title: An innovative blended learning approach using virtual patients as preparation for skills laboratory training: perceptions of students and tutors.
abstract: BACKGROUND
  Currently only a few reports exist on how to prepare medical students for skills laboratory training. We investigated how students and tutors perceive a blended learning approach using virtual patients (VPs) as preparation for skills training.
  
  
  METHODS
  Fifth-year medical students (N=617) were invited to voluntarily participate in a paediatric skills laboratory with four specially designed VPs as preparation. The cases focused on procedures in the laboratory using interactive questions, static and interactive images, and video clips. All students were asked to assess the VP design. After participating in the skills laboratory 310 of the 617 students were additionally asked to assess the blended learning approach through established questionnaires. Tutors' perceptions (N=9) were assessed by semi-structured interviews.
  
  
  RESULTS
  From the 617 students 1,459 VP design questionnaires were returned (59.1%). Of the 310 students 213 chose to participate in the skills laboratory; 179 blended learning questionnaires were returned (84.0%). Students provided high overall acceptance ratings of the VP design and blended learning approach. By using VPs as preparation, skills laboratory time was felt to be used more effectively. Tutors perceived students as being well prepared for the skills laboratory with efficient uses of time.
  
  
  CONCLUSIONS
  The overall acceptance of the blended learning approach was high among students and tutors. VPs proved to be a convenient cognitive preparation tool for skills training.
authors: Clinic I-General Paediatrics, Centre for Child and Adolescent Medicine, Im Neuenheimer Feld 430, Heidelberg, 69120, Germany. ronny.lehmann@med.uni-heidelberg.de
authors: Ronny
authors: R
authors: Lehmann
authors: Hans Martin
authors: HM
authors: Bosse
authors: Anke
authors: A
authors: Simon
authors: Christoph
authors: C
authors: Nikendei
authors: Sören
authors: S
authors: Huwendiek
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence; D004501:Education, Medical / Q000379:methods*; D005180:Faculty, Medical; D006801:Humans; D010372:Pediatrics / Q000193:education; D013337:Students, Medical / Q000523:psychology*; D011795:Surveys and Questionnaires; D014584:User-Computer Interface
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