MONDAY 27TH AUGUST 2018 - AMEE
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MONDAY 27TH AUGUST 2018 Reflecting on practice provides meaningful learning; - 4CC: ePosters: Engaging with Prepared learning environment, with instrumental Learning - game-based, problem- materials for the intervention, facilitates transformations in the work processes; It is crucial that students provide based & practice-based examples of good practice by disseminating them in their Location: Kairo 2, Ground Floor, CCB services and municipalities. Date: Monday 27th August Time: 1400-1530 hrs 4CC2 (1736) Using the “Flash Teaching” Model for Prevention of Facial 4CC1 (2363) Pressure Injuries during Nursing Training and Education Pedagogical Approach of the Family Health Specialization Course of the Federal University of Pelotas, Brazil Authors Ching-Uen Huang Authors Shun-Cheng Chang Anaclaudia Gastal Fassa, Federal University of Pelotas, Fu-Yu Wang Pelotas, Brazil Maria Elizabeth Gastal Fassa, Federal University of Pelotas, Presenter: Ching-Uen Huang, Taipei Medical University Pelotas, Brazil Shuang-Ho Hospital, New Taipei City, Taiwan Elaine Tomasi, Federal University of Pelotas, Pelotas, Brazil Luiz Augusto Facchini, Federal University of Pelotas, Pelotas, Background: Facial pressure injury (FPI) is a common and Brazil difficult clinical problem, especially in chronic and long term patients. Effective protection education is an Presenter: Anaclaudia Fassa, Federal University of Pelotas, indispensable part of nursing staff's pressure injury Brazil prevention implementation measures. Using 〝Flash teaching〞model to improve the shortcoming of Background: The strong expansion of the family health traditional teaching method. Clinical staff may memorize strategy teams in Brazil led to the creation of the Open key points in short period of time, which helps them to University of SUS, constituted by Public Universities, to implement the use of clinical protection, and reduce the offer the Specialization Course in Family Health on a large severity of FPI. scale. The course of the Federal University of Pelotas In the past, due to shift work, hospitals or wards need to aimed at training the family health professionals of the gather nursing staff for continuous education, which is SUS, promoting the capacity of management and difficult in practice and the outcomes, promotion and organization of primary health care services (PHC), the implementation respectively, from the education is often institutionalization of health monitoring and evaluation, poor. “Flash teaching” is a method, which key teaching citizenship and social participation and the qualification of points are made into pictures, by using these pictures, clinical practice learners memories are enhanced. Teachers go to wards, The course is structured around an intervention in the give a 15-minute teach section between shift-change. service, focusing on the improvement of the work process Teaching materials are transferred into PDF, uploaded to and clinical practice. Based on the strategic planning, the intranet on each ward for reminder learning. Furthermore, student identifies the problems of his health unit, prepares training seed staff in each ward to perform Flash Teaching an intervention project on a programmatic action typical regularly can reinforce the memories. of PHC, develops the intervention and evaluates it. The “Flash Teaching” was held on wards which needed to face course requires only one face-to-face meeting for the FPI on daily practice, there were total 213 staff and seed presentation of the final paper and the activities are staff trained. The average pre-education test score was 65, asynchronous, valuing the distance learning strategy, the the post score was 90, the average satisfactory score was professional's link with the service and promoting 4.65. The FPI incidence (2013-2015) dropped from 5.1% to reflection on the practice. 2.9%, the injury severity also improved from Grade 3 to 1. 