How Doctors, Nurses, 

Allied Health Professionalsand Patients Use Second Life

Robin M. Ashford, MSLISMay 5, 2010

2010 ICSI/IHI Colloquium on Health Care Transformation 

What is Second Life® – The Internets largest user created, 3D virtual world community – It’s NOT a game

http://secondlife.com/whatis/

More about Second Life (SL)

Launched in 2003 - 18 million plus registered users from over 150 countries - approximately 45% from U.S. (currently approx. 1.4 million active users - i.e., those logged in during last 60 days) It's large - If it was a physical place, it would cover 1.8 billion square meters of land which is about the size of Houston, Texas

Used by hundreds of enterprises, governments, and educational institutions Anyone in Second Life can create content and it's easy to do It has a vibrant "in-world" (inside SL) economy - over $360 million USD in user-to-user transactions in 2009   http://work.secondlife.com/en-US/whyslwork/whatis/ 

About Me

A Consumer Health Librarian’sNational Library of Medicine Funded Project in Second Life®

 http://docs.google.com/present/view?id=dd9g7wzv_783gtqsdrf7

Karuna Island - HIV/AIDS Support & Education

The Karuna Resource Center Reference Desk

Medical Training & Patient Advising: Ann Myers Medical Center (AMMC)

http://ammc.wordpress.com/

AMMC - Welcome from Dr. Vera Zhaoying

AMMC Tour

Health Center for Women

Information and Health Training for Women

Resources & Contact Info

Mammogram Machine

Breast Self Exam Technique Training

Click Numbers for Steps in Text and Avatar Movement

AMMC - Emergency to Recovery Training

AMMC - Emergency Training

AMMC – Emergency Psychiatry Information and on-call RL Psychiatrist

Founder of the Second Life Medical Association for Physicians and Medics-395 member

Ren Stonecutter – Real Life (RL) Board Certified Family Physician, Assistant Visiting Professor of Family Medicine at the University of Virginia

“Finally there are emerging in SL actual professional groups and associations of r/l health care practitioners who offer counseling, medical advice, and limited care as part of their SL personas.  A few sims now exist in SL where r/l medical education is being undertaken using the virtual world as a platform.”

Cont: http://tinyurl.com/y6f3mgw

 J Med Internet Res 2010;12(1):e1  URL: http://www.jmir.org/2010/1/e1/

METHODS: “We designed anddelivered a pilot postgraduate medical education program in the virtual world, Second Life.”

METHODS: “We designed anddelivered a pilot postgraduate medical education program in the virtual world, Second Life.”

Virtual Worlds Best Practices in Education - Second Life Presentation http://www.slideshare.net/ldorland/learning-3444153

Goals • Explore the potential of VWs for medical education • Explore possible instructional design approaches • Understand the barriers and limitations • Measure participant learning outcomes and feedback

Participants • 14 primary care physicians • Average 16 yrs in practice • 7 states, all doing it from home • 3 with some SL experience • Average of 78 minutes coaching time with each doctor  Wiecha J, Heyden R, Sternthal E, Merialdi MLearning in a Virtual World: Experience With Using Second Life for Medical EducationJ Med Internet Res 2010;12(1):e1  URL: http://www.jmir.org/2010/1/e1/

Continuing Medical Education – Docs in SL

Mock Patient With Medical History - Type 2 Diabetes

Comments from the Docs

Douglas R. Danforth, Ph.D., Associate Professor, Department of Obstetrics and

Gynecology Director - Ohio State University, College of Medicine

Creator of famous SL Testis & Ovary Tours: Interview http://www.youtube.com/watch?v=vEk48Sc9UaM Tour http://www.youtube.com/watch?v=O1YuRSyzBAE  New work with artificial intelligence (AI) bots developed to instruct medical students in medical history taking skills

Ohio State University SL Medical Center

 

Sign gives AI avatar patient's medical history notecard

Pre-programmed AI Avatar “Bot” as Patient

AI Demonstration

Question to AI avatar patient:  "Are you having any pain”  Answer  - "Yes, I have had crampy pain on the right side on and off that started this morning” Second Q & A - "How bad is the pain” – “It is about a 2/10”

Simulations - Tacoma Community College of Nursing

Medical Simulation in the Virtual World of Second Life by MUVErs:http://www.youtube.com/watch?v=TkuLAOzL0zU

Simulation Video: http://www.youtube.com/watch?v=TkuLAOzL0zU

Cerner - Clinical and Healthcare Management Solutions Perioperative Demo Live in SL: http://www.youtube.com/watch?v=mypoYVmlThI

Cerner Corporation - Radiology

Radiology and Pharmacy

HealthInfo Island: Path of Support - Information Notecard: http://docs.google.com/Doc?docid=0AVnZ4lEPaETWZGQ5Zzd3enZfOTUxYzdxcmo0ZnI&hl=en

 

Mental Health & Disabilities GroupsDo Online Groups Help? by John Norris:

http://docs.google.com/Doc?docid=0AVnZ4lEPaETWZGQ5Zzd3enZfMTAzMjhnbjZoMmRu&hl=en

Health Support Groups

American Cancer Society http://www.cancer.org/docroot/COM/content/div_TX/COM_5_1x_The_Society_in_Second_Life.asp

 

Mayo Clinic

Mayo Clinic – Presentations

Example: Mayo Clinic to Host Colon Cancer Event in Second Lifehttp://newsblog.mayoclinic.org/2010/03/30/mayo-clinic-to-host-colon-cancer-event-in-second-life/

Centers for Disease Control and Prevention

National Library of Medicine

Case Study: Children's Memorial Hospital Chicago - Preparing for a Disaster Without Disrupting Patient Care

 ”A virtual world allows us to engage our employees in an experience… for situations and events that we can’t replicate in the real world.” – Judi Smith, Information Management Department,

Strategic Projects, Children’s Memorial Hospital Chicago

 

http://work.secondlife.com/en-US/successstories/case/chmc/

Case Study: CIGNA–vielife in Second Life: Engaging and Interactive Health & Lifestyle Training for the Global Workforce

"vielife's goals were simple: to discover how participants would respond to a virtual learning environment and assess what kind

of behavior modification could be achieved”

PDF of case study with images available at: http://work.secondlife.com/en-US/successstories/case/cigna/

Future hospital? In SL and RL:

Palomar West

YouTube Video http://tinyurl.com/yypdl2x

Healthcare of the Future: The Second Health London Local Community Hospital and Polyclinic http://tinyurl.com/mee6tk

Future implications? Virtual World Statistics http://www.kzero.co.uk/blog/?p=3943

Q4 2009: 803 million registered accounts in approximately 400 virtual worlds

K-Zero, a UK research firm, forecast: virtual worlds will continue to grow and develop with approximately 900 such platforms being available to the public by 2012

Contact & Resources

Robin M. Ashford, MSLIS IM Robin Mochi in Second Life

Email – robinmashford@gmail.comTwitter - http://twitter.com/rashfordBlog - http://librarianbydesign.blogspot.com/Posterous Blog - http://robinashford.posterous.com/Flickr - http://www.flickr.com/photos/25095603@N07/YouTube - http://www.youtube.com/user/rashfordDelicious - http://delicious.com/rashfordSlideshare - http://www.slideshare.net/RobinAshfordLinkedIn - http://tinyurl.com/25pwl92FriendFeed - http://friendfeed.com/rashford

Google doc of resources used in this presentation and more:http://docs.google.com/Doc?docid=0AVnZ4lEPaETWZGQ5Zzd3enZfOTM5ZDU1OWdxZGQ&hl=en