University of Florida July 20 th , 2009

University of Florida University of Georgia Medical College of Georgia PIs PIs
Laura Cuty-Ruiz, Ph.D.
Juan Cendan, M.D.
Senior Personnel
Moshe Feldman, Ph.D.
University of Central Florida Staff
Mike Eakins
Students

    Started in Spring 2004 Four universities 32-person team including  Computer Science  Medicine  Education  Psychology 53 active members

    Experiences  Immersive: 567  Online: 1000+  Public exhibits and demos: 100s  24 scenarios Publications: 9 journal, 16 conference, 18 abstracts Awards:  IEEE VR 2008 Best Paper  Research and Clinical Abstract Awards (Georgia ACS) $2.8 million in funding (NSF, NIH, and ASE)

   www.virtualpatientsgroup.com
www.virtualpeoplefactory.com
Virtual Patients Webpage

  Students practice communication + diagnostic skills Scenarios can be:  Repeatable  Standardized  Feedback  Longitudinal learning  Abnormal findings  Diverse virtual patients  Tailored for each student

http://vpf.cise.ufl.edu/wiki/index.php/VPF_Script_Tracking    Anesthesia  Pre-op OSA (UF)  Conscious sedation (UF) Cancer     Abnormal mammogram (UF) BRCA Pedigree (UCF) Clinical breast exam (UF/MCG) Melanoma (MCG) Pain      Abdominal Pain (UF) Chest pain (UF) Gallstones (UCF) Lower back pain (UF) Lower back pain (PCOM)   Psychiatry  Failure to thrive (UF)   Depression (MCG) Bi-polar (MCG) General           Breaking bad news (MCG) Cranial Nerve (UF) Dyspepsia – Pharmacy (UF) Gastro-Band (UF) GI Hemorrhage (UF) Meningitis (PCOM) Patient-Centered Counseling (USF) Post Operative Hemorrhage (UF) Sexually Transmitted Diseases (UF) Contraceptive Counseling (UF)

Web Browser Instant Message Video Conference Chat Second Life Immersive Interaction

• • • Virtual People Factory – – – Web-based interface End-user creation of content Pharmacy patient In one year – – Over 2000 interactions 24 end-user created scenarios End-user created scripts can reach 85% accuracy

  Virtual multi-tool interface to VH   Single input device (Wii Remote) controls multiple virtual tools used in eye exam Gestural and tool input, in addition to speech Medical students can   Learn how to use neurological tests to diagnose a patient with a vision disorder Receive additional exposure to patients with abnormal findings (e.g. double vision, lazy eye)

  Mixed reality humans  Passive-haptic interface to life-sized virtual human  Applications  Clinical breast exam  Prostate exam (upcoming) Medical students can  Practice merging physical examination and communication skill sets  Get real-time feedback of exam performance  E.g. coverage, pressure

  Short term  Faculty member leads medical students to use Virtual People Factory  Test with students  Publish and demo Long term  Develop a deployable teaching unit  Integrate into curricula at UF  Federal funding (e.g. NIH, NSF)

• • IPSViz – – – – Web-based interface Students received email with link (automated) Sample student (Brent/45169) Self-directed review of content, video, and feedback Each student can review their performance and compare with experts

• • IPSViz n – – – – Web-based interface Educators can review completed student interactions Data from study Filter based on user background • • • Level of expertise Gender Educator-defined metrics Experts can – – Identify trends (mean of class) Identify outliers

        24 Patient-Doc scenarios Intimate Exams Abnormal Findings (Neurological Exam) Conscious Sedation (VP+IPS) Audiology Testing After-Action Reviews You, M.D.
Bias studies: Pain perception

 All VPF scripts can be experienced video conference style  Interact with 3D VPs using a webcam and typing  Enables study of distributed medicine

collaboration with Mark Billinghurst (NZ)    Students administer audiology exams to VP Exams include:  History  VP visual examination  Hearing screen  Testing speech understanding Highlights  Procedure and communications skills  VP presenting abnormal conditions

     PI: Mike Robinson Video vignettes of VPs expressing low or high levels (FACS) of pain VPs varied in gender, age, and ethnicities Doctors, nurses, and dentists evaluate perceived levels of pain Identifies variables and weighting of variables that affect healthcare provider’s pain perception

 Current support
National Science Foundation National Institutes of Health Association of Surgical Education
 Prior Support
University of Florida Medical College of Georgia Keele University

    University of Florida  Technology development   Scenario development Abnormal findings Medical College of Geogia  Intimate Exmas University of Georgia  Patient-centered experiences University of Central Florida  Assessment  Curricular integration