2300 health professionals were trained over a 5-year Teaching method has great impact on learning outcome. period throughout Brazil. Collective health materials for Through innovative “Flash Teaching”, the traditional intervention were developed as questionnaires for group teaching was embarrassed, the new method not situational analysis; sheets with aims, goals, indicators and only utilizes limited time period but also gives nursing staff actions for the planning of interventions; clinical forms and clear images; seed staff have provided consistent clinical automated spreadsheets for individual and population teaching and assistance, FPI incidence and severity have monitoring and interactive clinical cases. The interaction been reduced effectively. with the colleagues and the personalized attention of the Understanding the basic problems and difficulties; with supervisor made possible the deepening of the themes imagination, teaching is unrestricted by time and space, and the exchange of experiences. The materials provided yet it is innovative and effective. great autonomy for the student. This pedagogical approach focused on the training of the professional through the transformation of the service, improving the quality of attention and, in many situations, spreading the ideas to the team and even other health services of the municipality. AMEE 2018 ABSTRACT BOOK 1
MONDAY 27TH AUGUST 2018 4CC3 (2457) 4CC4 (1149) Photo Challenge: An Educational Innovation to Stimulate Pedagotchi 2.0 – a playful learning concept to train Effective Learning in Ophthalmology clinical decision making Authors Authors Sakchai Vongkittirux, Thammasat University, Pathum Thani, Lorenz Grigull, Medical University Hannover, Germany Thailand Urs Mücke, Medical University Hannover, Germany Tayakorn Kupakanjana, Thammasat University, Pathum Ralf Schmidt, gamespired, Uplengen, Germany Thani, Thailand Picha Thunpimon, Thammasat University, Pathum Thani, Presenter: Lorenz Grigull, Medical University, Hannover, Thailand Germany Presenter: Sakchai Vongkittirux, Department of Background: Children learn whilst playing. For adults, Ophthalmology, Faculty of Medicine, Thammasat work and play have been segregated. Recently, the terms University, Pathum Thani, Thailand playful learning or serious gaming (SG) have been introduced. Both describe forms of learning with games or Background: The learning process in Ophthalmology by concepts derived from the game world. In medical emphasizes visual disease manifestations, which can be education, SG is not very common yet despite its potential traced to aspects such as epidemiology, pathophysiology, to provide engaging learning experiences. To train the clinical manifestations and management. However, important clinical decision making we developed a SG for contemporary teaching methods of lecturing are often medical students embedded in a blended learning insufficient for facilitating learning. Additionally, concept. instructors find it difficult to evaluate the knowledge and After focus group discussions we scripted the screenplay understanding of students after lectures. for the game. For students, a game should increase To stimulate effective learning, Ophthalmology residents knowledge, competence, and include challenges. Besides, from the Faculty of Medicine, Thammasat University, rewards and feedback should be provided. From the invented an activity called Photo Challenge. Fifteen educator point of view the system should be easy-to residents from three years of training were randomized manage, technically flexible and open for a range of and divided into five groups to compete in a quiz and medical subspecialties. Likewise, master-characters for discuss different aspects of the disease depicted in the patients (various age-groups and diseases) were created photo. Qualified ophthalmologist instructors score the and an excel-based platform for authors developed. The team’s performance on quality and completion of game was settled in the emergency department. On discussion and provide feedback on the conformity, smartphones or tablets students chose a case, explore the rationale and omissions of the discussion as a team. past medical history, perform a clinical exam and order Ophthalmology residents participating in Photo Challenges blood tests, sonography or X-ray. Finally, the student (- favored the activity and benefited from engaging in the player) is requested to word a diagnosis and possible learning experiences as well as being given opportunities differentials before deciding upon the clinical placement, to practice clinical thinking processes by verbally e.g. hospital admission or ambulatory care. approaching the clinical diagnosis from important findings Despite broad knowledge base, many students express and management of the disease. Instructors are able to difficulties to judge clinically upon a scenario. Therefore, assess their students’ degree of success in learning they appreciate the playful opportunity of a blended- outcomes and provide instant feedback. learning concept to improve decision making. Our SG Photo-Challenge activities, unlike the traditional photo offers the opportunity to transform students into active quiz, are engaging for learners and enable them to learners within a game world that provides various media demonstrate knowledge