Generalizable Best Practices from the eViP Project

Implementation of the MedBiquitous Virtual Patient Standard

Generalizable Best Practices from the eViP Project Nabil Zary ([email protected]) On behalf of the eViP partners

eViP Partners 1.  St  George s,  University  of  London,  UK   2.  Karolinska  Ins;tutet,  Sweden   3.  Ludwig-­‐Maximilians-­‐University,  Munich,  Germany   4.  University  of  Warwick,  UK   5.  Universiteit  Maastricht,  Netherlands   6.  Heidelberg  University,  Germany   7.  University  of  Medicine  Cluj-­‐Napoca,  Romania   8.  Uniwersytet  Jagiellonski,  Poland   9.  University  of  WiUen  Herdecke,  Germany  

www.virtualpa;ents.eu      

What? Standardized VP packages

Why? “… to enable interoperability, accessibility and reusability of Web-based virtual patient learning content.” *



* http://medbiq.org/working_groups/virtual_patient/index.html



ANSI/MEDBIQ VP.10.1-2010, MedBiquitous Virtual Patient

Data model + Description of the VP + Packaging

Implementation - two perspectives §  System / repository developer §  VP author / Faculty

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http://virtualpatients.eu

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System / Repository developer

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Conformance testing §  §  §  § 

Level 1 - Package validation Level 2 - XML/XSD validation Level 3 - Import validation Level 4 - Runtime validation

Specific metadata fields

Repository: Metadata profile

VP author / Faculty

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#1 Interoperability #2 Accessibility #3 Reusability

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Main activity: Using, Adapting, Customizing, Creating “Repurposing  means  to  convert  a  Virtual  Pa;ent  (VP)  created  for  one  purpose   into  a  VP  fit  for  a  new  purpose.”   §   Educa;onal  levels   §   Educa;onal  scenarios   §   VP  structures   §   VP  systems   §   Cultures  (ethnic,  language,  socio-­‐economical,  geographical,  professions,   disciplines)  *     -­‐    Fors  UG,  Muntean  V,  Botezatu  M,  Zary  N.  Cross-­‐cultural  use  and  development  of  virtual  pa;ents.     Med  Teach.  2009  Aug;31(8):732-­‐8.  PubMed  PMID:  19811210   -­‐  Huwendiek  S,  De  leng  BA,  Zary  N,  Fischer  MR,  Ruiz  JG,  Ellaway  R.  Towards  a  typology  of  virtual  pa;ents.     Med  Teach.  2009  Aug;31(8):743-­‐8.  PubMed  PMID:  19811212.  

Typical Repurposing Workflow UM Workflow

Lars

START

Check language with native speaker

Repurpose and enrich VP for local culture and educational scenario

Identify ‘paediatric VPs’ delivered in HD

Select VP and translate (German to Dutch culture)

Customise VP player userinterface (e.g. from HD to UM)

Select VPs from HD not yet available in UM

Discuss suitability of German VPs for Dutch curriculum and identify missing content to enrich Adapt Virtual Learning Environment to fit the VP

Review selected HD VPs by experts at UM

Test and GO-LIVE FINISH

Licensing workflow

Consent form template

Systematic peer-review process

Evaluation Toolkit Virtual patients §  Questionnaire for students to evaluate their experiences with VPs applied for clinical reasoning; §  Checklist for teachers and developers to indentify the constituents and structures of VPs considered important to elicit clinical reasoning Educational scenario §  Questionnaire for students to evaluate their experiences with the integration of VPs in the curriculum; §  Checklist for teachers and developers to indentify forms of active learning and their sequencing or linking with other teaching activities, considered important to elicit clinical reasoning

http://www.virtualpatients.eu §  Zary  N,  Hege  I,  Heid  J,  Woodham  L,  Donkers  J,  Kononowicz  AA.  Enabling   interoperability,  accessibility  and  reusability  of  virtual  pa6ents  across  Europe  -­‐   design  and  implementa6on.  Stud  Health  Technol  Inform.  2009;150:826-­‐30.   PubMed  PMID:  19745428   §  Kononowicz  AA,  Heid  J,  Donkers  J,  Hege  I,  Woodham  L,  Zary  N.  Development  and   valida6on  of  strategies  to  test  for  interoperability  of  virtual  pa6ents.  Stud  Health   Technol  Inform.  2009;150:185-­‐9.  PubMed  PMID:  19745294.   §  T.  Calinici,  D.  Davies,  J.  Donkers,  I.  Hege,  J.  Heid,  A.  Kononowicz,  L.  Woodham,  N.   Zary  .  Implementa6on  of  the  MVP  standard  by  five  European  VP  systems  –   challenges  and  recommenda6ons  (Medbiquitous  conference  2009)     §  Zary  N.,Hege  I.,Heid  J.,Kononowicz  A.,Woodham  L.,Donkers  J.  Enabling   Interoperability,  Accessibility  and  Reusability  of  Virtual  Pa6ents  –  Findings  from   the  eViP  project  (ICVP  2009)   §  Kononowicz  A,  Zary  N,  Davies  D,  Heid  J,    Woodham  Luke,  Hege  I.  Push  and  Pull   Models  to  Manage  Pa6ent  Consent  and  Licensing  of  Mul6media  Resources  in   Digital  Repositories  for  Case-­‐Based  Reasoning  (Accepted)