PURPOSE
Patient simulation using high fidelity simulators has become an increasingly integrated and important part of medical education. However, the cost and availability of such an experience can be prohibitive and is usually limited to small groups. The aim of this project is to develop interactive video case simulations that provide a similar experience to a larger group setting while maintaining educational and decision making benefits.

METHODS
This project focuses on the first year medical school curriculum. Clinical scenarios for each of the first seven modules (Patient doctor society, Fundamentals I and II, Cardiology, Pulmonary, GI and Renal) were developed with a team of student actors and the use of the simulators and staff at the Children's Hospital Pediatric Simulation Center. These scenarios were then acted out and recorded in a "choose your own adventure format". This allows the class to make decisions using the audience response system or visual majority that will then change the course of the video and will in effect allow the class to care for the patient.
In the future these video case presentations will be edited into websites that can be used universally.

RESULTS
Programming interactivity into video cases provided a unique set of software compatibility problems. The goal of this project is to make these cases as portable as possible. The decision was made to edit the video cases to be accessible online, providing almost universal availability to anyone with internet access.

CONCLUSION/FUTURE DIRECTIONS
Cases will be integrated into the first year medical school curriculum at UASOM. They will also be linked to evaluations via SurveyMonkey® to evaluate effects on the learning experience.