and skill in clinical thinking, content and instant feedback. From the teachers’ applicable to everyday practice and, in addition, evaluate perspective, important diseases and classical clinical themselves after the quiz. Instructors are able to presentations can be taught and knowledge gaps can be emphasize knowledge and guide clinical thinking relevant identified. to the learning outcomes after each session. It can be SG offers the opportunity to expand the way we teach noted that the Photo Challenge is evidently more suitable clinical decision making in medical education. Embedded for producing intended results than traditional photo quiz in a blended-learning concept it might improve the in Ophthalmology studies. students’ understanding for clinical decision making. For The Photo-Challenge’s success demonstrates a medical teacher, SG offers opportunities of interaction counterpart of a teaching method that emphases visual with the students and transparency of the learning detection of clinical signs and clinical thinking as learning process. outcomes, in context of Ophthalmology learning. Games are fun and instructive. Serious gaming works to Photo Challenge is an educational innovation is suitable for teach clinical reasoning. Ophthalmology learning and is effective for students to achieve learning outcomes as well as gain straightforward assessment from instructors. This teaching method can also be applicable to other studies where photographs are an important element in the learning process. AMEE 2018 ABSTRACT BOOK 2
MONDAY 27TH AUGUST 2018 4CC5 (1912) The Pitch for ‘QUITCH’: Harnessing Mobile Technology to 4CC6 (226) Improve Patient Safety The Application of Gamification in Clinical Teaching - Courses of Quality Management Authors Shereen Ng, Department of General Medicine Tan Tock Seng Authors Hospital, Singapore Jia-Min Wu, Tungs' Taichung MetroHarbor Hospital, Christine Balibadlan, Department of General Medicine Tan Taichung, Taiwan Tock Seng Hospital, Singapore Zhi-Quan Hsu, Tungs' Taichung MetroHarbor Hospital, Kalpana Vijakumar, Department of General Medicine Tan Taichung, Taiwan Tock Seng Hospital, Singapore Hui-Jen Chen, Tungs' Taichung MetroHarbor Hospital, Ranjana Acharya, Department of General Medicine Tan Tock Taichung, Taiwan Seng Hospital, Singapore Chen-Jung Yen, Tungs' Taichung MetroHarbor Hospital, Nihar Pandit, Department of General Medicine Tan Tock Taichung, Taiwan Seng Hospital, Singapore Ching-Shiang Chi, Tungs' Taichung MetroHarbor Hospital, Ung Peck Houy, Department of General Medicine Tan Tock Taichung, Taiwan Seng Hospital, Singapore Presenter: Ching-Shiang Chi, Tungs' Taichung Presenter: Shereen Ng, Department of General Medicine MetroHarbor Hospital, Taichung, Taiwan Tan Tock Seng Hospital, Singapore Background: It is important for medical staffs to use Background: Multiple batches of fresh medical graduates scientific management tools to improve patient safety. rotate through the Department of General Medicine with However, medical staffs often felt very difficult on the very little knowledge of hospital safety protocols. The operation and application of quality management. The ongoing challenge is to ensure the timely delivery of purpose of this project was to apply gamification in clinical hospital specific patient safety knowledge upfront so courses. patient care errors are minimized. As mobile applications Quality management and education team made e-learning and games are now ubiquitous and attractive, we materials on the hospital platform and Youtube, so developed a web-based game on a mobile application learners can learn anytime, anywhere. Teachers have (‘QUITCH’) to teach patient safety. However, does this adapted teaching videos into short and interesting videos. translate to effective patient care? Staffs must complete the online learning and homework A list of must-know information on daily ward duties and before the class. In the classroom, teachers implemented hospital-based safety policies has been translated into a the game using staged descriptions, demonstrations, series of 80 multiple-choice questions on the application exercises, and confirmations. Team competition, group with a gaming element. All new rotating residents will be discussion and brainstorming were conducted. Through enrolled with access to the game on their mobile devices. designed question, members understood how to make the Each set of 8-10 time-sensitive questions are ‘pushed’ daily process more effective in solving problems and for the first 14 days of their rotation. Residents compete internalized quality control practices from the process. against their peers to reap attractive