PerspectiveMuch has been written about the challenges facing the current medical education system in the United States. Medical knowledge is expanding rapidly, which demands not only more efficient teaching methods but also the teaching of knowledge management, yet lectures and book learning remain primary means of instruction in many medical schools. Much evidence shows the negative impact of the current educational model on student mental health, 2 and indirect evidence indicates that improving mental health and capturing intrinsic motivation will have a positive impact on learning.3 Additionally, although clinical reasoning is a cornerstone of medical practice, the continued problem of diagnostic error 4 suggests that medical education should focus more on the application of foundational knowledge in diverse contexts to foster both the development of diagnostic expertise and the acknowledgment of one's own limits. Further, legitimate concerns about medical error 5 call into question not only the quality of the health care system but also whether the contemporary U.S. system of medical education needs to better assess the competence of its graduates. The medical education community is working-across disciplines and across the continuum-to identify and implement strategies to improve educational outcomes 6 ; however, the current challenges will remain difficult to solve without a better understanding of the effectiveness of these new educational strategies.Just as a modern health care system is compelled to translate advances in the basic and clinical sciences into medical practice, a modern medical education system must translate advances in fields such as cognitive and educational psychology, education, the learning sciences, and educational technology into educational practice. The incorporation of technology into education offers the promise of addressing educational challenges in new ways. 7,8 Often, modern technologies offer more hope than actual solutions, and there is the potential for this to occur in the use of educational technology in medical education. Our aim with this Perspective is to suggest roles for a specific form of technologyenhanced education-virtual patients (VPs)-in addressing specific challenges facing medical education. We will do this by, first, describing what VPs are and their current roles in medical education and, then, proposing specific educational strategies for the use of VPs and the educational outcomes we believe VPs can facilitate.
What Are VPs?Medical educators and others have defined "virtual patient" as "an interactive computer simulation of real-life clinical scenarios for the purpose of healthcare and medical training, education, or assessment" 9 or "a specific type of computer program that simulates reallife clinical scenarios [through which] learners emulate the roles of health care providers to obtain a history, conduct a physical exam, and make diagnostic and therapeutic decisions." 10
AbstractThe medical education community is working-across disciplines and ...