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Updated: May 24, 2026

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Iterative Design of an Educational Telemedicine Simulation: Addressing Usability Issues to Enhance the Simulation.

Helen Monkman1,2, Juell Homco2, Karalane Bellavia2

  • 1School of Health Information Science, University of Victoria, Canada.

Studies in Health Technology and Informatics
|May 23, 2026
PubMed
Summary

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This summary is machine-generated.

Usability testing improved a telemedicine simulation for gestational hypertension training. This enhances faculty

Area of Science:

  • Medical Education
  • Simulation Technology
  • Telemedicine

Background:

  • Simulations provide safe environments for medical students to practice clinical and telemedicine skills.
  • Previous usability testing (Round 1) identified areas for improvement in a gestational hypertension telemedicine simulation.

Purpose of the Study:

  • To assess if faculty observers can evaluate learner performance using a revised rubric in the updated simulation.
  • To identify remaining issues within the simulation scenario, technology, or evaluation rubric.

Main Methods:

  • Revised the gestational hypertension telemedicine simulation based on Round 1 findings.
  • Conducted a second usability test (Round 2; n=6) with the revised simulation and evaluation rubric.
  • Faculty observers assessed learner performance using the evaluation rubric.
Keywords:
Telemedicineclinical educationclinical skillsgraduate medical educationmaternal health servicespatient simulationusability

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Main Results:

  • Improvements were noted in the evaluation rubric, with fewer instances where faculty could not assess performance (decreased from 4 to 1).
  • New issues were identified, leading to further simulation revisions (e.g., increased gestational age, added lab data).

Conclusions:

  • Usability testing is an effective, low-resource method for rapidly improving educational simulation quality.
  • Improved simulations increase the likelihood of accurate faculty evaluation of learner performance.
  • High-quality simulations can boost practitioner confidence and adoption of telemedicine in specialties like OBGYN.