SBIR Phase II: Cloud-based Simulated Patients for Rapid Competency Development in Medical Education

这项小型企业创新研究（SBIR）第二阶段奖项旨在提高对如何创建丰富，高性能，完全基于云的应用程序的技术理解，这些应用程序可以随时随地在任何设备上访问。分层的Web应用程序体系结构消除了对本地应用程序或专有浏览器插件（如Java或Flash）的需要。该框架将提供复杂的界面组件和强大的功能，在界面组成，样式，动态行为和数据操作。好处包括：1）独立于用户平台的流畅、无缝的本地应用程序般的用户体验，2）由于所有业务逻辑都部署在云中，因此支持成本更低，3）由于服务器验证所有操作，因此如果客户端数据被篡改，服务器可以检测到它并做出相应的反应，因此安全性得到提高，4）更简单但更强大的应用程序编程模型，比传统的Web开发更接近GUI软件开发，5）能够向移动的平台提供复杂的计算和存储密集型功能，以及6）集成实时协作而无需本地和专有安装要求。模拟患者服务的更广泛/商业影响是通过使医学教育工作者能够以经济实惠和可扩展的方式加速学生临床能力的发展来驱动的，帮助解决广泛预期的合格美国供应商短缺问题，这是由于婴儿潮一代的老龄化，以及由于覆盖了以前未投保的人群，预计医疗服务需求将增加15%。发展中国家的短缺甚至更大。 该服务还将有助于确保医学教育的质量，降低医疗保健的成本，因为掌握关键的诊断推理是有效提供护理的基础，也是获得最佳结果，控制成本和减少再入院的必要条件。如果将其用于测试、认证、继续医学教育和遵守协议，它可以确保新兵的能力，帮助忙碌的临床医生跟上医学知识的进步，并确定那些需要额外或补救培训的人。

This Small Business Innovation Research (SBIR) Phase II award proposes to enhance the technical understanding of how to create rich, high-performance, entirely cloud-based applications that are accessed anytime, anywhere on any device. The layered Web application architecture eliminates the need for a local application or proprietary browser plug-ins like Java or Flash. The framework will provide complex interface components and powerful functionality in interface composition, styling, dynamic behavior and data manipulation. Benefits include: 1) Smooth, seamless local application-like user experience independent of user platform, 2) Lower support costs as all business logic is deployed in the cloud, 3) Improved security as the server validates all actions so if client data is tampered with, the server can detect it and react accordingly, 4) Simpler yet more powerful application programming model, closer to GUI software development than traditional Web development, 5) Ability to deliver complex computation and storage-intensive functionality to mobile platforms, and 6) Integration of real-time collaboration without local and proprietary installation requirements.The broader/commercial impact of the simulated patient service is driven by enabling medical educators to accelerate development of students' clinical competencies in an affordable and scalable manner, helping to address the widely anticipated shortage of qualified U.S. providers driven by the aging of the Baby Boomers and an expected 15% increase in demand for healthcare services due to coverage of the previously uninsured. Shortages in developing countries are even greater. The service will also help ensure the quality of medical education and lower the cost of healthcare as mastery of critical diagnostic reasoning is the basis for efficient delivery of care and is required for optimal outcomes, cost control and reduction of hospital readmissions. If used in testing, certification, continuing medical education, and protocol adherence, it could ensure the competency of recruits, help busy clinicians keep up with advances in medical knowledge, and identify those in need of additional or remedial training.