The application and advances of computer-based case simulations in American medical education

doi:10.3760/cma.j.issn.1673-677X.2018.04.035

Abstract

Abstract: With the development of computer technology and simulative technology, computer-based case simulations (CCS) are widely used in medical education, which plays a more and more important role in the evaluation and education of medical students' clinical competency. American National Board of Medical Examiners has done a lot of work to test the reliability and validity of CCS, scoring method, influencing factors, and the operational behavior of examinees. In 1999 , computer-based case simulations formally began to apply in the United States Medical Licensing Examination (USMLE).In recent years, some colleges and universities in the United States have begun to research and develop operating systems similar to that of CCS, used for teaching and evaluation on the clinical competence of medical students.

Key words: American medical education, Examination, Computer-based case simulations, Clinical competence evaluation

Yang Chunhui, Zhu Yaxin, Qu Bo. The application and advances of computer-based case simulations in American medical education[J]. Chinese Journal of Medical Education, 2018, 38(4): 634-640.

References

[1] Scheuneman JD, Van Fan Y, Clyman SG.An investigation of the difficulty of computer-based case simulations[J]. Med Educ,1998,32(2):150-158.
[2] Dillon GF, Clyman SG, Clauser BE, et al.The introduction of computer-based case simulations into the United States medical licensing examination[J]. Acad Med, 2002,77(10 Suppl):S94-S96.
[3] Dillon GF, Clauser BE.Computer-delivered patient simulations in the United States Medical Licensing Examination (USMLE)[J]. Simul Healthc, 2009,4(1):30-34. DOI:10.097/SIH.0b013e3181880484.
[4] Clauser BE, Margolis MJ, Swanson DB.An examination of the contribution of computer-based case simulations to the USMLE step 3 examination[J]. Acad Med, 2002,77(10 Suppl):S80-S82.
[5] Margolis MJ, Clauser BE, Harik P, et al.Examining subgroup differences on the computer-based case-simulation component of USMLE step 3[J]. Acad Med, 2002,77(10 Suppl):S83-S85.
[6] Lynch TG, Zadalis RJ, Schneider PD.Repeated use of computerized case simulations in a test format does not present a security risk[J]. Am J Surg, 1999,177(3):270-273.
[7] Lynch TG, Schneider PD.Availability of content information does not improve performance on computerized case simulations[J]. Am J Surg, 2000,179(6):472-475.
[8] Margolis MJ, Clauser BE, Harik P.Scoring the computer-based case simulation component of USMLE step 3: A comparison of preoperational and operational data[J]. Acad Med, 2004,79(10 Suppl):S62-S64.
[9] Feinberg RA, Swygert KA, Haist SA, et al.The impact of postgraduate training on USMLE ® step 3 ® and its computer-based case simulation component[J]. J Gen Intern Med, 2012,27(1):65-70. DOI: 10.1007/s11606-011-1835-1.
[10] Floreck LM, Guernsey MJ, Clyman SG, et al.Examinee performance on computer-based case simulations as part of the USMLE step 3 examination: Are examinees ordering dangerous actions[J]? Acad Med, 2002,77(10 Suppl):S77-S79.
[11] Harik P, Cuddy MM, O'Donovan S, et al.Assessing potentially dangerous medical actions with the computer-based case simulation portion of the USMLE step 3 examination[J]. Acad Med, 2009,84(10 Suppl):S79-S82. DOI:10.1097/ACM.0b013e3181b379bc.
[12] Sample L, Laduca T, Leung C, et al.Comparing patient-management skills of referred physicians and non-referred physicians on a computer-based case-simulation examination[J]. Acad Med, 2001,76(10 Suppl):S24-S26.
[13] Schauer GF, Robinson DJ, Patel VL.Right diagnosis, wrong care: Patient management reasoning errors in emergency care computer-based case simulations[J]. AMIA Annu Symp Proc, 2011:1224-1232.
[14] Feldman MJ, Barnett GO, Link DA, et al.Evaluation of the clinical assessment project: A computer-based multimedia tool to assess problem-solving ability in medical students[J]. Pediatrics, 2006,118(4):1380-1387. DOI:10.1542/peds.2006-0326.
[15] Kreiter CD, Haugen T, Leaven T, et al.A report on the piloting of a novel computer-based medical case simulation for teaching and formative assessment of diagnostic laboratory testing[J]. Med Educ Online, 2011,16. DOI:10.3402/meo.v16i0.5646.
[16] Dong T, Kelly W, Hays M, et al.An investigation of professionalism reflected by student comments on formative virtual patient encounters[J]. BMC Med Educ,2017,17(1):3.