{"id":1424,"date":"2014-11-05T17:06:16","date_gmt":"2014-11-05T17:06:16","guid":{"rendered":"https:\/\/www.tmc.edu\/news\/virtual-patients-come-alive-new-simulation-lab-university-houston\/"},"modified":"2019-08-16T14:58:37","modified_gmt":"2019-08-16T14:58:37","slug":"virtual-patients-come-alive-new-simulation-lab-university-houston","status":"publish","type":"post","link":"https:\/\/www.tmc.edu\/news\/2014\/11\/virtual-patients-come-alive-new-simulation-lab-university-houston\/","title":{"rendered":"Virtual Patients Come Alive in New Simulation Lab at University of Houston"},"content":{"rendered":"
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This fall, University of Houston (UH) optometry students began hands-on training in a first-of-its-kind simulation lab that offers them 24\/7 access to virtual patients. The Optometric Clinical Skills Simulation Lab, which will better prepare students to administer patient care when they start clinical rotations, is the only one at an optometric program in the country and the largest in the world.<\/p>\n

\u201cWhen students come in this room and see the technology they\u2019re blown away,\u201d said assistant professor Heather Anderson, who led the initiative to bring the simulation lab to the UH College of Optometry. \u201cThe simulators have two components. The patient interface is a smooth black sheet of plastic with a 3-D face, and that face turns into the patient you\u2019re examining. The simulators take on the demographics of whatever cases are programmed into the computer, so now we can have the students examine elderly eyes, diseased eyes and eyes from all different ethnicities.\u201d<\/p>\n

This is done through an augmented headband-mounted light that\u2019s used\u00a0to obtain a view of the retina through\u00a0a handheld lens in a procedure called indirect ophthalmoscopy. It\u2019s the same headband worn by professionals, but instead of having plain oculars to look through, it has LED screens mounted in it to create the images of the lifelike patients. The other component of the simulators is a touchscreen computer that brings up the different patient cases and faces. All images are based on actual clinical cases, so the images the students see are derived from real patient retinal photographs.<\/p>\n<\/div>\n

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In the traditional academic setting, students use each other as patients during their earliest lessons in optometry. Typically, though, they have healthy retinas, so students aren\u2019t getting real-world exposure to diseases until they start with clinical rotations. Additionally, teaching students how to detect disease in the back of the eye requires the patient be dilated. It becomes difficult for a student \u2018patient\u2019 to be dilated frequently when they need to go home and study, since dilation lasts several hours.<\/p>\n

With this technology, students gain 24\/7 access to dilated patients and can examine the retinas of these virtual patients any time they want. Another benefit is that students traditionally have been taught disease through photographs, textbooks and computer images and not physically examining patients with these diseases until they get to the clinic. This technology enables them to go through the physical examination process to see diseased eyes and better prepare for that detection before they\u2019re administering patient care.<\/p>\n

\u201cWhen you look through the LED screens, you see a patient that\u2019s blinking and moving their eyes and looking back at you with the ethnicity and age of the patient you\u2019re examining,\u201d Anderson said. \u201cThe simulators are very realistic in that they do get tired. They\u2019ll blink and close their eyes if you remain in one position with the light for too long and don\u2019t give them breaks. They respond the way a patient would, so if you spend too much time exposing the retina to the light, you\u2019ll even see a tear come down the cheek of the virtual patient.\u201d<\/p>\n

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The curriculum built into the software is extensive. Students are quizzed after each exercise and cannot progress to another case until they\u2019ve mastered the previous level. The simulation equipment maps out the parts of the retina the students have looked at, so now their professors are able to objectively quantify how successful students have been in examining 100 percent of the retina.<\/p>\n

This gives faculty an objective\u00a0way to analyze a student\u2019s progress.\u00a0In current practice, when students are learning these techniques, their professors are looking over their shoulders\u00a0in a little mirror that reflects what the students see. It can be difficult to quantify how fully the student has examined the retina.<\/p>\n

In addition to the simulators now being able to tell faculty how much\u00a0of the retina students examined, they also reveal how much time it took them. This allows faculty to know if students are doing an efficient exam that would be acceptable to a patient\u2019s comfort. Another evaluation tool used in conjunction with these simulators\u00a0is a series of multiple choice questions about each case as to whether or not students correctly identified the pathology and then identified the correct treatment strategy.<\/p>\n

\u201cMany of the diseases we\u2019re looking for have dimension to them, so if you look in a patient\u2019s eye that is simulating a retinal detachment, you can see the depth of the retina floating as it\u2019s detached,\u201d Anderson said. \u201cIt\u2019s very realistic. Seasoned doctors have gone in to examine the equipment and say it feels so natural. You put the headband on and feel like you\u2019re examining an actual patient.\u201d<\/p>\n<\/div>\n

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The 10 Eyesi ophthalmoscopes\u2014five each of both the direct and indirect models\u2014are designed to train for the examination of the retina and were designed by ophthalmologists and simulation technology experts in Germany at VRMagic, a provider of virtual reality medical training simulators for eye care professionals.<\/p>\n

Joining Anderson in the effort to bring the Eyesi system to UH were assistant professor David Berntsen\u00a0and clinical associate professor Amber Gaume-Giannoni. With this new technology, students gain exposure to more than 200 clinical cases of pathology built in to the patient simulators. This mode of education capitalizes on the philosophy of pattern recognition to identify disease presentation and gives all students an equal opportunity to gain exposure to a variety of eye conditions.<\/p>\n

To start with, second-year optometry students are using the lab during the fall 2014 semester and then first- year students will be given access in spring 2015. Ultimately, students will be able to benefit from the simulators through all four years of their time at the optometry college, as well as during their residencies.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

This fall, University of Houston (UH) optometry students began hands-on training in a first-of-its-kind simulation lab that offers them 24\/7 access to virtual patients. The Optometric Clinical Skills Simulation Lab, which will better prepare students to administer patient care when they start clinical rotations, is the only one at an optometric program in the country […]<\/p>\n","protected":false},"author":14,"featured_media":1425,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[1],"tags":[353,354,159],"yoast_head":"\nVirtual Patients Come Alive in New Simulation Lab at University of Houston - TMC News<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.tmc.edu\/news\/2014\/11\/virtual-patients-come-alive-new-simulation-lab-university-houston\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Virtual Patients Come Alive in New Simulation Lab at University of Houston - TMC News\" \/>\n<meta property=\"og:description\" content=\"This fall, University of Houston (UH) optometry students began hands-on training in a first-of-its-kind simulation lab that offers them 24\/7 access to virtual patients. 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