MedBiquitous Annual Conference 2009

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April 28-30, 2009
Sheraton Baltimore City Center
101 W. Fayette St.
Baltimore, Maryland

Tuesday April 28, 2009

8:00 AM–
4:00 PM


9:00 AM–
12:00 PM

Concurrent Workshops and Meetings

Pre-registration Required, limited seating


MedBiquitous Orientation

Peter Greene, MedBiquitous

Strategies For The Sharing Of Healthcare Training Content

Rebecca Bodrero; Schawn Thropp
Concurrent Technologies Corporation

Deploying A Taxonomy In Medical Literature

Jake Zarnegar1; Elizabeth Willingham2
1Semedica; 2Silverchair

9:00–11:00 AM

E-ViP Meeting

Invitation only

10:30–10:45 AM


12:00–1:00 PM


1:00–4:00 PM

Concurrent Workshops and Meetings

Pre-registration Required, limited seating



An Evidence Based Learning Approach to Development and Evaluation Of An Interprofessional Education Core Competency Framework

Jay Shiro Tashiro; Lisa Kitchen; Carolyn Byrne
University of Ontario Institute of Technology

Implementation Of the Healthcare LOM At The Department Of Veterans Affairs

Dawn Carroll1; David Twitchell1; Leo Grassi2; Rebecca Bodrero3
1Department of Veterans Affairs; 2US Navy; 3Concurrent Technologies Corporation

Templates For Your Success - Standardizing Your Courseware Development Process With SCORM Conformant Templates

Mary Pat Aust; Julie Lambla; Monica Hanks
American Association of Critical Care Nurses

Manage A Virtual Patient In Second Life*

There are requirements for this workshop including some steps to be completed before the workshop. Instructions.

Sheetal Kavia1; Luke Woodham1; Terry Poulton1; David Burden2
1St George’s University of London; 2 Daden Limited

1:00–3:30 PM

Virtual Patient Developers Meeting

Working group members only

3:30–5:00 PM

Virtual Patient Working Group Meeting

Open to all conference attendees

1:00–5:00 PM

Technical Steering Committee Meeting

Non-committee members interested in attending should contact

6:00–9:00 PM

Board of Directors Dinner

Closed Meeting

Wednesday, April 29, 2009

8:00 AM


Continental Breakfast

9:00–10:30 PM

Plenary Sessions

9:00 AM

Welcome (PPT, 645 KB)

Don E. Detmer, MD, M.A., Chairman, MedBiquitous Board of Directors, President and CEO, American Medical Informatics Association

9:15 AM

Laying the Groundwork for Collaboration: A MedBiquitous Update (PPT, 3.2 MB)

Peter Greene, MD, Executive Director, MedBiquitous

Technology offers a mechanism to better collaborate with the broader healthcare community in ways that advance the practice healthcare education and assessment and ultimately work to improve the quality of patient care. MedBiquitous develops technology standards that make this collaboration work and offer ways to better leverage education resources and data. Dr. Greene reviews the past year’s progress and highlights key implementations that are changing the practice of healthcare education and competence assessment.

9:45 AM

The Efficacy of E-learning in the Health Professions (PDF, 613KB)

David Cook, MD, MHPE, Mayo Clinic College of Medicine

E-learning offers a great deal of flexibility to learners and instructors alike, but what does research tellus about what makes it work? Dr. Cook reviews the research literature on the efficacy of e-learning in the health professions and presents conclusions of a systematic review. His analysis will demonstrate the strengths and shortcomings of existing evidence, highlight implications of this research for e-learning developers, and identify important themes for future e-learning research.

10:30–11:00 AM


11:00 AM–
12:30 PM

Semi Plenary Sessions


11:00 AM

Information – the missing ingredient for successful innovation in medical education (PPT, 13.9 MB)

Ronald M Harden OBE MD FRCP FRCS FRCPC, Association for Medical Education in Europe

Changes in medical education have not kept pace with changes in the practice of medicine. In response to a variety of pressures and facilitated by the use of new learning technologies, we can look forward now to new opportunities. Dr. Harden discusses how to harness learning technologies through “disruptive innovations” to bring about a paradigm shift in education.

