Morningstar-Kywi Noam, Kim Rory E
Department of Clinical Pharmacy, School of Pharmacy, University of Southern California, 1985 Zonal Ave, Los Angeles, CA 90089 USA.
Med Sci Educ. 2021 Feb 23;31(2):687-695. doi: 10.1007/s40670-021-01245-7. eCollection 2021 Apr.
Teaching of clinical decision-making is an important component of health professions education. Patient case examples are widely used in didactic coursework to teach this material, but engaging all learners in large, lecture-based courses remains a challenge. Interactive fiction (IF), a digital choose-your-own-adventure media, provides an accessible way for students to individually explore the narrative of a patient-case in a safe environment. Here, we report the development of interactive, digital patient-cases (eCases) using Twine, a free IF development platform. Fourteen eCases were developed in collaboration with 11 faculty members and were used in seven different PharmD courses over three semesters. eCase content was developed by faculty members for their respective instructional topics and accessed via Web browsers on students' personal electronic devices. eCases were received positively by students, with > 90% of students reporting that eCases were easy to use, helped them learn the material at their own pace, and gave them an opportunity to learn from mistakes. Student self-perceived confidence also increased significantly after eCase use. Faculty reported that eCases took more time to develop than conventional cases, but were easier to deliver and provided better student engagement. IF is an accessible media for creating and delivering low-fidelity interactive patient cases that can engage all students in a large class. eCases allow students to apply their knowledge, practice clinical decision-making, and safely learn from their mistakes. eCases are versatile and well suited for both in-person and virtual teaching across a variety of health professions programs to teach clinical decision-making.
The online version contains supplementary material available at 10.1007/s40670-021-01245-7.
临床决策教学是健康职业教育的重要组成部分。患者案例示例广泛用于教学课程中以教授此内容，但在大型讲座式课程中让所有学习者参与仍然是一项挑战。交互式小说（IF）是一种数字式“选择你自己的冒险”媒体，为学生提供了一种在安全环境中单独探索患者案例叙事的便捷方式。在此，我们报告了使用免费的IF开发平台Twine开发交互式数字患者案例（电子案例）的情况。与11名教员合作开发了14个电子案例，并在三个学期的七门不同药学博士课程中使用。电子案例内容由教员针对各自的教学主题开发，并通过学生个人电子设备上的网络浏览器访问。学生对电子案例评价良好，超过90%的学生报告称电子案例易于使用，有助于他们按照自己的节奏学习材料，并让他们有机会从错误中学习。使用电子案例后，学生自我感知的信心也显著增强。教员报告称，开发电子案例比传统案例花费的时间更多，但更容易交付，且能提高学生的参与度。IF是一种便于创建和交付低保真度交互式患者案例的媒体，可让大班中的所有学生参与其中。电子案例使学生能够应用他们的知识，练习临床决策，并安全地从错误中学习。电子案例用途广泛，非常适合在各种健康职业项目中进行面对面和虚拟教学，以教授临床决策。
在线版本包含可在10.1007/s40670-021-01245-7获取的补充材料。
