On-screen simulations of clinical settings have been used for educational purposes since the 1970s. Despite this, it is only now that these 'virtual patients' are increasingly forming a part of the medical education mainstream. Enabling factors for these changes include a requirement for more assured clinical encounters, changes in patient availability (in particular, in tertiary contexts), diminishing technical and cost barriers and ongoing changes in educational practices as a whole. This special edition of Medical Teacher presents a number of papers covering key factors in the development, use and evaluation of virtual patients in contemporary medical education practice.

descriptions of how curricula are structured and run. The American National Standards Institute (ANSI) MedBiquitous Curriculum Inventory Standard provides a technical syntax through which a wide range of different curricula can be expressed and subsequently compared and analyzed. This standard has the potential to shift curriculum mapping and reporting from a somewhat disjointed and institution-specific undertaking to something that is shared among multiple medical schools and across whole medical education systems. Given the current explosion of different models of curricula (time-free, competency-based, socially accountable, distributed, accelerated, etc.), the ability to consider this diversity using a common model has particular value in medical education management and scholarship. This article describes the development and structure of the Curriculum Inventory Standard as a way of standardizing the modeling of different curricula for audit, evaluation and research purposes. It also considers the strengths and limitations of the current standard and the implications for a medical education world in which this level of commonality, precision, and accountability for curricular practice is the norm rather than the exception.

Information technologies have provided fertile ground for innovation in healthcare education, but too often these innovations have been limited in scope and impact. One way of addressing these limitations is the development of common and open technology standards to scale innovation across organizational boundaries. Research on the diffusion of standards indicates that environmental forces, such as regulatory changes, top-down management support, and feasibility are key determinants of standards adoption. This paper describes the perspective and work of MedBiquitous, the only internationally recognized standards body in healthcare education. Many innovators are implementing MedBiquitous healthcare education standards to effect change within and across organizations. In a resource-constrained and knowledge intensive domain such as healthcare education, collaboration is an imperative. Technology standards are essential to raise the quality of healthcare education and assessment in a cost-effective manner.

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MedBiquitous is a consortium whose members are working to develop a common technology framework that will support reforms in healthcare education and competence assessment. The mission of MedBiquitous is to advance healthcare education through technology standards that promote professional competence, collaboration, and better patient care. The consortium members include professional medical associations, technology companies, e‐learning firms, and publishers, among others. Two publishers actively working within MedBiquitous are John Wiley & Sons, Inc., and the American Academy of Pediatrics, who are pursuing their own objectives to help to create improved online medical communities.