Isabel EPIFFANY medical eLearning platform

在英国，受新冠肺炎大流行和强制保持社交距离的影响，医疗保健专业人员在工作场所接受培训的时间大幅减少。如果没有足够的培训，新医生和护士进入工作岗位时可能毫无准备，缺乏核心技能。虽然我们的项目现在解决了这个问题，但我们的愿景也提供了一种新的解决方案，可以快速提高工作场所以外的技能。我们的解决方案是创建一个有病例的虚拟患者平台——通过结合来自三个不同来源的数据：1)真实患者自己报告的症状和体征；2)临床决策支持技术形式的人工智能和3)临床医生的专业知识。其结果是提供了一种大规模在线学习的新方式，使培训中的医疗保健专业人员能够在任何一个工作场所环境中接触到更多的临床病例问题。在线电子学习的优势在于，平台可以自动创建数千个虚拟患者，也可以自动评估医疗保健专业人员在这些病例中的表现。为了应对这一挑战，该项目将临床决策支持技术公司——伊莎贝尔医疗保健公司（Isabel Healthcare）与英国诺丁汉大学（Nottingham University）联合起来，并得到了利益相关者——其他英国大学、英国健康教育（负责培训医疗保健专业人员）和英国国民保健服务体系（NHS）学术健康科学网络（负责在NHS内传播创新）的支持。伊莎贝尔开发了现有的没有临床决策支持技术的电子学习平台的“概念验证”测试版，并在2019年获得诺丁汉大学的内部奖学金后得到了加强。该项目将巩固这一伙伴关系，并将之前的测试版转变为嵌入临床决策支持技术并能够生成虚拟病例的电子学习平台的全功能工作原型。这笔资金将用于：1美元。将Isabel的临床决策支持技术嵌入到生成虚拟患者病例的创作过程中，以便所有病例都以证据为基础，并包括相关的“永不遗漏”诊断。简化创作过程并优化将多媒体（匿名数字音频、图像或视频）集成到虚拟患者病例中的过程。整合一个评估系统，评估用户在案例中的表现及其随着时间的推移的发展，可以很容易地看到，需要加强的领域被确定给他们和他们的老师。继2020年10月13日的开发事件之后，英国一所新的医学院边山大学特别要求与联合国合作创建虚拟患者（vp），用于他们的早期培训计划。边山大学特别要求设计60个副总裁案例，用于嵌入他们的三个课程（心血管、呼吸和内分泌），并在2021年9月开始进入医学院二年级的医学生中使用。延期资金将用于资助这60个额外案例的设计和开发。重要的是，这意味着该项目已经获得了第一个使用该平台作为其课程一部分的参考医学院客户，这将有助于随后向其他医学院进行营销。

The impact of the Covid-19 pandemic and enforced social distancing in the UK has substantially cut the amount of training time in the workplace for healthcare professionals in training. Without enough training, new doctors and nurses risk entering work unprepared and lacking core skills. Whilst our project addresses this problem now, our vision also provides a new solution for rapidly upskilling away from the workplace.Our solution is to create a virtual patient platform with cases - made by combining data from three different sources: 1) the very symptoms and signs reported by real patients themselves; 2) artificial intelligence in the form of a clinical decision-support technology and 3) the expertise of clinicians. The result is a new way of delivering online learning at scale allowing healthcare professionals in training exposure to a far greater number of clinical case problems available in any one workplace setting. The advantage of online eLearning is that platforms can automate the creation of thousands of virtual patients, as well as automate the assessment of performance of healthcare professionals on those cases as well.The project brings together a clinical decision-support technology company - Isabel Healthcare, with a UK University - Nottingham - supported by stakeholders - other UK Universities, Health Education England (responsible for healthcare professionals in training) and NHS England's Academic Health Science Networks (responsible for spreading innovation across the NHS) in order to work on this challenge.An existing 'proof-of-concept' beta-version of the eLearning platform without clinical decision support technology was developed by Isabel, and enhanced in 2019 following the award of an internal fellowship grant by University of Nottingham.The project will consolidate that partnership, and transform the previous beta version into a fully functioning working prototype of the eLearning platform embedded with the clinical decision support technology and capable of generating virtual patient cases.This funding would be used to:1\. Embed Isabel's clinical decision support technology into the authoring process for generating virtual patient cases so all cases are evidence-based and include relevant 'never miss' diagnoses2\. Streamline the authoring process and optimise the process by which multimedia (anonymised digital audio, images or video) is integrated into virtual patient cases3\. Integrate an assessment system that evaluates the performance of users on cases and their development over time can be easily seen, with areas in need of strengthening identified to them and their teachersFollowing on from an exploitation event on the 13th October 2020, Edge Hill University, one of the new medical schools in the UK has specifically requested to partner with UoN in the creation of Virtual Patients ( VPs) for use in their early years training programme.Edge Hill University have specifically requested the design of 60 VPs cases for embedding into three strands of their curriculum (cardiovascular, respiratory and endocrine) and use among medical students entering their second year of medical school starting September 2021. The Extension funding will be used to fund the design and development of these 60 additional cases. Significantly, this means that the project has already secured its first reference medical school customer using the platform as part of its curriculum within this phase of work which will help with subsequent marketing to other medical schools.