MUDr. Hana Harazim, Ph.D.
KDAR PDM LF MU
This year's SESAM Congress was my very first and I must say that few things surprised me so pleasantly this year. The congress was a hugely inspiring gathering of simulation medicine enthusiasts and innovators from around the world, and it was set up so that you really had the chance to meet and exchange experiences. Several times a day everyone met in the large auditorium for a major lecture - the Key Note Lecture - only to disperse again to smaller halls and classrooms for workshops, symposia, simulations and presentations of short communications or posters.
However, AKUTNĚ.CZ portal was not just an observer, but actively participated in the event! Our workshop on how to turn the AKUTNĚ.CZ interactive algorithm into an educational lesson attracted a full number of participants. They first had the opportunity to try out Problem Based Learning Discussion (PBLD) for themselves as students, when they solved a case of tension pneumothorax after a fall from a bicycle. Authentic videos of the bike accident immediately got their attention and when they saw the rider fly over the handlebars in slow motion, everyone held their breath. But then our virtual patient was out of breath, so we had to intervene. But before they performed thoracocentesis, they had to think about the various aspects of the physical findings and the differential diagnosis of breathlessness. The fact that the patient is virtual just allows them to address deeper layers of knowledge, seeking explanations and reasoning in a team discussion. But after the basic stabilization of the patient, we moved from this activity to looking at the database of virtual patients - the interactive algorithms of AKUTNĚ.CZ. Since there are already over 180 of them, it is not exactly easy to navigate through it. Working in small groups, they chose one of the offered learning objectives (e.g. fever, poisoning, newborns, ECG...) and then tried to find a suitable algorithm that would help them achieve this objective. The last part explained how to "break down" the content of the algorithm into individual questions, broadly covering issues from the perspective of anatomy, histology, physiology, propedeutics, pharmacology, imaging and laboratory diagnostic methods, pathophysiology and epidemiology. They then tried it out in small groups on their chosen algorithms. Finally, participants shared their impressions of the workshop - they gained a whole new perspective on how to create a lesson where students are prepared, engaged and actively collaborating to achieve the learning objectives.
The next day I was very honoured to give a short presentation on Interactive scenarios AKUTNĚ.CZ: open access database of more than 170 virtual patients. My aim was to inform the general teaching public that we have a huge, publicly accessible database of virtual patients in the Czech Republic, which is available to anyone with an internet connection and completely free of charge. I introduced them to what interactive algorithms look like, how to work with them, and how to create them. I was rewarded with a lot of questions from the audience and an appreciation of the immense scope of our work with an emphasis on unrestricted accessibility to the general public.