Virtual Patient Based Learning Model

The Design of a Virtual Patient Based Learning Model as a Process to Improve Second Language Learning and Cultural Competence for Healthcare Professionals

Jeff Edouard Rouyer

Supervisor: Jo Axe

Using theory-informed design to develop and promote language proficiency and cultural competence in a complex healthcare education environment

Parte 01: Los antecedentes

Virtual Patient Based Learning Model

The Background of the Study

16m (US) +147k (OR)

Language and cultural barriers affect the quality of care and patient safety stemming from the miscommunication of:

  • medical histories
  • physician instructions
  • informed consent

Use of interpreters

  • costly
  • inaccessible
  • inconvenient
The best identified solution is the promotion of direct bilingual interaction between healthcare providers and their patients.

Parte 02: El propósito

Virtual Patient Based Learning Model

The Purpose of the Study

to seek:

  • design solutions to teaching and learning challenges
  • application of theory in practice through the implementation of design-based research methodology
  • understand, refine, or validate theory-informed design principles

Theoretical Framework

Engagement theory: Technology-based teaching and learning practices that emphasize self-directed student learning that:

  • occur in a group context
  • are project-based
  • have an authentic outside focus

Literature Review

  • historical perspective
  • motivation theories
  • game based learning
  • avatars and virtual worlds
In what ways might the VPBLM reduce second language learning challenges and improve cultural competency for healthcare professionals? (Motivation, Engagement, and Experience)

Parte 03: La metodología

Virtual Patient Based Learning Model

The Methodology of the Study

Design-based research

  • analysis of practical problems in collaboration
  • development of solutions informed by existing design principles
  • iterative cycles of testing and refinement
  • reflection to produce new design principles


  • identifies the value and role of technology in student centered learning practices
  • process for instructional systems design
  • bridges theory to practice
  • values localized environment


  • Phase I: Problem Analysis
  • Phase II: Prototype Development
  • Phase III: Testing and Refinement
  • Phase IV: Reflection and Implementation
Quality design-based research features implementation in real-world contexts, involves multiple iterations, offers significant interventions, employs mixed-methods data collection, and evolves theory-informed design principles

Parte 04: Las limitaciones

Virtual Patient Based Learning Model

The Limitations of the Study


  • Participant Pool Limits
  • Longitudinal Limits
  • Language and Cultural Limits
  • Self-reporting Limits


  • Psychological Response
  • Literature Focus
  • Methodology Focus
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Parte 05: Los resultados

Virtual Patient Based Learning Model

The Results of the Study

Conjecture Map

  • High-level Conjecture
  • Embodiment/li>
  • Mediating Processes
  • Intervention Outcomes

Parte 07: Fin

Virtual Patient Based Learning Model

The End


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