rewards, such as After the course, FB was used to conduct the follow-up badges and points, to get on the ‘QUITCH Leaderboard’. discussion which provided further self-learning Relevant bite sized explanations and material are linked to suggestions to staffs. the questions. The faculty reviews the progress and Before implementing gamification, the willingness to learn reinforces important concepts with the residents in a face was only 45%. After conducting 3 gamification courses to face session after the game. continuously, the willingness was raised to 91%. Members Quantitative and qualitative data are collected on actively formed 12 interprofessional teams. Medical staffs reception, perception and engagement towards learning applied the acquired skills to their daily work and got 9 through mobile gaming. The results will be triangulated to awards through teamwork and improvement tools in see whether this translates to better patient care. external quality competitions in 2017. Prescription errors from High-Alert Medications (insulin, Gamification was a method rather than a goal. Games opioids) are being collected in an ongoing Clinical Practice which need to be designed according to different staffs Improvement Program (CPIP) . We will compare the were used to increase interpersonal communication, medication error rates before and after the deepen the depth of the courses and enhance team implementation of this project. cohesion. Immediate feedback from clinical teachers Data collection has being ongoing from Jan 2018 till Jan engaged learners in setting specific goals and 2019 for each batch for 40 learners ( approx. 240 expectations. Medical staffs involved in improving medical learners). We look forward to the data which will be quality and patient safety could reduce medical risks. We available by August 2018. reformed teaching methods to enhance the professional Harnessing technology with mobile learning and competence and confidence of staffs in quality constantly innovating our teaching methods are key to management. Through well-designed games, staffs sustaining the attention of the busy resident, and understood the meaning and purpose of the work by ultimately to improve the care to our patients. It is our firm solving problems and internalized the skills of quality belief that learning through gaming via ‘QUITCH’ will management. enable us to do this. AMEE 2018 ABSTRACT BOOK 3
MONDAY 27TH AUGUST 2018 Using multiple teaching methods and diverse approaches 4CC8 (3027) to promote learning, staffs can be active, cooperative and Educational or professional competences. The perception studious. Gamification made clinical teaching more of professors of the Clinical department of the Faculty of interesting and meaningful. Medical Sciences of the National University of Littoral 4CC7 (1985) Authors Use illness script theory to teach clinical reasoning skills Miguel Hernán Vicco, Faculty of Medical Sciences, National to nurse practitioners- a pilot study University of Littoral, Argentina Luz María Rodeles, Faculty of Medical Sciencies, National Authors University of Littoral, Argentina Ching-Hsuan Ho Larisa Carrera, Faculty of Medical Sciencies, National Hsin-Yuan Fang University of Littoral, Argentina Hung Yao Chen Presenter: Miguel Hernán Vicco, Faculty of Medical Presenter: Hung Yao Chen, China Medical University Sciencies, National University of Littoral, Santa Fe, Hospital, Taichung, Taiwan Argentina Background: The clinical reasoning is an essential ability Background: Several educators criticize the professional of caring patients for nurse practitioners (NP). competence learning approach referring that it implies an So we developed a case- based approach for developing utilitarian focus as the students are trained according to NP’s clinical skills by using illness script theory and the reference skills that they will need to perform in their conducted a randomized control trial to determine if this future workplace. From this view, they could not be able method was effective. to achieve correctly the process of appropriation of A total of 42 trainees were enrolled in this study in 2017 knowledge by thinking and interpreting the doing and divided randomly as experimental, and control (educational competences). group, 21 trainees in each group. Five trainees in the The Faculty of Medical Sciences of the National University experimental group dropped out because of their personal of Littoral use a problem-based learning curriculum event. For the experimental group, the clinical reasoning encouraging educational training through the skills, and illness script theory were introduced first, and development