The Brewsters

Rozmus, Cathy L; Carlin, Nathan; Polczynski, Angela; Spike, Jeffrey P; Buday, Richard

doi:10.1177/0969733014547974

Cited by 18 publications

(2 citation statements)

References 16 publications

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“…Virtual patients and CYOA style case‐based activities have been incorporated into health professions education to teach several topics such as medication management, medical ethics, and X‐ray ordering (Redinger et al., 2022; Rozmus et al., 2015; Vadiei & Lee, 2022; Wilson‐Stewart, 2017). For example, in a randomized controlled trial (RCT) comparison of a linear case format versus CYOA presentation format, medical students reported significantly higher ratings of engagement, satisfaction, and clinical decision‐making skills with the CYOA, though knowledge levels were similar (Thomas et al., 2022).…”

Section: Introductionmentioning

confidence: 99%

Creation and beta testing of a “choose your own adventure” digital simulation to reinforce motivational interviewing skills in genetic counseling

Cragun,

Hunt,

Dean

et al. 2023

Journal of Genetic Counseling

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Standardized patients and/or role‐playing are commonly used for practicing genetic counseling (GC) skills. Use of digital simulation, incorporating gamification elements, would require fewer resources to sustain than standardized patients. This manuscript reports steps taken and the lessons learned from creating a digital “Choose your own adventure” simulation in which students select preferred dialog for a genetic counselor who is seeing an adult patient to discuss genetic testing for the known pathogenic variant that caused familial adenomatous polyposis (FAP) in their father. The case has three endings, one of which is attained by selecting options that are mostly consistent with motivational interviewing counseling techniques. We conducted a preliminary evaluation of our beta version among nine GC students and one educator using a survey to assess acceptability and appropriateness as well as to elicit open‐ended feedback. All participants agreed or strongly agreed with statements indicating the case was acceptable, appropriate, and fun. Users particularly appreciated the immediate feedback given throughout the case simulation. Many users wanted more options to select from and listed various other recommendations, including several which would require substantial resources to implement.

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Section: Introductionmentioning

confidence: 99%

Creation and beta testing of a “choose your own adventure” digital simulation to reinforce motivational interviewing skills in genetic counseling

Cragun,

Hunt,

Dean

et al. 2023

Journal of Genetic Counseling

View full text Add to dashboard Cite

show abstract

“…Our game differs from traditional models in that it is completely online, may be played individually or in groups, and requires minimal facilitator support. We found one computer-based CYOA novel and one serious game in the literature that use CYOA and Escape Room concepts similarly to our approach, but they focus on ethics and statistical applications of evidence-based medicine, respectively [ 15 , 16 ]. Our game challenges players to integrate basic science by focusing down to the molecular level and then build their way out to cellular/organ levels to make critical care medical decisions.…”

Section: Introductionmentioning

confidence: 99%

Ready Patient One: How to Turn an In-Person Critical Care Simulation Scenario Into an Online Serious Game

Donovan

Cooper

Kim

2021

Cureus

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IntroductionSerious gaming has become popular in healthcare education as an engaging way to train learners. When coronavirus disease 2019 forced the cancellation of in-person simulation sessions, we designed a serious game to deliver content in an interactive format with no out-of-pocket expense. We describe the design process and game reception so that others may replicate it. MethodsWe designed an online game using Choose-Your-Own-Adventure (CYOA) and Escape Room concepts. Using online survey software, we presented an interactive story based on an existing simulation scenario and included interactive puzzles as roadblocks to scenario progression. Each puzzle represented a critical care concept, and many contained hyperlinks to prior basic science lecture material to reinforce learning. A postgame survey assessed students' experience. ResultsAll (N=88) students enrolled in a scheduled simulation session participated in the game, and 75% (66/88) responded to a post-participation survey. All respondents (100%) were able to complete the game. The majority (57.6%) completed the game in 30 minutes to 1 hour. Most students strongly agreed or agreed that the game enhanced their understanding of critical care concepts (93.9-97.0%), and that they were interested in doing more CYOA games (90.9%). ConclusionThe game was well-received, delivered critical care content, and challenged students to apply basic science principles to medical decision-making from the safety of their own homes. The game was self-guided, requiring minimal active facilitator involvement. We plan to expand the use of the game to other settings and explore its use in formative/summative assessment and remediation.

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Leadership in Ethical Practice: Students Learning Outcomes

2023

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Health science students frequently experience ethical dilemmas on clinical placements, yet ethics education rarely prepares students with the ethical leadership skills required. The Leadership in Ethical Practice (LEP) program is an ethics education resource designed to enhance health science students’ knowledge and skills in ethical leadership to prepare them for clinical placements and future professional practice. This qualitative study aimed: to explore the nature of students’ ethical leadership goals; determine whether a specific, measurable, achievable, relevant, and time-bound (SMART) format was an effective tool for students to create ethical leadership goals; and identify any changes in students’ pre- and post-self-ratings of ethical leadership knowledge following the LEP program. Eighty-two diagnostic radiography students from the University of Sydney participated in the study. Inductive and deductive qualitative content analysis (Elo & Kyngas, 2008) were used to explore students’ goals. Descriptive statistics were used to investigate students’ pre- and post-self-ratings. Four themes emerged from students’ goals: initiative, competence, and courage in ethical reasoning; communicating ethical stories through listening, questioning, and connecting; reflecting and growing as an ethical leader; and safe practice and person-centred outcomes. SMART goal format elements were evident in 61% of students’ goals. Students' ethical leadership self-ratings showed positive changes after participating in the LEP program. Findings indicated students planned to further develop ethical leadership skills during clinical placements and future professional practice. This study demonstrated the ethics education approaches used within the LEP could assist health science students to apply ethical leadership in future clinical practice.

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The Brewsters

Abstract: The Brewsters is an innovative resource for teaching interprofessional ethics and professionalism. Further work is needed to determine whether actual and long-term behavior is affected by the activity.

Cited by 18 publications

References 16 publications

Creation and beta testing of a “choose your own adventure” digital simulation to reinforce motivational interviewing skills in genetic counseling

Creation and beta testing of a “choose your own adventure” digital simulation to reinforce motivational interviewing skills in genetic counseling

Ready Patient One: How to Turn an In-Person Critical Care Simulation Scenario Into an Online Serious Game

Leadership in Ethical Practice: Students Learning Outcomes

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