THE USE OF MEDEdPORTAL TO TEACH AND ASSESS THE MENTAL STATUS EXAMINATION

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THE USE OF
MEDEdPORTAL

TO TEACH AND ASSESS THE MENTAL STATUS EXAMINATION

IN A SECOND YEAR CLINICAL SKILLS COURSE

Jose
Ginel Rodriguez, MD, FAAP, Nereida Diaz, PhD, Jose L. Oliver,
DMD

Universidad Central del Caribe, School Of Medicine, Bayamon, P.R.



Students who answered the i

clickers quiz (n=56) reported that in average
they needed 20 minutes to complete the module.



Participants rated how helpful was the
MedEdPORTAL

VP case on helping
to acquire the mental status examination skills and how helpful was the VP
case to identify possible psychopathologies were 4.1 and 3.9 respectively
(
Likert

Scale: 5=Strongly agree, 1= Strongly Disagree).



77% of participants found the VP
MedEdPORTAL

and the power point
presentation useful.



Overall 88% of students rated the
MedEdPORTAL

mental status module as
excellent.



Qualitative data highlighted that the module was excellent for the purpose
that was used and that provided fundamental knowledge for the clinical
skills laboratory. Some reported difficulty to download the module basically
because of computer problems.

Using

a

MedEdPORTAL

Virtual

Patient

module

we

introduced

an

interactive

mental

status

virtual

patient

case

to

second

year

students

in

a

mental

status

lecture

prepared

in

power

point

for

a

clinical

skills

course
.



After

finishing

the

session

the

lecture

was

posted

in

the

Blackboard

platform

where

students

can

access

it

24
/
7

to

review

the

content

before

scheduling

a

mental

status

laboratory

in

our

clinical

skills

center
.



The

power

point

also

stress

horizontal

and

vertical

integration

with

the

basic

science

concepts

taught

at

the

Neuroscience

course

and

the

Human

and

Gross

Anatomy
;

and

the

clinical

application

to

some

psychopathology
.



After

student

studied

the

power

point

with

the

MedEdPORTAL

mental

status

VP

case,

a

10

item

quiz

was

administered

using

the

i

c汩l敲s

tool

to

assess

how

comfortable

they

felt

on

the

mental

status

basic

concept,

time

to

complete

the

module

and

how

helpful

was

the

tool

for

their

mental

status

examination

laboratory
.



Students

also

responded

a

satisfaction

survey

that

asked

them

to

rate

the

Mededportal

VP

case

including

content,

navigability

and

pertinence

to

their

clinical

skills

course

laboratory
.


1
.
Thomas

Bernard,

Amy

Stevens,

Peggy

Wagner,

Nicole

Bernard,

Christopher

Oxendine
,

Kyle

Johnsen
,

Robert

Dickerson,

Andrew

Raji
,

Benjamin

Lok
,

Margaret

Duerson
,

Marc

Cohen,

Lori

Schumacher,

Garrett

J
.

Harper,

and

D
.

Scott

Lind,

A

Multi
-
Institutional

Pilot

Study

to

Evaluate

the

Use

of

Virtual

Patients

to

Teach

Health

Professions

Students

History
-
Taking

and

Communication

Skills,

Simulation

in

Healthcare
:

The

Journal

of

the

Society

for

Simulation

in

Healthcare,

1

(
2006
),

no
.

2
,

92

93
,


2
.

Thomas

Bernard,

Amy

Stevens,

Peggy

Wagner,

Nicole

Bernard,

Christopher

Oxendine
,

Kyle

Johnsen
,

Robert

Dickerson,

Andrew

Raji
,

Benjamin

Lok
,

Margaret

Duerson
,

Marc

Cohen,

Lori

Schumacher,

Garrett

J
.

Harper,

and

D
.

Scott

Lind,

A

Multi
-
Institutional

Pilot

Study

to

Evaluate

the

Use

of

Virtual

Patients

to

Teach

Health

Professions

Students

History
-
Taking

and

Communication

Skills,

Simulation

in

Healthcare
:

The

Journal

of

the

Society

for

Simulation

in

Healthcare,

1

(
2006
),

no
.

2
,

92

93
,

Abstracts

Presented

at

the

6
th

Annual

International

Meeting

on

Medical

Simulation,

issn

1559
-
2332
.


3
.

Benjamin

Lok
,

Richard

E
.

Ferdig
,

Andrew

Raij
,

Kyle

Johnsen
,

Robert

Dickerson,

Jade

Coutts,

Amy

Stevens,

and

D
.

Scott

Lind,

Applying

Virtual

Reality

in

Medical

Communication

Education
:

Current

Findings

and

Potential

Teaching

and

Learning

Benefits

of

Immersive

Virtual

Patients,

Virtual

Reality,

10

(
2006
),

no
.

3
-
4
,

185

195
,

issn

1359
-
4338
.





Our second year medical students can enhance their clinical skills ,
specifically with regard to the mental status examinations using the VP
modality.



Students perceive their exposure to the VP module to be a positive
experience despite the lack of real patient or teacher contact.



For an optimal learning environment, students must have access to
computers with appropriate software and speakers .



Satisfaction with the VP module is directly linked to successful access
to audio and video files.



The use of VP patients is going to be a permanent tool in the clinical
skills course at our institution.



Plans are underway to use VP in other aspects of the curriculum for
the clinical year, specifically to fulfill the LCME standard that asked for
alternative methods to assure proper encounters with minimal diagnosis
in each clerkship.

This study investigates the effects of a virtual patient in
a
second year clinical skills course and the appreciation of
students to this teaching strategy as part
of
students
' ability
of
a mental status examination.


The following paper describes the use of a
MedEdPortal

virtual patient to enhance the learning process during a

second year Clinical
Skills
c
ourse
.


BACKGROUND

PURPOSE AND HYPOTHESIS

MATERIALS AND METHODS

RESULTS

CONCLUSIONS

BIBLIOGRAPHY

Figure 2

Figure
1


Qualitative data highlighted
:


That the module was excellent for the clinical skills lab.


That some unclear terminology was used.


Some reported difficulty to download the module basically because of
computer problems.


That provided fundamental knowledge for the clinical sk
ills lab.

Virtual

patients

are

a

novel

teaching

tool

currently

used

in

medical

schools¹
.


Considered

as

effective

in

teaching

and

assessment

as

other

widely

used

methods,

in

most

cases,

virtual

and

simulated

patients

are

preferred

by

students²
.


Virtual

patients

have

been

used

for

training

of

medical

and

dental

students

in

various

institutions
.

However,

there

are

few

reports

on

the

effects

of

virtual

patients

on

students'

clinical

skills³
.



Grant Award # P031S100023


Federal
Education Department
-
Title V (Part A)


Developing
Hispanic
-
Serving Institutions (HSI)
Program