of educational competences. Considering then start to discuss clinical cases, following a sequence of this, we performed an evaluation of the competences chief complaints, medical history, and physical learning implementation by the professors of the clinical examination. The trainees formed their own clinical department. hypothesis first and then asked the information from the We interviewed 7 tutors, who coordinate 2 student groups tutor. Finally, the trainees wrote down their differential each (10 to 12 students/group). All of them were clinicians, diagnoses and tried to order the relevant laboratory and and received mandatory courses about problem-based image study to confirm the diagnosis. Simultaneously, the and competence-based learning. They were asked about control group underwent traditional class-based training their way of teaching, the concept of competence they program. The effectiveness of intervention was assessed manage, strategies to encourage educational training and using the Diagnostic Thinking Inventory (DTI) and Objetive the development of competences. Standardized Clinical Exams.(OSCE). Only 1 teacher refers to plan ahead the contents to There was no statistically significant difference on total develop in the meeting and try to promote the discussion DTI scores between these two groups , but the total DTI between the students about the case problem, scores of experimental group increased 6 points after encouraging them to pose an adequate clinical approach. training. Trainees in the experimental group had higher The rest of the professors consider that the students flexibility in thinking (86.15 vs 80 ) , and similar in the should obtain the necessary knowledge to practice, so memory structure scores ( 77.92 vs 75.88).The total OSCE they passively pass on information by solving the problem scores of these two groups after training were close. ( situation pointing the main concepts the students must 63.31 vs 61.12 ) But the trainees in the experimental group retain as future professionals. Between their reasons, they had better performance in disease diagnosis (8.13 vs 5.17), refer that they can dedicate a few time to the lessons due and clinical management (4.23 vs 2.98). to their professional medical practice. Also, most of them, Although there was no prominent performance in the despite the training in problem-based and competence- experimental group, the ability of disease diagnosis and based learning, ponder that during the career, the student management in this group slightly empowered after the should learn what they consider useful to practice case-based training program. This implied that this medicine as a clinician. approach might work but there was inadequate training Despite the policy of the Faculty of promoting the time (only 12 hours). development of educational competences, a considerable The new teaching method is better than traditional class- number of professors are still centered in the traditional based training program for developing clinical reasoning concept of professional competence without considering skills. Adequate training hours is important. its limitation. Learning and evaluation approach based on educational competences require to be encouraged through specific training activities directed to professors of our institution. AMEE 2018 ABSTRACT BOOK 4
MONDAY 27TH AUGUST 2018 4CC9 (2479) 4CC10 (3405) Analysis of Verbal Interactions in Case Mapping Phase of The correlation between demographic variables and Problem-Based Learning virtual patient integration in the medical curriculum Authors Authors Bong H. Chang Eleni Dafli, School of Medicine, Aristotle University of Sang H. Yeo Thessaloniki, Thessaloniki, Greece Jang S. Suh Ioannis Fountoukidis, School of Economics, Aristotle Jong M. Lee University of Thessaloniki, Thessaloniki, Greece Jung M. Kim Panagiotis D Bamidis, School of Medicine, Aristotle University of Thessaloniki, Greece Presenter: Sanghee Yeo, Kyungpook National University School of Medicine, Daegu, South Korea Presenter: Eleni Dafli, School of Medicine, Aristotle University of Thessaloniki, Greece Background: Problem-based learning (PBL) has goals which includes clinical reasoning, cooperation, and Background: The opportunities Virtual Patients (VPs) patient-based integration of knowledge. The case provide in modern medical education led to a wide trend mapping in the PBL is an important stage of an integration towards VP creation and use among academic institutions. of knowledge as relevant to the patient's case through Aristotle University of Thessaloniki in an effort for a collaboration and group interactions. The purpose of this