虚拟标准化病人在医学教育中的应用与研究进展

doi:10.3760/cma.j.cn115259-20230414-00390

中华医学教育杂志 ›› 2024, Vol. 44 ›› Issue (4): 294-298.DOI: 10.3760/cma.j.cn115259-20230414-00390

虚拟标准化病人在医学教育中的应用与研究进展

孙雨哲¹, 王宪娥², 侯建霞²

¹北京大学医学部2017级八年制口腔医学专业学生,北京 100081;
²北京大学口腔医学院·口腔医院牙周科北京大学口腔医院虚拟仿真教研室国家口腔疾病临床医学研究中心口腔数字化医疗技术和材料国家工程实验室口腔数字医学北京市重点实验室,北京 100081

收稿日期:2023-04-14 出版日期:2024-04-01 发布日期:2024-03-29
通讯作者: 侯建霞, Email: jxhou@163.com
基金资助:
北京大学医学部教育教学研究项目(2020YB41)

Application and research progress of virtual standardized patients in medical education

Sun Yuzhe¹, Wang Xian'e², Hou Jianxia²

¹Eight-year Program of Stomatology, Enrolled in 2017, Peking University Health Science Center, Beijing 100081, China;
²Department of Periodontology, Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China

Received:2023-04-14 Online:2024-04-01 Published:2024-03-29
Contact: Hou Jianxia, Email: jxhou@163.com
Supported by:
Education and Teaching Research Project of Peking University Health Science Center (2020YB41)

摘要/Abstract

摘要： 标准化病人作为医学教育教学与考核中一种重要的方法,面临着招募、培训、维护等多重困难。随着虚拟现实等技术的迅猛发展与广泛应用,虚拟标准化病人正在逐渐进入医学教育领域,它兼具标准化病人与虚拟现实技术的优点,能够有效地解决标准化病人在应用过程中所面临的困难,弥补标准化病人的不足。本文对虚拟标准化病人在医学教育中的应用与研究进展进行梳理,主要介绍了虚拟标准化病人的产生背景、在医学教育各领域中的应用和初步评价、开发技术等,以期为虚拟标准化病人的研发和应用提供参考。

关键词: 病人模拟, 医学教育, 虚拟标准化病人, 虚拟现实, 研究进展

Abstract: Standardized patients play an important role in medical education and assessment, but encounter multiple challenges in recruitment, training and maintenance. The field of medical education is gradually incorporating virtual standardized patients due to the rapid development and widespread application of virtual reality technology. By combining the benefits of standardized patients with virtual reality technology, virtual standardized patients is possible to effectively address the challenges associated with standardized patients. In order to provide a reference for further development and applications, this paper reviews the application and research progress of virtual standardized patients in medical education, and introduces the background of the emergence of virtual standardized patients, their application, preliminary evaluation and technologies in various fields of medical education.

Key words: Patient simulation, Medical education, Virtual standardized patients, Virtual reality, Research progress

中图分类号:

R-05

孙雨哲, 王宪娥, 侯建霞. 虚拟标准化病人在医学教育中的应用与研究进展[J]. 中华医学教育杂志, 2024, 44(4): 294-298.

Sun Yuzhe, Wang Xian'e, Hou Jianxia. Application and research progress of virtual standardized patients in medical education[J]. Chinese Journal of Medical Education, 2024, 44(4): 294-298.