11:30 AM

Assessing Physician Competence in Practice

Richard Hawkins, MD, American Board of Medical Specialties

Assessing the practicing physicians poses a unique set of challenges. Data can be difficult to obtain or compile, time is at a premium, and practice settings vary, providing varying degrees of peer interaction and opportunities for feedback. Dr. Hawkins outlines existing work in physician assessment and recommends strategies for effectively overcoming challenges to assess the practicing physician.

12:00 PM

Using Measurement Data to Oversee the CME Enterprise

Kate Regnier, MA, MBA, Accreditation Council for Continuing Medical Education

The ACCME Continuing Medical Education accreditation criteria require that CME contribute to patient safety and practice improvement, be based on valid content, and be independent of commercial interests. Monitoring and surveillance provide an opportunity to enforce these requirements while collecting important data that measures the scope and impact of CME. Dr. Kopelow and Ms. Regnier describe the ACCME’s efforts to collect CME measurement data and the impact this will have on their oversight and the CME industry.



11:00 AM

Philip Dodds Memorial Lecture: Leveraging Standards for Multinational Collaboration (PDF, 144 KB)

Nabil Zary, Ph.D., Project Leader, Karolinska Institute, Sweden

Technology standards can be a useful tool for integration and development challenges, but they can also be used more broadly as the backbone of multinational projects and collaborations. One such project is eViP, a program to create a shared bank of virtual patients across Europe. Dr. Zary will describe the benefits and technical challenges that such collaboration presents and compare these to the progress that it enables both within a single institution and across many nations.

11:30 AM

Should Virtual Patients get a Second Life? (PDF, 2.7 MB)

David Burden, Daden Limited

Second Life is a virtual world that allows for its “residents” to create their own environment for their own purposes, including everything  from entertainment to social networking, marketing, and learning. Increasingly Second Life is being used as a platform for immersive learning in collaboration with other individuals. Mr. Burden describes the significance of e-learning in Second Life and the virtual patient platform in Second Life that leverages the MedBiquitous Virtual Patient specification.

12:00 PM

Interfacing High Fidelity Mannequins with Web-Based Training (PPT, 2.9 MB)

Rachel Ellaway, Ph.D., Northern Ontario School of Medicine

Simulation in medical education is becoming increasingly multi-modal and multifaceted. Educators use a wealth of devices such as mannequins and task trainers, involve actors playing simulated patients and increasingly use screen-based simulations as well, ranging from narratives to immersive worlds like Second Life. Despite the richness of this continuum, until recently each modality has stood alone, unable to connect or interoperate with any other. This presentation will review new ways in which the simulation continuum is being joined together using new technical methods and emerging data specifications.

12:30–2:00 PM

Birds of a Feather Lunch

Flock with your colleagues and discuss areas of common interest.

  • Second Life
  • Virtual Patient design
  • Virtual Patient development
  • Instructional design and technology
  • E-portfolios
  • Social networking and web 2.0
  • Competence assessment
  • Open educational resources

2:00–3:00 PM



Interoperability is Dangerous and Destructive

Moderated by Rachel Ellaway, PhD

Interoperability holds out the promise of increased convenience, economy and efficacy for the information systems used throughout medical education. However, like any technocratic undertaking the presumption of benefit with no negative impact is somewhat naive. This session will take a fresh look at some of the darker sides of interoperability including considering who the real winners and losers are. Will the interoperability imperative survive intact? Visit to share your ideas before the conference.


Competence Assessment: Myriad Methods, Do Any Of Them Work?

Moderated by Sean Hilton, MD

Effective and accurate competence assessment is at the core of health professions education, licensure, and certification efforts. And assessment methods and documentation conventions are constantly evolving. Are these new methods, such as e-portfolios, virtual patients, effective and accurate? Visit to share your ideas before the conference.


Facebook and Social Networking - Can this Really Help me Learn?

Moderated by James B. Mcgee, M.D., University of Pittsburgh, and Benjamin Azan, Mount Sinai School of Medicine and MedBiquitous

Many have touted the capabilities of facebook and other social networking applications to facilitate learning, but do these applications really help learners? Discuss different social networking approaches, what works, and what doesn't from both the perspective of an educator and a learner. Visit to share your ideas before the conference.