comprehensive evaluation of various parameters of the VP study is to investigate the verbal interactions in PBL case integration process aimed to add meaningful knowledge mapping phase. considering the full adoption of VPs. The case mapping phases of the randomly selected two The study included the collection of quantitative and PBL groups in second-year of the Kyungpook National qualitative data, using on line available questionnaires, for University School of Medicine were videotaped and the medical students’ evaluation (n=219). Descriptive analysed. The verbal interactions in the case mapping statistical analysis and factor analysis were performed. were analysed by using the following coding scheme of A correlation of age, sex and year of study with the the utterances: learning-oriented interactions (exploratory evaluation of the medical students’ clinical experience questioning, cumulative reasoning, and handling conflicts with VPs was observed. Male young students of the pre- about knowledge), procedural interactions, and irrelevant clinical years showed a significant preference in VPs. interactions. In the second-year of the curriculum, there is Generally, students of the pre-clinical years show a high one tutorial group meeting per week. In the first meeting, preference in the adoption of VPs as learning activities. A students identify the problem and generate hypotheses decrease of interest for VPs’ curricular adoption in the and learning issues with the guidance of the tutor. In the next years of study was observed, something that was second session, they report what they have studied in the reversed again in the last (6th) year of study. presence of the tutor and do the case mapping on their The preferences of medical students concerning the type own without a tutor. Each group consisted of 7 students of use and integration of VPs in the medical curriculum are and worked on the case of the 'Panic disorder'. presented, sorted according sex, age and year of study. Learning-oriented interactions, procedural interactions The virtual clinical encounters used in this study appear to and irrelevant interactions accounted for 82%, 10%, and 8% be particularly well suited for learning and assessment for of the interactions, respectively. Exploratory questioning, medical students of pre-clinical years of studies, who have cumulative reasoning, and handling conflicts about had limited clinical contact. knowledge accounted for 22%, 50%, and 10% of the learning-oriented interactions, respectively. The task involvement of the students in PBL case mapping session without a tutor was comparatively high. AMEE 2018 ABSTRACT BOOK 5
MONDAY 27TH AUGUST 2018 4CC11 (3514) 4CC12 (2497) Virtual patients in training against medical error: does Problem-based Learning with Virtual Patients: Outcome group dynamics influence outcome? Evaluations Authors Authors Gulmira Abakassova, Karaganda State Medical University, Chin-Ru Ker, Department of Gynecology and Obstetrics, Karaganda, Kazakhstan Kaohsiung Medical University Hospital, Kaohsiung Medical Viktor Riklefs, Karaganda State Medical University, University, Kaohsiung, Taiwan Karaganda, Kazakhstan Jong-Rung Tsai, Department of Respiratory Department, Sholpan Kaliyeva, Karaganda State Medical University, Kaohsiung Medical University, Kaohsiung, Taiwan Karaganda, Kazakhstan Ching-Ju Shen, Department of Gynecology and Obstetrics, Alma Muratova, Karaganda State Medical University, Kaohsiung Medical University Hospital, Kaohsiung Medical Karaganda, Kazakhstan University, Kaohsiung, Taiwan Presenter: Gulmira Abakassova, Karaganda State Medical Presenter: Chin-Ru Ker, Department of Gynecology and University, Karaganda, Kazakhstan Obstetrics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan Background: Erasmus+ CBHE project “Training against medical error” (TAME) aimed to use virtual patients (VP) Background: Problem-based learning (PBL) has been scenarios for clinical PBL with senior year students to help widely adopted in medical education curricula for junior them gain expertise in prevention of medical errors. We students in Taiwan. Students are given pieces of looked into how group dynamics influence student information pertaining to a certain clinical scenario, from perceived ability and experience after exposure to which they develop medical reasoning, inquiries, self- branched General Practice VP cases with medical errors. In directed learning and knowledge exchange in group the first phase of the project covering linear and branched discussions. The learning model aims to increase students’ paediatric cases, we showed that outcomes of branched motivations and skills