A Web Platform (MOSAICO) to Design, Perform, and Assess Collaborative Clinical Scenarios for Medical Students: Viewpoint

Abstract

Background The collaborative clinical simulation (CCS) model is a structured method for the development and assessment of clinical competencies through small groups working collaboratively in simulated environments. From 2016 onward, the CCS model has been applied successfully among undergraduate and graduate medical students from the Universidad de Talca, Chile; the Universität de Barcelona, Spain; and the Universidad de Vic-Manresa, Spain. All the templates for building the clinical cases and the assessment instruments with CCS were printed on paper. Considering the large number of CCS sessions and the number of participating students that are required throughout the medical degree curriculum, it is impossible to keep an organized record when the instruments are printed on paper. Moreover, with the COVID-19 pandemic, web platforms have become important as safe training environments for students and medical faculties; this new educational environment should include the consolidation and adaptation of didactic sessions that create and use available virtual cases and use different web platforms. Objective The goal of this study is to describe the design and development of a web platform that was created to strengthen the CCS model. Methods The design of the web platform aimed to support each phase of the CCS by incorporating functional requirements (ie, features that the web platform will be able to perform) and nonfunctional requirements (ie, how the web platform should behave) that are needed to run collaborative sessions. The software was developed under the Model-View-Controller architecture to separate the views from the data model and the business logic. Results MOSAICO is a web platform used to design, perform, and assess collaborative clinical scenarios for medical students. MOSAICO has four modules: educational design, students’ collaborative design, collaborative simulation, and collaborative debriefing. The web platform has three different user profiles: academic simulation unit, teacher, and student. These users interact under different roles in collaborative simulations. MOSAICO enables a collaborative environment, which is connected via the internet, to design clinical scenarios guided by the teacher and enables the use of all data generated to be discussed in the debriefing session with the teacher as a guide. The web platform is running at the Universidad de Talca in Chile and is supporting collaborative simulation activities via the internet for two medical courses: (1) Semiology for third-year students (70 students in total) and (2) Medical Genetics for fifth-year students (30 students in total). Conclusions MOSAICO is applicable within the CCS model and is used frequently in different simulation sessions at the Universidad de Talca, where medical students can work collaboratively via the internet. MOSAICO simplifies the application and reuse of clinical simulation scenarios, allowing its use in multiple simulation centers. Moreover, its applications in different courses (ie, a large part of the medical curriculum) support the automatic tracking of simulation activities and their assessment.

Designing a medical information diagnosis platform with IoT integration

“…In a broader context, the integration of ChatGPT and IoT technology within the medical information diagnosis platform displays significant promise and substantial developmental potential [ 15 ]. This integration augurs more streamlined, convenient, and precise healthcare services, thereby contributing to the preservation of individuals’ health [ 16 ].…”

Computer-Supported Collaborative Design of Standardized Clinical Cases: Algorithm Development and Validation

“…Figure 7B shows an IMS-CP manifest file segment associated with the original Mosaico clinical case. The collaborative design supported by Mosaico [7] allows medical students to create clinical cases through standardized templates with all the information required and the possibility to integrate relevant knowledge from multiple sources. The case study regarding chest pain described in the previous section, in which Mosaico was successfully used to produce a complex clinical case by a group of advanced students under the supervision of a medical instructor, highlights the suitability of Mosaico in orchestrating this type of collaborative clinical case authoring.…”

“…Computer-supported, didactic medical content production in web-based environments demands innovative platforms that enable collaboration among medical students and instructors. Mosaico is an example of a web platform [ 7 ] that allows users to design, perform, and assess collaborative clinical scenarios for medical students. Similar platforms have been developed to foster collaborative learning for medical education.…”