Introduction: Electronic virtual patients are becoming increasingly more popular in medical education. These interactive clinical scenarios seem to be well suited to integrate clinical case examples into preclinical education, thereby demonstrating relevance of the subjects studied and fostering transfer between theoretical and clinical subject matter. We report on a pilot study dealing with the repurposing of an existing clinical virtual patient to the preclinical part of medical education, with an assessment of the associated effort. Methods: For this pilot study, a CAMPUS virtual patient (www. campusvirtualpatients.com), originally created and implemented for teaching and assessment within the regular pediatric curriculum, was taken and repurposed for the preclinical part of medical education. According the preclinical learning objectives, this virtual patient was redesigned and the clinical level of difficulty was simplified. For the first time interactive graphics were used in the CAMPUS system. 26 second year medical students voluntarily worked through the virtual patient as self study, then completed a questionnaire. Results: 26 students took part in this pilot study. The results indicate a very high acceptance of virtual patients as learning tools and attest to a successful combination of clinical and preclinical elements. Students wish to have more virtual patients like the one presented, with cases in different preclinical subjects. The level of difficulty with respect to clinical features and the required knowledge needed to successfully complete the virtual patient is rather sophisticated for the preclinical part of medical education. The calculated associated effort for repurposing was 68 hours. Conclusions: This pilot study indicates that students appreciate using virtual patients as a part of their preclinical education. It seems worthwhile to repurpose clinical virtual patients for the preclinical years. However, confirmation with a larger student population is needed and studies higher up within the Kirkpatrick levels would be beneficial.
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