to acquire knowledge. However, cases could not be explained by case structure only. PBL in this pre-clinical setting is dissociated from clinical Medical teachers created clinical decision-making VP cases reality. It is difficult for students to apply what they using open access platform OpenLabirynth. Team of GP practiced in PBL years before to real patients when they teachers carefully analysed possible medical errors in their later advanced to clinical works. Furthermore, students practice and designed the VP cases. The responses were lack the opportunities to practice hand-on skills because collected from 60 students gathered into 7 groups after clinical cues are delivered passively. each case using non-anonymous online questionnaire. The We designed a modified learning strategy—PBL with survey aimed evaluating personal experience, perceived virtual patients (PBL-VP) to improve s clinical attachments abilities, mental effort and emotional reactions. The factor that was missing in the conventional PBL. The tested new analysis confirmed the presence of 5 factors with learning model was implemented into the curriculum of emotional reactions divided into positive and negative 100 senior medical students. Basic gynecology/obstetric ones. MANOVA of factor scores produced no significant clerkship curricula were maintained, but some core differences between cases, but there were significance lectures were replaced by PBL-VP in a four-week program. differences between groups of students. Students acquire relevant medical history from virtual Cluster analysis revealed 5 reaction modes to cases: more patients vial online learning platform in their first than 50% of responses showed high positive experience, encounter, after which they participate PBL group perceived ability and mental effort against low emotional discussions for composing their next steps. Further reaction; in 30%, there were high emotionality, positive laboratory or imaging study results were offered by the experience and mental effort, but low perceived ability; in virtual patients in the second encounter. Learning
MONDAY 27TH AUGUST 2018 4CC13 (3413) Strategy of medical education in home care using immersive Virtual Reality Authors Alessandra Dahmer, UNA-SUS/UFCSPA, Porto Alegre, Brazil Rodrigo Alves Tubelo, UNA-SUS/UFCSPA, Porto Alegre, Brazil Eduardo José Zanatta, UNA-SUS/UFCSPA, Porto Alegre, Brazil Juliano Machado Padilha, UNA-SUS/UFCSPA, Porto Alegre, Brazil Fulvia Spohr, UNA-SUS/UFCSPA, Porto Alegre, Brazil Maria Eugênia Bresolin Pinto, UNA-SUS/UFCSPA, Porto Alegre, Brazil Presenter: Alessandra Dahmer, UNA-SUS/UFCSPA, Porto Alegre, Brazil Background: The use of Immersive Virtual Reality (IVR) in medical education remains a challenge for educators. The process to create educational resources applying this technology requires pedagogical knowledge as well comprehension regarding the digital resources provided by IVR. Therefore, the purpose of this work was to develop a teaching strategy using an Immersive Virtual Reality Game directed towards home care teaching for undergraduate medical students. Firstly, a survey of all existing educational contents in regard to home care medicine has been carried out. The topics that proved to be the most difficult ones to be developed in the classroom have been selected. A physician selected the topics and those were discussed along with educators, designers, and game developers. The educational topics addressed refer to home cleanliness, psychological care of the caretakers, special care for bed-ridden patients and orientations for feeding patients in the home environment. The educational resource was available by wearing IVR goggles. The transformation of a traditional educational topic into a serious game requires a multi-disciplinary team, which ought to include health professionals, educators, and computer experts. The discussions were held in order to achieve learning goals and simultaneously turn the game into a pleasant experience for users, resulting in the exchange of experiences among professionals, which may lead to an educational resource with a higher level of quality. The IVR game developed may be used as a supplementary tool in the teaching-learning process involving undergraduate medical students with regard to practical activities in Home Care. The use of technology in healthcare education must be encouraged among healthcare educators. The current generation tends to transcend traditional teaching resources, and IVR is suitable for learning contents in which the environment interferes the clinical conduct. AMEE 2018 ABSTRACT BOOK 7
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