Exploring the efficacy of replacing linear paper-based patient cases in problem-based learning with dynamic web-based virtual patients: Randomized controlled trial

Journal of Medical Internet Research

Volumn 16, Issue 11, 2014, Pages

  Poulton, Terry ^a   Ellaway, Rachel H ^b   Round, Jonathan ^a   Jivram, Trupti ^a   Kavia, Sheetal ^a   Hilton, Sean ^c  

^a ST GEORGE S HOSPITAL   (United Kingdom)

^b NORTHERN ONTARIO SCHOOL OF MEDICINE   (Canada)

^c UNIVERSITY OF NICOSIA   (Cyprus)

Author keywords

Curriculum; Decision making; Education; Medical; Problem based learning; Virtual patients

Indexed keywords

CONTROLLED STUDY; CROSSOVER PROCEDURE; FEMALE; HUMAN; INTERNET; MALE; MEDICAL EDUCATION; PROBLEM BASED LEARNING; PROCEDURES; RANDOMIZED CONTROLLED TRIAL; TEACHING; UNITED KINGDOM;

COMPUTER-ASSISTED INSTRUCTION; CROSS-OVER STUDIES; EDUCATION, MEDICAL, UNDERGRADUATE; FEMALE; HUMANS; INTERNET; LONDON; MALE; PATIENT SIMULATION; PROBLEM-BASED LEARNING;

EID: 84914698306     PISSN: None     EISSN: 14388871     Source Type: Journal    
DOI: 10.2196/jmir.3748     Document Type: Article

References (36)