3:00–3:20 PM


3:20–5:00 PM

Innovation Demonstrations


Virtual Patients In Virtual Worlds

Emily Conradi1; Sheetal Kavia1; Luke Woodham1; David Burden2; Terry Poulton1
1St Georges University of London; 2Daden Limited

Open Source Player - Challenges Encountered When Implementing the MedBiquitous VP Player Specification

Benjamin Azan, Mount Sinai School of Medicine and MedBiquitous

Implications Of Adopting the MedBiquitous VP and Healthcare LOM Standards? Lessons Learned From the Web-SP Project

Nabil Zary; Uno GH Fors
Karolinska Institutet

Using MedBiquitous Standards in RESTful Web Services

Carl Singer; Andy Rabin

UCHC Virtual Patient: Clinical Case Adaptive Simulation Environment

Yanko F Michea; Joshua Simon
University of Connecticut Health Center

Demonstration Of the Campus Learning and Teaching System For Virtual Patients

Jörn Heid; Hess Frank; Simone Huber; Sören Huwendiek; Martin Haag
Centre for Virtual Patients Heidelberg Medical Centre

The Riverside Tool-kit For Easy-to-create Standards-Compliant Content

Colin Smythe; Natalie Lafferty; Stephen Allan,

Competency Resource Tools: Developing and Managing Resources For Competency-based Education

John Voss1; John Jackson1; Vladimir Goodkovsky1; Ye Chen1; Bonnie Jerome-D'Emilia2
1University of Virginia; 2Rutgers University

Everything is 'Other': Praxis and Representation of ED2 Encounters

Rachel Ellaway; David Topps
Northern Ontario School of Medicine

Building Bridges: Linking the SOERCE with MedEdPORTAL

Laurie Posey; Laurie Lyons
The George Washington University

5:00–7:00 PM

Reception in Exhibit Hall and Presentation of Awards

Thursday April 30, 2009

7:15–9:15 AM

Continental Breakfast

7:30–9:15 AM

Concurrent Working Group Meetings


Competency Working Group


Professional Profile Working Group

9:15–10:25 AM

Concurrent Panels

9:15–10:25 AM

Virtual Patients and Pedagogy


Simucase For Teaching and Testing Clinical Reasoning: A Pilot Study  (PPT, 1.1 MB)

Timothy G Willett; Simon Abrahamson; Angele Landriault; Pierre Cardinal; Patti O'Brien; Brad Genereaux
CRI Critical Care Education Network

The Replacement Of Paper Cases By Interactive Online Virtual Patients In Problem-based Learning  (PPT, 2.5 MB)

Terry Poulton; Sheetal Kavia; Trupti Bakrania; Jonathon Round
St George’s University of London

What Does That Mean? Author Selection Of Virtual Patient Metrics  (PPT, 2.2 MB)

Rachel Ellaway; David Topps
Northern Ontario School of Medicine

9:15–10:25 AM

E-learning Technology and Implementation


The Future Of SCORM  (PPT, 3.6 MB)

Avron Barr, LETSI

WebOSCE: A Novel On-line Technology For Providing In-time Practice Of Interpersonal Skills

Christof Juerg Daetwyler; Dennis Howard Novack
Drexel University College of Medicine

Redesigning a Content Delivery System, TUSK, for the Small Screen: Bringing a Web-based LMS to the Small Screen, a Ubiquitous Appliance in the Developing World  (PPT, 5.3 MB)

Susan Albright, Tufts University Sciences Knowledgebase

9:15–10:25 AM

Second Life and Healthcare Education


Ubiquitous Computing Using Second Life For Online Health Informatics Students  (PPT, 19.0 MB)

Juliana J. Brixey PhD, MPH, RN; Judith J. Warren PhD, RN, BC, FAAN, FACM
University of Kansas School of Nursing

Health Preparedness Training in Second Life: Lessons Learned  (PPT, 3 MB)

Karen Ngowe, Centers for Disease Control and Prevention

Virtual Patient and Medical Device Simulation In Second Life: the Use Of Immersive Virtual Worlds For Learning and Patient Safety  (PDF, 3.9 MB)