参考文献

[1] Fidler BD. Use of a virtual patient simulation program to enhance the physical assessment and medical history taking skills of doctor of pharmacy students[J]. Curr Pharm Teach Learn, 2020,12(7):810-816. DOI: 10.1016/j.cptl.2020.02.008.
[2] Barrows HS. An overview of the uses of standardized patients for teaching and evaluating clinical skills. AAMC[J]. Acad Med, 1993,68(6):443-451. DOI: 10.1097/00001888-199306000-00002.
[3] Talbot TB, Sagae K, John B, et al. Sorting out the virtual patient: how to exploit artificial intelligence,game technology and sound educational practices to create engaging role-playing simulations[J]. International Journal of Gaming and Computer-Mediated Simulations, 2012,4(3):1-19. DOI: 10.4018/jgcms.2012070101.
[4] Barrows HS. Simulated patients in medical teaching[J]. Can Med Assoc J, 1968,98(14):674-676.
[5] 曹德品, 杨立斌. 医学教育课程改革的回顾与反思——以哈尔滨医科大学教学改革为例[J].中国高等医学教育,2011(1):30-31,49. DOI: 10.3969/j.issn.1002-1701.2011.01.014.
[6] Cleland JA, Abe K, Rethans JJ. The use of simulated patients in medical education: AMEE Guide No 42[J]. Med Teach, 2009,31(6):477-486. DOI: 10.1080/01421590903002821.
[7] Barrows HS, Abrahamson S. The programmed patient: a technique for appraising student performance in clinical neurology[J]. J Med Educ, 1964,39:802-805.
[8] Boulet JR, Smee SM, Dillon GF, et al. The use of standardized patient assessments for certification and licensure decisions[J]. Simul Healthc, 2009,4(1):35-42. DOI: 10.1097/SIH.0b013e318182fc6c.
[9] Cantillon P, Stewart B, Haeck K, et al. Simulated patient programmes in Europe: collegiality or separate development?[J]. Med Teach, 2010,32(3):e106-110. DOI: 10.3109/01421590903389090.
[10] Block L, Brenner J, Conigliaro J, et al. Perceptions of a longitudinal standardized patient experience by standardized patients, medical students, and faculty[J]. Med Educ Online, 2018,23(1):1548244. DOI: 10.1080/10872981.2018.1548244.
[11] 胡露露, 龚忠诚, 尹小朋, 等. 简易标准化病人与基于问题学习相结合在口腔颌面外科学教学中的应用[J].中华医学教育杂志,2018,38(2):249-252. DOI: 10.3760/cma.j.issn.1673-677X.2018.02.019.
[12] Khan KZ, Gaunt K, Ramachandran S, et al. The objective structured clinical examination (OSCE): AMEE Guide No. 81. Part II: organisation & administration[J]. Med Teach, 2013,35(9):e1447-1463. DOI: 10.3109/0142159X.2013.818635.
[13] 黄华, 陈勇, 季晓辉. 南京医科大学标准化病人队伍的建设及其应用与管理[J].中华医学教育杂志,2012,32(4):566-569. DOI: 10.3760/cma.j.issn.1673-677X.2012.04.032.
[14] Information Resources Management Association. Clinical technologies: concepts, methodologies, tools and applications[M]. Hershey: IGI Global, 2011:201-221.
[15] 邹扬. 客观结构化临床技能考试(OSCE)中信度的相关研究[D]. 上海:复旦大学, 2009.
[16] Berman NB, Durning SJ, Fischer MR, et al. The role for virtual patients in the future of medical education[J]. Acad Med, 2016,91(9):1217-1222. DOI: 10.1097/ACM.0000000000001146.
[17] Kononowicz AA, Zary N, Edelbring S, et al. Virtual patients--what are we talking about? a framework to classify the meanings of the term in healthcare education[J]. BMC Med Educ, 2015,15:11. DOI: 10.1186/s12909-015-0296-3.
[18] Hubal RC, Kizakevich PN, Guinn CI, et al. The virtual standardized patient. simulated patient-practitioner dialog for patient interview training[J]. Stud Health Technol Inform, 2000,70:133-138.
[19] Pérez-Marín D, Pascual-Nieto I. Conversational agents and natural language interaction: techniques and effective practices[M]. Hershey: IGI Global, 2011:254-281.
[20] Huang G, Reynolds R, Candler C. Virtual patient simulation at US and Canadian medical schools[J]. Acad Med, 2007,82(5):446-451. DOI: 10.1097/ACM.0b013e31803e8a0a.
[21] Foronda C, Budhathoki C, Salani D. Use of multiuser, high-fidelity virtual simulation to teach leadership styles to nursing students[J]. Nurse Educ, 2014,39(5):209-211. DOI: 10.1097/NNE.0000000000000073.
[22] Foronda C, Gattamorta K, Snowden K, et al. Use of virtual clinical simulation to improve communication skills of baccalaureate nursing students: a pilot study[J]. Nurse Educ Today, 2014,34(6):e53-57. DOI: 10.1016/j.nedt.2013.10.007.
