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Evaluating medical student engagement during virtual patient simulations: a sequential, mixed methods study.

Lise McCoy1, Robin K Pettit2, Joy H Lewis2

  • 1A.T. Still University, School of Osteopathic Medicine in Arizona, 5850 E. Still Circle, Mesa, AZ, 85206, USA. lmccoy@atsu.edu.

BMC Medical Education
|January 18, 2016
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Summary

Virtual patient simulations (VPS) effectively increase medical student engagement by fostering flow, interest, and relevance. This study demonstrates VPS as a valuable tool for enhancing learning experiences in medical education.

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Area of Science:

  • Medical Education
  • Health Professions Education
  • Simulation-Based Learning

Background:

  • Student engagement is crucial in medical education but challenging to quantify.
  • Virtual patient simulations (VPS) offer a potential solution for measuring and enhancing engagement.
  • This study investigated the utility of VPS for medical student engagement at ATSU-SOMA.

Purpose of the Study:

  • To investigate the utility of virtual patient simulations (VPS) for increasing medical student engagement.
  • To explore how and to what extent VPS foster student engagement.
  • To assess the impact of VPS on flow, interest, and relevance in medical students.

Main Methods:

  • 108 first-year medical students participated in team-based virtual patient case studies.
  • Engagement was measured through observations, photographs, tutor feedback, and exit surveys.
  • Qualitative data were analyzed using a grounded theory approach.

Main Results:

  • VPS fostered engagement by promoting flow (student absorption) and interest (enjoyment, discussion).
  • Students found VPS relevant for clinical practice, exam preparation, and decision-making feedback.
  • Cognitive dissonance was noted due to excessive text and environmental noise.

Conclusions:

  • Virtual patient simulations were successfully integrated into the medical curriculum.
  • VPS enhance medical student engagement through improved flow, interest, and perceived relevance.
  • Findings informed improvements in VPS learning modules and implementation strategies.