REViP

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REViP

• An Anglo-German Virtual Patient case study
  exploring repurposing and enriching as an
  effective way to share

Soeren Huwendiek, Chara Balasubramaniam, Jonathan
Round
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(No Transcript)
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Repurposing and Enriching as an effective way
to share

• High cost of development of new VPs
• ? Can effective VPs be moved into another
  setting
• Institution
• Healthcare setting
• Culture
• Language

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Project outline

• JISC funded project to look at practicalities and
  problems
• Partnership between-
• St. Georges, University of London
• Heidelberg University, Germany

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Different VP systems

• CAMPUS
• Linear
• Multiple options
• Enrichment possible
• Needs installed player

• LABYRINTH
• Branching
• Several different routes in VP
• Enrichment possible
• Runs on most browsers

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Project Outline
Case selection in CAMPUS
German -English
Transfer to Word
Cultural adaption
Updating of case in CAMPUS
Case review
R E V I E W
Transfer to VUE
Creation of branching
Transfer to Labyrinth
Case review
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• Mission Impossible (3 mins)

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ResultsChallenges

• Cultural differences
• Protocols (e.g. Convulsions)
• Language and medical terminology (drug names)
• Different cultural contexts (US army patient to
  Asian family)
• Lab value units (mg/dL to mmol/L for glucose)
• Multimedia (technical)
• editing in different formats
• Structure
• from linear to branched

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Time taken
Case selection in CAMPUS
German -English
Transfer to Word
Cultural adaption
10 hours
Updating of case in CAMPUS
Case review
R E V I E W
Transfer to VUE
Creation of branching
Transfer to Labyrinth
Case review
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Time taken
Case selection in CAMPUS
German -English
Transfer to Word
Cultural adaption
Updating of case in CAMPUS
Case review
R E V I E W
Transfer to VUE
18 hours
Creation of branching
Transfer to Labyrinth
Case review
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Time taken
10-80 hours
Case selection in CAMPUS
German -English
Transfer to Word
Cultural adaption
Updating of case in CAMPUS
Case review
R E V I E W
Transfer to VUE
Creation of branching
Transfer to Labyrinth
Case review
10-15 hours
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What we learnt

• A case is not hard to repurpose across systems
  and into a different course
• Beware transfer between systems - you might lose
  features
• Repurposing doesnt necessarily save time
• Collaboration brings other benefits

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Future developments

• Using automated repurposing (eViP)
• RCT - 4th year paediatric students
• 50 see labyrinth, 50 Campus
• cases integrated into module
• comparison study

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Thanks to

• Tejal Patel
• Sheetal Kavia
• Emily Conradi
• Sophie Vaughan-Davies
• Benjamin Hanebeck

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www.elu.sgul.ac.uk/revip/
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Resultstime taken per case

• Language translation 5 hours
• Cultural differences 2 hours
• Protocols (e.g. Convulsions)
• Language and medical terminology (drug names)
• Different cultural contexts (US army patient to
  Asian family)
• Lab value units (mg/dL to mmol/L for glucose)
• Multimedia (technical) 3 hours
• editing in different formats
• Structure 8 hours
• from linear to branched

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• Repurposing VPs is worthwhile if systems similar
• Danger of losing best features during repurposing
  across systems

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Comparisons (estimates)

• CAMPUS case from scratch 10-80 hours
• Revip-ed case without branching 10 hours
• Labyrinth case from scratch 8-15 hours Revip-ed
  case with branching 18 hours