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      Developing interprofessional health competencies in a virtual world

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          Abstract

          Background

          Virtual worlds provide a promising means of delivering simulations for developing interprofessional health skills. However, developing and implementing a virtual world simulation is a challenging process, in part because of the novelty of virtual worlds as a simulation platform and also because of the degree of collaboration required among technical and subject experts. Thus, it can be difficult to ensure that the simulation is both technically satisfactory and educationally appropriate.

          Methods

          To address this challenge, we propose the use of de Freitas and Oliver's four-dimensional framework as a means of guiding the development process. We give an overview of the framework and describe how its principles can be applied to the development of virtual world simulations.

          Results

          We present two virtual world simulation pilot projects that adopted this approach, and describe our development experience in these projects. We directly connect this experience to the four-dimensional framework, thus validating the framework's applicability to the projects and to the context of virtual world simulations in general.

          Conclusions

          We present a series of recommendations for developing virtual world simulations for interprofessional health education. These recommendations are based on the four-dimensional framework and are also informed by our experience with the pilot projects.

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          Most cited references35

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          Risk of venous thromboembolism in people admitted to hospital with selected immune-mediated diseases: record-linkage study

          Background Venous thromboembolism (VTE) is a common complication during and after a hospital admission. Although it is mainly considered a complication of surgery, it often occurs in people who have not undergone surgery, with recent evidence suggesting that immune-mediated diseases may play a role in VTE risk. We, therefore, decided to study the risk of deep vein thrombosis (DVT) and pulmonary embolism (PE) in people admitted to hospital with a range of immune-mediated diseases. Methods We analysed databases of linked statistical records of hospital admissions and death certificates for the Oxford Record Linkage Study area (ORLS1:1968 to 1998 and ORLS2:1999 to 2008) and the whole of England (1999 to 2008). Rate ratios for VTE were determined, comparing immune-mediated disease cohorts with comparison cohorts. Results Significantly elevated risks of VTE were found, in all three populations studied, in people with a hospital record of admission for autoimmune haemolytic anaemia, chronic active hepatitis, dermatomyositis/polymyositis, type 1 diabetes mellitus, multiple sclerosis, myasthenia gravis, myxoedema, pemphigus/pemphigoid, polyarteritis nodosa, psoriasis, rheumatoid arthritis, Sjogren's syndrome, and systemic lupus erythematosus. Rate ratios were considerably higher for some of these diseases than others: for example, for systemic lupus erythematosus the rate ratios were 3.61 (2.36 to 5.31) in the ORLS1 population, 4.60 (3.19 to 6.43) in ORLS2 and 3.71 (3.43 to 4.02) in the England dataset. Conclusions People admitted to hospital with immune-mediated diseases may be at an increased risk of subsequent VTE. Our findings need independent confirmation or refutation; but, if confirmed, there may be a role for thromboprophylaxis in some patients with these diseases.
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            How can exploratory learning with games and simulations within the curriculum be most effectively evaluated?

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              Engaging Group E-Learning in Virtual Worlds

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                Author and article information

                Journal
                Med Educ Online
                Med Educ Online
                MEO
                Medical Education Online
                Co-Action Publishing
                1087-2981
                16 November 2012
                2012
                : 17
                : 10.3402/meo.v17i0.11213
                Affiliations
                [1 ]Department of Educational Psychology, University of Alberta, Edmonton, Canada
                [2 ]Department of Computing Science, University of Alberta, Edmonton, Canada
                [3 ]Department of Emergency Medicine, University of Alberta, Edmonton, Canada
                [4 ]Alberta Health Services, Edmonton, Canada
                [5 ]Northern Alberta Institute of Technology, Edmonton, Canada
                [6 ]Health Sciences Education Research Commons, University of Alberta, Edmonton, Canada
                Author notes
                [* ] Sharla King, 2-263 ECHA, Health Sciences Education and Research Commons, University of Alberta, Edmonton, AB, T6G 2R1. Email: sharla.king@ 123456ualberta.ca
                Article
                11213
                10.3402/meo.v17i0.11213
                3500777
                83578103-eeb3-4d5f-b2c6-b4f8377e80d6
                © 2012 Sharla King et al.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 21 October 2011
                : 09 August 2012
                : 31 August 2012
                Categories
                Research Article

                Education
                virtual worlds,simulation,development framework,interprofessional education
                Education
                virtual worlds, simulation, development framework, interprofessional education

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