1 TEACHING PEDIATRIC PERITONEAL DIALYSIS THROUGH SERIOUS GAMING: DEVELOPMENT AND FORMATIVE EVALUATION OF AN ONLINE VIRTUAL SIMULATOR Aleksandra E Olszewski, B.S. a , Daniel Hames, M.D. b , Mignon McCulloch, M.D. c , Deborah Stein, M.D. d , Sharon Su, M.D. e , and Traci A. Wolbrink, M.D., M.P.H. a a Division of Critical Care Medicine, Department of Anesthesia, Perioperative and Pain Management, Children’s Hospital Boston and the Department of Anesthesia, Harvard Medical School, Boston, MA, USA, b Department of Pediatrics, Boston Children’s Hospital, Boston, c Departments of Nephrology and Paediatric Critical Care, Red Cross Children’s Hospital, Cape Town, d Department of Nephrology, Boston Children’s Hospital, Boston, e Department of Nephrology, Randall Children’s Hospital, Portland
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1 TEACHING PEDIATRIC PERITONEAL DIALYSIS THROUGH SERIOUS GAMING: DEVELOPMENT AND FORMATIVE EVALUATION OF AN ONLINE VIRTUAL SIMULATOR Aleksandra E Olszewski,
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TEACHING PEDIATRIC PERITONEAL DIALYSIS THROUGH SERIOUS GAMING: DEVELOPMENT AND FORMATIVE EVALUATION OF AN ONLINE VIRTUAL SIMULATOR
Aleksandra E Olszewski, B.S.a, Daniel Hames, M.D.b, Mignon McCulloch, M.D.c, Deborah Stein, M.D.d, Sharon Su, M.D.e, and Traci A. Wolbrink, M.D., M.P.H.a
a Division of Critical Care Medicine, Department of Anesthesia, Perioperative and Pain Management, Children’s Hospital Boston and the Department of Anesthesia, Harvard Medical School, Boston, MA, USA, b Department of Pediatrics, Boston Children’s Hospital, Boston,c Departments of Nephrology and Paediatric Critical Care, Red Cross Children’s Hospital, Cape Town, d Department of Nephrology, Boston Children’s Hospital, Boston, e Department of Nephrology, Randall Children’s Hospital, Portland
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Disclosures
• I have no financial relationships to disclose.
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The context
Declining interest in
nephrology1
New generation of learners2
Need for new
teaching strategies
1. Rosner, M, Parker, M, Kohan, D. Nephrology as a career choice: A survey of medical students. J Am Soc Nephrol 2009;20:767A:SA-PO2867
2. Roberts, DH, Newman, LR, Schwartzstein, RM, Twelve tips for facilitating Millenials’ leanring. Med Teach 2012;34:274- 278.
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Serious games: benefits
For the developer
• Scalability• Distributability• Relative cost• Reusability of materials• Mobile delivery
For the educator
• Augmentation of reality• Manipulation of time• Standardization of
content and assessment• Automated assessment• Opportunity to build on
learning through discreet tasks and levels
• Incorporate adult learning principles
For the learner
• Fun and interactive interface
• Engage through competition
• Practice of relevant skills in a safe way
• Accessibility when convenient and useful
• Capacity for repetition• Self-pacing• Immediate feedback• Anonymity• Expertise developed
through levels
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Development
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Development
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Development
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Development
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Development
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Quality Testing
Think Aloud Protocol testing
Likert scale system usability scale (SUS) surveys
Thirteen subjects : students, fellows, residents, attendings, and nurses
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Quality Testing Results
Survey ResultsOn a 5-point Likert scale, average ratings were:• Usefulness: 4.885 • Enjoyment: 4.538 • Interest in future use: 4.923 • Clarity of directions: 4.577 • Utility of feedback: 4.692
Thank youTo Paul Devlin and Robert Brecher of Genuine Interactive, for their creativity and
hard work.
To Traci Wolbrink, Daniel Hames, Mignon McCulloch, Deborah Stein, and Sharon Su, our global team of physicians, for their invaluable expertise and teaching.