1. Cooke M, Irby DM, O'Brien BC. Educating Physicians: A Call for Reform of Medical School and Residency (JB-Carnegie Foundation for the Advancement of Teaching). San Francisco, CA: Jossey-Bass; 2010.
2. Walton HJ, Matthews MB. Essentials of problem-based learning. Med Educ 1989 Nov;23(6):542-558. [Medline: 2593886]
3. Ellaway RH, Poulton T, Smothers V, Greene P. Virtual patients come of age. Med Teach 2009 Aug;31(8):683-684. [Medline: 19811203]
4. Huwendiek S, De leng BA, Zary N, Fischer MR, Ruiz JG, Ellaway R. Towards a typology of virtual patients. Med Teach 2009 Aug;31(8):743-748. [Medline: 19811212]
5. Poulton T, Conradi E, Kavia S, Round J, Hilton S. The replacement of 'paper' cases by interactive online virtual patients in problem-based learning. Med Teach 2009 Aug;31(8):752-758. [Medline: 19811214]
6. van Berkel H, Scherpbier A, Hillen H, van der Vleuten C. Lessons from Problem-Based Learning. Oxford, UK: Oxford University Press; 2010.
7. Taylor D, Miflin B. Problem-based learning: where are we now? Med Teach 2008;30(8):742-763. [doi: 10.1080/01421590802217199] [Medline: 18946818]
8. Albanese MA, Mitchell S. Problem-based learning: a review of literature on its outcomes and implementation issues. Acad Med 1993 Jan;68(1):52-81. [Medline: 8447896]
9. Berkson L. Problem-based learning: have the expectations been met? Acad Med 1993 Oct;68(10 Suppl):S79-S88. [Medline: 8216642]
10. Colliver JA. Effectiveness of problem-based learning curricula: research and theory. Acad Med 2000 Mar;75(3):259-266. [Medline: 10724315]
11. Vernon DT, Blake RL. Does problem-based learning work? A meta-analysis of evaluative research. Acad Med 1993 Jul;68(7):550-563. [Medline: 8323649]
12. Norman GR, Schmidt HG. Effectiveness of problem-based learning curricula: theory, practice and paper darts. Med Educ 2000 Sep;34(9):721-728. [Medline: 10972750]
13. Albanese M. Problem-based learning: why curricula are likely to show little effect on knowledge and clinical skills. Med Educ 2000 Sep;34(9):729-738. [Medline: 10972751]
14. Dolmans DH, Snellen-Balendong H, van der Vleuten C. Seven principles of effective case design for a problem-based curriculum. Med Teach 1997 Jan;19(3):185-189. [doi: 10.3109/01421599709019379]
15. Des Marchais JE. A Delphi technique to identify and evaluate criteria for construction of PBL problems. Med Educ 1999 Jul;33(7):504-508. [Medline: 10354334]
16. MacLeod A. Six ways problem-based learning cases can sabotage patient-centered medical education. Acad Med 2011 Jul;86(7):818-825. [doi: 10.1097/ACM.0b013e31821db670] [Medline: 21617504]
17. Montgomery K. How Doctors Think: Clinical Judgment and the Practice of Medicine. Oxford, UK: Oxford University Press; 2006:48.
18. Steadman RH, Coates WC, Huang YM, Matevosian R, Larmon BR, McCullough L, et al. Simulation-based training is superior to problem-based learning for the acquisition of critical assessment and management skills. Crit Care Med 2006 Jan;34(1):151-157. [Medline: 16374169]
19. Murphy S, Hartigan I, Walshe N, Flynn A, O'Brien S. Merging problem-based learning and simulation as an innovative pedagogy in nurse education. Clinical Simulation in Nursing 2011;7(4):141-148. [doi: 10.1016/j.ecsn.2010.01.003]
20. Ellaway R, Candler C, Greene P, Smothers V. MedBiquitous. Baltimore, MD: MedBiquitous; 2006 Sep 11. An Architectural Model for MedBiquitous Virtual Patients: MedBiquitous White Paper URL: http://groups.medbiq.org/medbiq/display/VPWG/MedBiquitous+Virtual+Patient+Architecture [accessed 2014-10-07] [WebCite Cache ID 6T87kiIw9]
21. Finucane P, McCrorie P, Prideaux D. Planning and building capacity for a major PBL initiative. In: New Approaches to Problem-Based Learning: Revitalising Your Practice in Higher Education. New York: Routledge; 2011:203-214.
22. Smith A. Stress and information processing. In: Stress and Medical Procedures. Oxford: Oxford University Press; 1990:184.
23. Klein G. The effect of acute stressors on decision making. In: Stress and Human Performance. Mahwah, NJ: Lawrence Erlbaum Associates; 1996:48-88.
24. Ellaway RH, Davies D. Design for learning: deconstructing virtual patient activities. Med Teach 2011;33(4):303-310. [doi: 10.3109/0142159X.2011.550969] [Medline: 21456988]
25. Cook DA, Triola MM. Virtual patients: a critical literature review and proposed next steps. Med Educ 2009 Apr;43(4):303-311. [doi: 10.1111/j.1365-2923.2008.03286.x] [Medline: 19335571]
26. Nalesnik SW, Heaton JO, Olsen CH, Haffner WH, Zahn CM. Incorporating problem-based learning into an obstetrics/gynecology clerkship: impact on student satisfaction and grades. Am J Obstet Gynecol 2004 May;190(5):1375-1381. [doi: 10.1016/j.ajog.2003.10.712] [Medline: 15167844]
27. Schmidt HG, Rotgans JI, Yew EH. The process of problem-based learning: what works and why. Med Educ 2011 Aug;45(8):792-806. [doi: 10.1111/j.1365-2923.2011.04035.x] [Medline: 21752076]
28. Dolmans DH, De Grave W, Wolfhagen IH, van der Vleuten CP. Problem-based learning: future challenges for educational practice and research. Med Educ 2005 Jul;39(7):732-741. [doi: 10.1111/j.1365-2929.2005.02205.x] [Medline: 15960794]
29. Eva KW. What every teacher needs to know about clinical reasoning. Med Educ 2005 Jan;39(1):98-106. [doi: 10.1111/j.1365-2929.2004.01972.x] [Medline: 15612906]
30. Gerritsma JG, Smal JA. An interactive patient simulation for the study of medical decision-making. Med Educ 1988 Mar;22(2):118-123. [Medline: 3374412]
31. Ellaway RH. Virtual patients as activities: exploring the research implications of an activity theoretical stance. Perspect Med Educ 2014 Sep;3(4):266-277 [FREE Full text] [doi: 10.1007/s40037-014-0134-z] [Medline: 25082311]
32. Ellaway RH, Pusic MV, Galbraith RM, Cameron T. Developing the role of big data and analytics in health professional education. Med Teach 2014 Mar;36(3):216-222. [doi: 10.3109/0142159X.2014.874553] [Medline: 24491226]
33. ePBLnet. URL: http://www.epblnet.eu [accessed 2014-04-04] [WebCite Cache ID 6Sg7Iz5zf]
34. Kononowicz AA, Narracott AJ, Manini S, Bayley MJ, Lawford PV, McCormack K, et al. A framework for different levels of integration of computational models into web-based virtual patients. J Med Internet Res 2014;16(1):e23 [FREE Full text] [doi: 10.2196/jmir.2593] [Medline: 24463466]
35. Antoniou PE, Athanasopoulou CA, Dafli E, Bamidis PD. Exploring design requirements for repurposing dental virtual patients from the web to second life: a focus group study. J Med Internet Res 2014;16(6):e151 [FREE Full text] [doi: 10.2196/jmir.3343] [Medline: 24927470]
36. Salminen H, Zary N, Björklund K, Toth-Pal E, Leanderson C. Virtual patients in primary care: developing a reusable model that fosters reflective practice and clinical reasoning. J Med Internet Res 2014;16(1):e3 [FREE Full text] [doi: 10.2196/jmir.2616] [Medline: 24394603]