Pulse!! points

Pulse!! in general

  • Pulse!! The Virtual Clinical Learning Lab immerses medical learners in high-fidelity virtual space that replicates the actual world in sight and sound.
  • Pulse!! is a federally-funded research project at Texas A&M University-Corpus Christi through the university's Office of Special Projects.
  • Pulse!! is a high-fidelity virtual learning platform for teaching high-level critical thinking, diagnostic reasoning and clinical skills to medical students and professionals.
  • Pulse!! employs cutting-edge computer game-based technologies to present clinical cases in real time.
  • Pulse!! conforms to ATLS training and ACGME core competencies
  • Pulse!! research will determine whether high-level medical learning occurs in and is transferred to practice from the learning platform.

Pulse!! rationale

  • Pulse!! presents the most viable option for supplementing the extending the clinical treatment environment at a time when:
    • Continuously changing warfare and terrorist technology and methods drive a need for rapid deployment of military training for continuously evolving medical treatment.
    • Warfighter wounds and their treatment are increasingly complex as battlefield survival rates improve and deaths decline.
    • Deaths from preventable medical errors are estimated between 44,000 and 98,000 a year.
    • Baby-boom retirements from academic faculties and changes in how, when and where treatment is delivered are creating looming shortages of medical personnel, especially physicians and nurses.
    • Shorter hospital stays and residents' workweek are reducing clinical training opportunities.
  • Pulse!! is the most viable option because:
    • The learning platform is iterative - it provides unlimited, repeatable clinical practice without risk to patients.
    • It is portable - it provides training anywhere there is a computer.
    • It is asynchronous - it provides training anytime.
    • It is immersive and persistent - learners act in virtual space as first-person providers of health care.
    • It is an ideal learning environment for the computer-savvy 'Internet Generation.'

Pulse!! features

  • The Pulse!! clinical environment replicates in detail the National Naval Medical Center at Bethesda, Md.
  • The learning platform is interactive - it replicates real-world treatment options with simulated consequences.
  • The learning platform is "bio-fidelic" - it faithfully replicates a human body presenting symptoms and responding to treatment in real time.
  • An authoring tool enables creation of new cases for diagnosis and treatment in the virtual environment.

Pulse!! The way ahead

  • An intelligent tutoring agent mimicking the methods and dialog of human teachers
  • Continue integrating artificial intelligence (AI) in the case-based system
  • Integration of voice recognition in interactive components

Pulse!! collaborators & champions

  • U.S. Rep. Solomon Ortiz, D-Corpus Christi (27th Congressional District), Chairman of the House Armed Services Committee's Subcommittee on Readiness and Military Construction
  • The Office of Naval Research, through which almost $10 million in congressional funding has come in the form of grants
  • BreakAway Ltd., Hunt Valley, Md., a leader in modeling and simulation software used for developing computer games, innovative military and government training applications and highly advanced data visualization tools.
  • Cmdr. James Dunne, M.D., Chief of Trauma/Surgical Critical Care, National Naval Medical Center, Bethesda, Md.

Pulse!! research sites

  • Yale University School of Medicine
  • The Johns Hopkins University School of Medicine
  • The National Naval Medical Center at Bethesda, Md.

Pulse!! funding

  • Through June 2008: $9.85 million through the Office of Naval Research.