[23] Foronda C, Lippincott C, Gattamorta K. Evaluation of virtual simulation in a master's-level nurse education certificate program[J]. Comput Inform Nurs, 2014,32(11):516-522. DOI: 10.1097/CIN.0000000000000102.
[24] Hauze SW, Hoyt HH, Frazee JP, et al. Enhancing nursing education through affordable and realistic holographic mixed reality: the virtual standardized patient for clinical simulation[J]. Adv Exp Med Biol, 2019,1120:1-13. DOI: 10.1007/978-3-030-06070-1_1.
[25] Triola M, Feldman H, Kalet AL, et al. A randomized trial of teaching clinical skills using virtual and live standardized patients[J]. J Gen Intern Med, 2006,21(5):424-429. DOI: 10.1111/j.1525-1497.2006.00421.x.
[26] Rakofsky JJ, Talbot TB, Dunlop BW. A virtual standardized patient-based assessment tool to evaluate psychiatric residents' psychopharmacology proficiency[J]. Acad Psychiatry, 2020,44(6):693-700. DOI: 10.1007/s40596-020-01286-x.
[27] 南京大学口腔医学院. 口腔OSCE信息化平台再升级——虚拟仿真SP+智能化考务系统首次助力江苏省口腔住院医师规培结业技能考试[EB/OL]. (2020-07-26)[2023-02-14]. http://njuss.njkq.net/tzgg/detail.aspx?id=56.
[28] Reger GM, Norr AM, Gramlich MA, et al. Virtual standardized patients for mental health education[J]. Curr Psychiatry Rep, 2021,23(9):57. DOI: 10.1007/s11920-021-01273-5.
[29] Hege I, Kononowicz AA, Tolks D, et al. A qualitative analysis of virtual patient descriptions in healthcare education based on a systematic literature review[J]. BMC Med Educ, 2016,16:146. DOI: 10.1186/s12909-016-0655-8.
[30] Padilha JM, Machado PP, Ribeiro A, et al. Clinical virtual simulation in nursing education: randomized controlled trial[J]. J Med Internet Res, 2019,21(3):e11529. DOI: 10.2196/11529.
[31] Smith MA, Siemianowski LA, Benedict N. Virtual patient case sharing across two schools of pharmacy[J]. Am J Pharm Educ, 2016,80(9):153. DOI: 10.5688/ajpe809153.
[32] Ferdig RE, Schottke K, Rivera-Gutierrez D, et al. Assessing past, present, and future interactions with virtual patients[J]. International Journal of Gaming and Computer-Mediated Simulations, 2012,4(3):20-37. DOI:10.4018/jgcms.2012070102.
[33] Kononowicz AA, Woodham LA, Edelbring S, et al. Virtual patient simulations in health professions education: systematic review and meta-analysis by the digital health education collaboration[J]. J Med Internet Res, 2019,21(7):e14676. DOI: 10.2196/14676.
[34] Dubbels B. Exploring the cognitive, social, cultural, and psychological aspects of gaming and simulations[M]. Hershey: IGI Global, 2019:62-86.
[35] Talbot TB, Kalisch N, Christoffersen K, et al. Natural language understanding performance & use considerations in virtual medical encounters[J]. Stud Health Technol Inform, 2016,220:407-413.
[36] Bond WF, Lynch TJ, Mischler MJ, et al. Virtual standardized patient simulation: case development and pilot application to high-value care[J]. Simul Healthc, 2019,14(4):241-250. DOI: 10.1097/SIH.0000000000000373.
[37] Talbot TB. Balancing physiology, anatomy and immersion: how much biological fidelity is necessary in a medical simulation?[J]. Mil Med, 2013,178(10 Suppl):28-36. DOI: 10.7205/MILMED-D-13-00212.
[38] DeVault D, Artstein R, Benn G, et al. SimSensei Kiosk: a virtual human interviewer for healthcare decision suppor[EB/OL]. (2014-05-05)[2023-08-30].https://dl.acm.org/doi/epdf/10.5555/2615731.2617415.
[39] Taylor S, Kim T, Yue Y, et al. A deep learning approach for generalized speech animation[J]. Acm Transactions on Graphics, 2017,36(4):93. DOI: 10.1145/3072959.3073699.
[40] Lineberry M, Dev P, Lane HC, et al. Learner-adaptive educational technology for simulation in healthcare: foundations and opportunities[J]. Simul Healthc, 2018,13(3S Suppl 1):S21-S27. DOI: 10.1097/SIH.0000000000000274.
[41] Song W, Hou X, Li S, et al. An intelligent virtual standard patient for medical students training based on oral knowledge graph[J]. IEEE Transactions on Multimedia, 2023, 25:6132-6145. DOI: 10.1109/TMM.2022.3205456.