David I Taylor MSc MBCS; Robin Winter; Mark Chan; Rachel Davies BA (Hons); James Kinross BSc (Hons) MRCS (Eng); Ara Darzi FMedSci HonFREng KBE
Imperial College London

10:25–10:50 AM


10:50 AM–
12:00 PM


10:50 AM–12:00 PM

Virtual Patient Technology and Implementation


A Standards-Compliant Virtual Patient Authoring System  (PPT, 1.1 MB)

James McGee; Peter Kant; Gary Tabas
University of Pittsburgh School of Medicine

Implementation Of the MVP Standard By Five European VP Systems - Challenges and Recommendations  (PPT, 1 MB)

Tudor Calinici1, David Davies4, Jeroen Donkers5, Inga Hege6, Jörn Heid3, Andrzej Kononowicz8, Luke Woodham2, Nabil Zary7
1University Iuliu Hatieganu Cluj Napoca Romania; 2St George's University of London; 3The Faculty of Medicine at Heidelberg University; 4The University of Warwick; 5Universiteit Maastricht; 6Ludwig Maximilians Universitaet Muenchen; 7Karolinska Institutet; 8Uniwersytet Jagiellonski

Implementation Of A MedBiquitous Virtual Patient Compatible Web-player  (PPT, 1 MB)

Jörn Heid; Frank Hess; Simone Huber; Martin Haag,
Centre for Virtual Patients, Heidelberg Medical Centre

10:50 AM–
12:00 PM

E-learning Pedagogy

Group Communication and Point Of Care Learning  (PPT, 1.6 MB)

David Topps, Northern Ontario School of Medicine

Collaboration: Distinct Points Of View  (PPT, 1.8 MB)

Michael Feldman MD FASCP3; Becky Harris CPT CPLP1; Chitra Subramaniam1; Andrea Bergquist2
1American Society for Clinical Pathology; 2Synegen Inc; 3University of Pennsylvania Health System

Collaborative and Sharable Healthcare E-learning  (PPT, 7.4 MB)

David Twitchell1; Rebecca Bodrero2
1Department of Veterans Affairs; 2Concurrent Technologies Corporation

10:50 AM–
12:00 PM

Tracking Professional Development

Applying the Professional Profile Standard. A Real World Example Of How the Professional Profile Is Used  (PPT, 816 KB)

Annette Gippe; Mike Zarski

Online, Just In Time, Electronic Certificate Exchange: A Case Study In Leveraging the MedBiquitous Activity Report XML Standard  (PPT, 1 MB)

Benjamin Greenberg1; Leah Wang1; Annette Gippe4; Tarang Shah2; Carl Singer3; Andrew Rabin3
1Medscape; 2American Osteopathic Association; 3CECity, 4AOIA

The Role Of Open Source Web Technologies In Continuing Medical Education: A Case Study  (PPT, 2.7 MB)

Jeremy C Lundberg1; Logan Thomison2
1DLC Solutions; 2OptumHealth Education

12:00–2:00 PM

Lunch and Concurrent Working Group Meetings


Activity Report Working Group


Metrics Working Group

2:00–3:15 PM

Closing Plenary Session

2:00–3:15 PM

Managing Intellectual Property in an Interconnected World   (PPT, 260 KB)

Gabrielle Campbell, M.B.A., Director, Business Development, Association of American Medical Colleges

The Internet and standards for educational content have both enabled widespread sharing and distribution of healthcare education content across organizational and often national boundaries. While such developments bring a wealth of opportunity, they also bring a number of challenges related to copyright, consent, and licensing. Ms. Campbell examines these intellectual property challenges and offers her perspective on managing them in a world that is becoming ever more interconnected.


Synthesis and SummarySynthesis and Summary

Nancy Davis, Ph.D., National Institute for Quality Improvement and Education
Don E. Detmer, MD, M.A., American Medical Informatics Association  (PPT, 188 KB)
Sean Hilton, MD, St. George’s, University of London

3:15–3:30 PM


3:30–5:00 PM

Concurrent Working Group Meetings


Learning Objects Working Group


Point of Care Learning Working Group