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Study of the Impact of Virtual Patient Designs on the Reasoning Pattern and Therapeutic Decision Making

Study of the Impact of How the Virtual Patient's Anamnesis is Designed on the Reasoning Pattern and Therapeutic Decision Making

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00474474
Acronym
VPtdl-rct1
Enrollment
58
Registered
2007-05-17
Start date
2007-02-28
Completion date
2007-03-31
Last updated
2007-05-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Computer-Assisted, Decision Making

Keywords

virtual patient, therapeutic decision making

Brief summary

There is a lack of evidence of the impact of the information provided in the introduction screen on the students diagnostic and therapeutic decisions. The reasoning pattern may also be altered if positive findings are provided to the student without an active request for it. The results will be of importance when virtual patients are used for assessing students.

Detailed description

The problem-solving approach is found in virtual patient designs concerned with teaching clinical reasoning and diagnosis. Generally the student has to collect a range of information, usually from menus of possible history questions, physical examination, and lab tests, and make diagnostic and therapeutic decisions based on their findings. The information is not cued - the student have to decide what is relevant. An introduction screen is shown to the student when the virtual patient is initiated. Case author have used it differently - some entered a complete chief complaint and part of anamnesis findings while other have not disclosed anything about the patient. There is a lack of evidence of the impact of the information provided in the introduction screen on the students diagnostic and therapeutic decisions. The reasoning pattern may also be altered if positive findings are provided to the student without an active request for it. The results will be of importance when virtual patients are used for assessing students.

Interventions

PROCEDUREVirtual patient is NOT introduced

Sponsors

Karolinska Institutet
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Masking
DOUBLE

Eligibility

Sex/Gender
ALL
Healthy volunteers
Yes

Inclusion criteria

* All the students enrolled in the comprehensive dentistry course at the time of the study (2007)

Design outcomes

Primary

MeasureTime frame
therapeutic decision making1 hour

Secondary

MeasureTime frame
Medical history reasoning (required/unnecessary)1 hour
Time allocation to the different phases in solving a VP1 hour

Countries

Sweden

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026