Engage students with conversation-based learning

Digital Clinical Experiences provide a safe, standardized environment that allows students to interact with older adults and provide them with both compassionate and age-appropriate care. These Digital Clinical Experiences are powered by our conversation engine and assessed using our proprietary Student Performance Index™.

Utilizing our natural language conversation engine, students engage in open-ended conversations to gather subjective data, conduct appropriate screenings, and practice patient-centered communication.

Students perform tests and use instruments to explore how familiar pathologies can manifest uniquely in older individuals.

Students synthesize their findings and compare their work to an exemplar's model note.

Students engage in debriefing immediately following every assignment, and are given feedback on the discrete components of clinical reasoning measured by our Student Performance Index.

Digital Standardized Patient Esther Park

Esther Park, 78, comes to the ED with a headache and high blood pressure. She has confusion and has forgotten to take her blood pressure medication for several days. Additionally, she has taken ginseng to "help her headache". The simulation takes place when she is admitted.

QSEN co-author:
Michelle Slater, DNP, RN
Nurse Manager, Specialty Clinics
Cleveland VA Medical Center

Digital Standardized Patient Edward Carter

Edward Carter is a 68 year-old man who comes to the ED with severe pain from osteoarthritis in his hips and knees. The simulation takes place when he is admitted.

QSEN co-author:
Mary Jo Krivanek, DNP, RN
Clinical Nurse Educator, Patient Care Administration
Southwest General Hospital, Ohio

Digital Standardized Patient Patricia Young

Patricia Young, 74, comes to the ED with a UTI and confusion from the infection. She is having problems with incontinence and is wearing incontinence pads. The simulation occurs in the ED.

QSEN co-author:
Gerry Altmiller, EdD, APRN, ACNS-BC
Professor, The College of New Jersey
Director of the QSEN Regional Center at TCNJ

Digital Standardized Patient Robert Hall

Robert Hall, 80, comes to the ED after a fall -- he became dizzy getting getting out of his car and lay in his garage for several hours before his daughter found him. He has a DVT in his leg and has inadvertently been taking a double dose of metoprolol. The simulation takes place when he is admitted.

QSEN co-author:
Aniko Kukla, DNP, RN
Quality Manager
Salinas Memorial Health System

Digital Standardized Patient Regina Walker

Regina Walker, 69, comes to the ED with severe pain from breast cancer that has metastasized to her liver (she chose to cease treatment 3 months ago). She is cared for by her family; however, today her pain was unmanageable. She mentions several times that she is interested in learning about hospice care, and that it "may be time".

QSEN co-author:
Nadine Marchi, DNP, RN
QSEN Teaching Strategy Coordinator

Student Performance Index

Measure Clinical Reasoning

Shadow Health has developed and validated the first conceptual framework to operationalize cliinical reasoning within virtual patient simulations.

This innovative framework includes six discrete components of clinical reasoning: Subjective Data Collection, Objective Data Collection, Therapeutic Communication, Documentation, Information Processing, and Self-Reflection.

Shadow Health's Student Performance Index provides both you and your students with the immediate, detailed feedback necessary to accurately identify areas of strength and opportunities for remediation.

Measuring Clinical Reasoning in the DCE using the Student Performance Index
Developed in partnership with the QSEN Institute

Map student actions to QSEN competencies

The Quality and Safety Education for Nurses (QSEN) Institute has partnered with Shadow Health to infuse QSEN competencies into the Digital Clinical Experiences.

The QSEN Institute advises and lends expertise to the Shadow Health team as they build virtual patient simulations for all courses across the Graduate and Undergraduate curriculum.

Click here to view the QSEN faculty partners who co-authored the Gerontology Digital Clinical Experience patient cases.


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