虚拟标准化病人在医学教育中的应用与研究进展

Application and research progress of virtual standardized patients in medical education

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	闫景瑞, 邓为民, 张士杰, 墨晶, 温克, 于骊. 基础医学教育阶段核心课程知识图谱的构建与应用[J]. 中华医学教育杂志, 2024, 44(3): 176-179.
[2]	孙健, 李琳娜, 田雪, 付玉萍, 李珺, 高航. 基于置信职业行为的皮肤科住院医师规范化培训课程建设研究与实践[J]. 中华医学教育杂志, 2024, 44(2): 141-146.
[3]	赵心亮, 李慧, 毛一卿, 田广明, 铁璐. 增强现实技术在基础医学实验教学中的应用前景[J]. 中华医学教育杂志, 2023, 43(9): 688-691.
[4]	陈心航, 陈伟英, 陈星, 朱琳, 吴红斌. 来华医学留学生教育研究的热点与趋势分析[J]. 中华医学教育杂志, 2023, 43(8): 578-582.
[5]	刘禹彤, 闻德亮. 日本医学教育典型核心课程指南的演变与启示[J]. 中华医学教育杂志, 2023, 43(8): 638-640.
[6]	曲慧, 郭燕, 张伟. 叙事医学教育对耳鼻喉科住院医师共情和沟通能力培养的探讨[J]. 中华医学教育杂志, 2023, 43(7): 494-497.
[7]	张博文, 阮昱清, 凯丽比努尔·喀依木, 赵阳, 李鸿鹤. 基于医学生自主学习能力的教育资源推荐系统需求偏好研究[J]. 中华医学教育杂志, 2023, 43(4): 245-249.
[8]	袁娜, 吴宇峰. 我国高等医学教育领域课程思政研究的文献计量学分析[J]. 中华医学教育杂志, 2023, 43(4): 255-258.
[9]	容晓莹, 徐懋, 姚优修, 宗亚楠, 贾茜茜, 曲音音. 交互画像法在麻醉学见习教学中的应用[J]. 中华医学教育杂志, 2023, 43(3): 182-185.
[10]	栗昕, 黄竞卓, 谢佳君, 李雪, 曾硕, 何勇涛, 黄国琼. 医学慕课评价指标体系构建研究[J]. 中华医学教育杂志, 2023, 43(3): 231-235.
[11]	李海潮, 齐心, 吴红斌. 医学教育全过程视角下院校教育阶段教学改革的思考与实践[J]. 中华医学教育杂志, 2023, 43(2): 81-85.
[12]	刘喆, 刘林, 周文静, 江哲涵, 齐建光, 闫辉, 李海潮, 齐心. 住院医师置信职业行为量表在住培评价中的应用探索[J]. 中华医学教育杂志, 2023, 43(2): 156-160.
[13]	闻德亮, 李鸿鹤, 宋鑫智. 基于科学引文数据库的医学教育研究前沿分析(2023)[J]. 中华医学教育杂志, 2023, 43(12): 881-886.
[14]	白朝辉, 葛许华. 全科医学虚拟教研室建设思路探析[J]. 中华医学教育杂志, 2023, 43(1): 1-4.
[15]	曲巍, 吴凡, 李立明, 姜兆权, 李红玉. 教育扶贫背景下基层医师岗位胜任能力培训的探索[J]. 中华医学教育杂志, 2023, 43(1): 49-52.