title: Value of information in virtual patient performance evaluations.
abstract: The American Board of Family Medicine (ABFM) uses virtual patients (VP) in Maintenance of Certification. User queries might be evaluated by calculating diagnostic value of information (VOI). Typical primary care queries address concerns far beyond efficient diagnosis. We identify practical constraints on VOI scoring in simulations of primary care practice. We imagine a Bayesian physician as the ideal candidate for VOI scoring. Bayesian physicians require an explicit decision making perspective and many local data.
authors.affiliation: Washington University School of Medicine, St. Louis, MO, USA.
authors.forename: Walton
authors.initials: W
authors.lastname: Sumner
authors.forename: Michael D
authors.initials: MD
authors.lastname: Hagen
mesh_terms: D004650:Employee Performance Appraisal / Q000379:methods*; D016347:Medical Records Systems, Computerized; D008923:Missouri; D016544:Patient Simulation; D011320:Primary Health Care / Q000379:methods*; D011361:Professional Competence; D012984:Software; D014584:User-Computer Interface