.  Effectiveness of endoscopic surgery training for medical students using a virtual reality simulator versus a box trainer: a randomized controlled trial , 2008, Surgical Endoscopy.

[7]  Norman B Berman,et al.  Multi-institutional Development and Utilization of a Computer-Assisted Learning Program for the Pediatrics Clerkship: The CLIPP Project , 2005, Academic medicine : journal of the Association of American Medical Colleges.

[8]  M. Schijven,et al.  Systematic review of serious games for medical education and surgical skills training , 2012, The British journal of surgery.

[9]  Heather Carnahan,et al.  How effective is self‐guided learning of clinical technical skills? It’s all about process , 2009, Medical education.

[10]  P. Andreatta,et al.  Virtual reality triage training provides a viable solution for disaster-preparedness. , 2010, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[11]  David O. Kessler,et al.  A Randomized Trial of Simulation-Based Deliberate Practice for Infant Lumbar Puncture Skills , 2011, Simulation in healthcare : journal of the Society for Simulation in Healthcare.

[12]  R. Glavin,et al.  Low‐ to high‐fidelity simulation – a continuum of medical education? , 2003, Medical education.

[13]  Eduardo Salas,et al.  Toward a Taxonomy Linking Game Attributes to Learning , 2012 .

[14]  E. Schoon,et al.  A second-generation virtual reality simulator for colonoscopy: validation and initial experience , 2008, Endoscopy.

[15]  M. Blum,et al.  Bronchoscopy simulator effectively prepares junior residents to competently perform basic clinical bronchoscopy. , 2004, The Annals of thoracic surgery.

[16]  Ana B. Chica,et al.  Attentional Routes to Conscious Perception , 2012, Front. Psychology.

[17]  V. Nadkarni,et al.  Designing and Conducting Simulation-Based Research , 2014, Pediatrics.

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

[19]  Robert Simon,et al.  Which Reality Matters? Questions on the Path to High Engagement in Healthcare Simulation , 2007, Simulation in healthcare : journal of the Society for Simulation in Healthcare.

[20]  Anders Frank Gaming the Game , 2012 .

[21]  R. Feinberg,et al.  The Impact of Postgraduate Training on USMLE® Step 3® and its Computer-Based Case Simulation Component , 2011, Journal of General Internal Medicine.

[22]  Patrick G. Kenny,et al.  Virtual Patients as Novel Teaching Tools in Psychiatry , 2012, Academic Psychiatry.

[23]  Amy O. Stevens,et al.  The use of virtual patients to teach medical students history taking and communication skills. , 2006, American journal of surgery.

[24]  G. Fried,et al.  Testing the construct validity of the Simbionix GI Mentor II virtual reality colonoscopy simulator metrics: module matters , 2010, Surgical Endoscopy.

[25]  Pablo Moreno-Ger,et al.  Usability Testing for Serious Games: Making Informed Design Decisions with User Data , 2012, Adv. Hum. Comput. Interact..

[26]  D. Cook,et al.  Technology-enhanced simulation in emergency medicine: a systematic review and meta-analysis. , 2013, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[27]  Per Backlund,et al.  The Coaching Cycle , 2012 .

[28]  Peter Dieckmann,et al.  Deepening the Theoretical Foundations of Patient Simulation as Social Practice , 2007, Simulation in healthcare : journal of the Society for Simulation in Healthcare.

[29]  Nicholas Kman,et al.  Using second life virtual simulation environment for mock oral emergency medicine examination. , 2011, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[30]  D. Kolb Experiential Learning: Experience as the Source of Learning and Development , 1983 .

[31]  Adam Dubrowski,et al.  A New Concept of Unsupervised Learning: Directed Self-Guided Learning in the Health Professions , 2010, Academic medicine : journal of the Association of American Medical Colleges.

[32]  Elizabeth A. Krupinski,et al.  Research and applications: Investigating the link between radiologists' gaze, diagnostic decision, and image content , 2013, J. Am. Medical Informatics Assoc..

[33]  D. Cook,et al.  Computerized Virtual Patients in Health Professions Education: A Systematic Review and Meta-Analysis , 2010, Academic medicine : journal of the Association of American Medical Colleges.

[34]  Benjamin Lok,et al.  Virtual Humans Versus Standardized Patients: Which Lead Residents to More Correct Diagnoses? , 2011, Academic medicine : journal of the Association of American Medical Colleges.

[35]  P G Jorna,et al.  Heart rate and workload variations in actual and simulated flight. , 1993, Ergonomics.

[36]  Geoff Norman,et al.  The minimal relationship between simulation fidelity and transfer of learning , 2012, Medical education.

[37]  K. Williams,et al.  Assessment of Competencies By Use of Virtual Patient Technology , 2011, Academic Psychiatry.

[38]  D. Cook,et al.  Virtual patients: a critical literature review and proposed next steps , 2009, Medical education.

[39]  J. Deakin,et al.  Deliberate practice and expertise in the martial arts: The role of context in motor recall. , 1998 .

[40]  S. Hamstra,et al.  Reconsidering fidelity in simulation-based training. , 2014, Academic medicine : journal of the Association of American Medical Colleges.

[41]  David Greenwald,et al.  Multicenter, randomized, controlled trial of virtual-reality simulator training in acquisition of competency in colonoscopy. , 2006, Gastrointestinal endoscopy.

[42]  A. Lehmann,et al.  Research on expert performance and deliberate practice: Implications for the education of amateur musicians and music students. , 1997 .

[43]  Yair Amichai-Hamburger,et al.  "On the Internet No One Knows I'm an Introvert": Extroversion, Neuroticism, and Internet Interaction , 2002, Cyberpsychology Behav. Soc. Netw..

[44]  T. Bodenheimer The future of primary care: transforming practice. , 2008, The New England journal of medicine.

[45]  Rachel H Ellaway,et al.  Context matters: emergent variability in an effectiveness trial of online teaching modules , 2014, Medical education.

[46]  James E. Driskell,et al.  Games, Motivation, and Learning: A Research and Practice Model , 2002 .

[47]  Michael J. Spivey,et al.  Computational Grounded Cognition: a new alliance between grounded cognition and computational modeling , 2013, Front. Psychology.

[48]  M. Pusic,et al.  Prevalence of abnormal cases in an image bank affects the learning of radiograph interpretation , 2012, Medical education.

[49]  W. L. Heinrichs,et al.  Design, Development, and Evaluation of an Online Virtual Emergency Department for Training Trauma Teams , 2008, Simulation in healthcare : journal of the Society for Simulation in Healthcare.

[50]  Kevin T. Foley,et al.  Percutaneous spinal fixation simulation with virtual reality and haptics. , 2013, Neurosurgery.

[51]  K. A. Ericsson,et al.  Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. , 2004, Academic medicine : journal of the Association of American Medical Colleges.

[52]  J. Barsuk,et al.  Mastery learning of thoracentesis skills by internal medicine residents using simulation technology and deliberate practice. , 2008, Journal of hospital medicine.

[53]  Paul G Gauger,et al.  Laparoscopic Skills Are Improved With LapMentor™ Training: Results of a Randomized, Double-Blinded Study , 2006, Annals of surgery.

[54]  Kathryn Osann,et al.  Validation of Two Instruments to Assess Technical Bronchoscopic Skill Using Virtual Reality Simulation , 2008, Respiration.