Home Development and evaluation of a virtual patient-based exam in occupational medicine
Article
Licensed
Unlicensed Requires Authentication

Development and evaluation of a virtual patient-based exam in occupational medicine

  • Inga Hege EMAIL logo , Iris Schröpfer and Katja Radon
Published/Copyright: May 6, 2015
Become an author with De Gruyter Brill

Abstract

Occupational medicine (OM), especially the ability to recognize potentially workplace-related diseases or accidents, is important for medical students to learn. The assessment in OM at the Ludwig-Maximilians-University is implemented as a paper-based, multiple-choice question exam that does not assess the students’ ability to remember occupational aspects in clinical contexts. Therefore, the aim of this study was to create and evaluate an online exam based on 19 virtual patients to assess the aspects of OM in an interdisciplinary setting. Thirty-nine medical students participated in the exam with an average score of 65%. The score for freetext questions assessing OM aspects was low (39%). The study showed that the implementation of an interdisciplinary VP-based exam is feasible. The integration of such an interdisciplinary exam would be feasible, for example, as an open-book assessment.


Corresponding author: Inga Hege, Institut für Didaktik und Ausbildungsforschung in der Medizin, University Hospital of Munich (LMU), Ziemssenstr. 1, Munich 80337, Germany, E-mail:

  1. Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  2. Research funding: None declared.

  3. Employment or leadership: None declared.

  4. Honorarium: None declared.

  5. Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.

References

1. Kolb S, Wengenroth L, Hege I, Praml G, Nowak D, Cantineau J, et al. Case based e-learning in occupational medicine – a European approach. J Occup Environ Med 2009;51:647–53.10.1097/JOM.0b013e3181a90af6Search in Google Scholar PubMed

2. Braeckman L, Bekaert M, Cobbaut L, De Ridder M, Glazemakers J, Kiss P. Workplace visits versus case studies in undergraduate occupational medicine teaching. J Occup Environ Med 2009;51:1455–9.10.1097/JOM.0b013e3181bfa4ffSearch in Google Scholar PubMed

3. Radon K, Kolb S, Reichert J, Baumeister T, Fuchs R, Hege I, et al. Case-based e-learning in occupational medicine. The NetWoRM Project in Germany. Ann Agric Environ Med 2006;13:93–8.Search in Google Scholar

4. Hege I, Radon K, Dugas M, Scharrer E, Nowak D. Web-based training in occupational medicine. Int Arch Occup Health 2003;76:50–4.10.1007/s00420-002-0376-7Search in Google Scholar PubMed

5. Ellaway R. An architectural model for MedBiquitous virtual patients. Available at: http://groups.medbiq.org/medbiq/display/VPWG/MedBiquitous+Virtual+Patient+Architecture. Accessed: 20 Jan 2015.Search in Google Scholar

6. Cendan J, Lok B. The use of virtual patients in medical school curricula. Adv Physiol Educ 2012;36:48–53.10.1152/advan.00054.2011Search in Google Scholar PubMed PubMed Central

7. Yang RL, Hashimoto DA, Predina JD, Bowens NM, Sonnenberg EM, Cleveland EC, et al. The virtual-patient pilot: testing a new tool for undergraduate surgical education and assessment. J Surg Educ 2013;70:394–401.10.1016/j.jsurg.2012.12.001Search in Google Scholar PubMed

8. Courteille O, Bergin R, Stockeld D, Ponzer S, Fors U. The use of a virtual patient case in an OSCE-based exam – a pilot study. Med Teach 2008;30:e66–76.10.1080/01421590801910216Search in Google Scholar PubMed

9. Miller GE. The assessment of clinical skills/competence/performance. Acad Med 1990;65:63–7.10.1097/00001888-199009000-00045Search in Google Scholar PubMed

10. CASUS Virtual Patient Player. Available at: http://www.casus.eu. Accessed: 27 Mar 2015.Search in Google Scholar

11. Smits PB, de Graaf L, Radon K, de Boer AG, Bos NR, van Dijk FJ, et al. Case-based e-learning to improve the attitude of medical students towards occupational health, a randomised controlled trial. Occup Environ Med 2012;69:280–3.10.1136/oemed-2011-100317Search in Google Scholar PubMed

12. Rotthoff T, Baehring T, Dicken HD, Fahron U, Richter B, Fischer MR, et al. Comparison between long-menu and open-ended questions in computerized medical assessments. A randomized controlled trial. BMC Med Educ 2006;6:50.10.1186/1472-6920-6-50Search in Google Scholar PubMed PubMed Central

13. van Bruggen L, Manrique-van Woudenbergh M, Spierenburg E, Vos J. Preferred question types for computer-based assessment of clinical reasoning: a literature study. Perspect Med Educ 2012;1:162–71.10.1007/s40037-012-0024-1Search in Google Scholar PubMed PubMed Central

14. Sharma N. Open book assessment in medical school. Med Teach 2015;37:201–2.10.3109/0142159X.2014.940877Search in Google Scholar PubMed

15. Weinstein D. Feedback in clinical education: untying the Gordian knot. Acad Med 2015;90:559–561.10.1097/ACM.0000000000000559Search in Google Scholar PubMed

Received: 2015-3-28
Accepted: 2015-4-21
Published Online: 2015-5-6
Published in Print: 2015-6-15

©2015 by De Gruyter

Downloaded on 8.11.2025 from https://www.degruyterbrill.com/document/doi/10.1515/bams-2015-0008/html
Scroll to top button