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Northern Ontario School of Medicine
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m an interactive computer simulation of real-
life clinical scenarios for the purpose of
healthcare and medical training, education
or assessment´(Ellaway, Candler, et al. 2006)
m On-demand, standardised, interactive
m
ormative assessment, ED2/8
m Mashup of simulation and games
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m Need
± Standards and assured experience increasing
± New techniques ± inpatient time reduced
± Number of learners steadily growing
± Concerns around unsupervised contact
± Plummeting student access to patients
m Capability
± Web engineering
± Gaming sensibilities
± Standards and specifications
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m Much more than page turners
m Ps require a µgame¶ or µstate¶ engine
m Systems are typically integrated development
environments (IDEs) ± build, run, analyse
m Standards development (inc MedBiquitous) has
identified criticality of topology:
± linear, pearls, schema, branching, world


m Choose your own adventure
m Decision trees
m ctions have consequences
m Nothing intrinsically clinical
m Enhanced with counters and rules:
± rtifacts: keys, tools, drugs, helpers
± bstract: time, money, morale, health
± Information: patient history, test results
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m Path/branching educational activity engine

m Originally developed at UoE
m Escape from:
± Handbuilt C
± Pageturner authoring systems
± Incorporating simulation and gaming
m IDE: create, run and analyse multiple labyrinths
m Openabyrinth v1.0 in 2007
m SP/B >> Python/Django
 
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m cyclical graphs: nodes and links
m Nodes are coordinates and containers
m inks establish possible pathways
m Counters implement and track
consequences
m Counter rules extend gameplay
m Conditionals, feedback etc
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m Wiki-style object referencing
± [[MR:12345]] media object
± [[QU:2345]] question object
± [[:654]] avatar object
m Copy-paste anywhere in node container
content
m Conversion at runtime
m Extensible
 §
  
m Manual through text UI
± ++detail but longer
m isual editor (
lash-based)
± ong term future for
lash?
m UE create and roundtrip
± Only topology and text content
m Import MedBiquitous P package
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m MedBiquitous irtual Patient
m ±%&ı ! '( ')('(
m SCORM package
m M: activity model + PDs + DMs
m Manifest and metadata
m O imports and exports to MP
m Issues over origin/target system equivalence
m
uzzy interoperability
  

m Root node
m Content (storytelling) + options
m Undo, counters, rules
m Objects, espMCQs controlling counters
m racking
m erminal nodes
m Reporting
m
eedback
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m Webservice client
m IP and ID masked
± M list of available labyrinths
± Initiate labyrinth runtime exchange of node
content and triggers
m Client apps in MS and other e systems
m Integration with other tools - HSO
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m HSO: part of an integrated simulation platform
± O is the µactivity glue¶

m riadne: labyrinths running in Second ife ±

holodecks and environment controls

m ERSE: remote telemetry aggregator

m UC case generator: randomised from multiple

databases/sources
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m Openabyrinth is open source
m cademic
ree licence
m Non-commercial and share-alike
m On Source
orge and Google
m Currently v2.6 beta
m Python/Django version in preparation
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m NOSM, akehead, aurentian, Calgary, UBC,
Queens, UWO, Confederation, McMaster,
Ryerson, Edinburgh, SGUondon, Warwick,
Bristol « and many, many others
m Great variety in use and design
m International collections:
± eIP: www.virtualpatients.eu
± PINE: pine.nosm.ca/pine
± CHEC-CESC: www.chec-cesc.afmc.ca
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m Simulation and game-informed learning critical to professional
education, training and assessment
m O is an activity authoring and runtime toolset
m
ree and open source
m Simple and abstract
m Standards compliant
m daptable and extensible
m Using webservices, wiki referencing etc
m Growing adopter community ± both in and beyond education
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Northern Ontario School of Medicine