Optimal learning in a virtual patient simulation of cranial nerve palsies: The interaction between social learning context and student aptitude

Teresa R. Johnson, Rebecca Lyons, Joon Hao Chuah, Regis Kopper, Benjamin C. Lok, Juan C. Cendan

Research output: Contribution to journalArticle

Abstract

Background: Simulation in medical education provides students with opportunities to practice interviews, examinations, and diagnosis formulation related to complex conditions without risks to patients. Aim: To examine differences between individual and team participation on learning outcomes and student perspectives through use of virtual patients (VPs) for teaching cranial nerve (CN) evaluation. Methods: Fifty-seven medical students were randomly assigned to complete simulation exercises either as individuals or as members of three-person teams. Students interviewed, examined, and diagnosed VPs with possible CN damage in the Neurological Exam Rehearsal Virtual Environment (NERVE). Knowledge of CN abnormalities was assessed pre-and post-simulation. Student perspectives of system usability were evaluated post-simulation. Results: An aptitude-treatment interaction (ATI) effect was detected; at pre-test scores ≤ 50%, students in teams scored higher (83%) at post-test than did students as individuals (62%, p = 0.02). Post-simulation, students in teams reported greater confidence in their ability to diagnose CN abnormalities than did students as individuals (p = 0.02; mean rating = 4.0/5.0 and 3.4/5.0, respectively). Conclusion: The ATI effect allows us to begin defining best practices for the integration of VP simulators into the medical curriculum. We are persuaded to implement future NERVE exercises with small teams of medical students.

Original languageEnglish (US)
JournalMedical Teacher
Volume35
Issue number1
DOIs
StatePublished - 2013
Externally publishedYes

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Patient Simulation
Cranial Nerve Diseases
Aptitude
aptitude
social learning
Learning
Students
simulation
Cranial Nerves
interaction
learning
student
Medical Students
medical student
Exercise
Social Learning
Medical Education
Practice Guidelines
Individuality
Curriculum

ASJC Scopus subject areas

  • Medicine(all)
  • Education

Cite this

Optimal learning in a virtual patient simulation of cranial nerve palsies : The interaction between social learning context and student aptitude. / Johnson, Teresa R.; Lyons, Rebecca; Chuah, Joon Hao; Kopper, Regis; Lok, Benjamin C.; Cendan, Juan C.

In: Medical Teacher, Vol. 35, No. 1, 2013.

Research output: Contribution to journalArticle

Johnson, Teresa R. ; Lyons, Rebecca ; Chuah, Joon Hao ; Kopper, Regis ; Lok, Benjamin C. ; Cendan, Juan C. / Optimal learning in a virtual patient simulation of cranial nerve palsies : The interaction between social learning context and student aptitude. In: Medical Teacher. 2013 ; Vol. 35, No. 1.
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