Users of the Medical History: Early Detection of Chemical, Biological, Radiological, Nuclear, and Explosive (CBRNE) Events training system are health care providers who may encounter one of four illnesses: chicken pox, Rocky Mountain spotted fever (RMSF), smallpox, or viral hemorrhagic fever. Of these illnesses, small pox and viral hemorrhagic fever are potential bioterrorist weapons and pose a risk to national security due to their highly contagious nature and high mortality rates. Diagnosing these illnesses properly requires special attention by the medical community because of the contagious trait and potential for causing a public panic. Through a virtual standardized patient screening, users can take a detailed medical history, perform a visual exam to assess David's physical symptoms, perform a simulated physical exam, and can offer a diagnosis and patient plan. While utilizing various diagnosis tools, users must also maintain appropriate rapport and bedside manner with David. David is different in every conversation, varying in mood, illness, and medical history, keeping the interaction interesting after numerous plays.
It is the user's job to take a complete medical history to properly diagnose David and to suggest and implement a patient plan. This training system aids in increasing familiarity and comfort with illnesses that are potentially harmful. Users receive real-time support and feedback from an on-screen coach and post-conversation feedback based on the diagnosis, patient management plan, required information, and communication. Upon completion of training with David, users will have the skills, knowledge, and practice to effectively take an appropriate history, perform a focused physical exam, determine a differential diagnosis of illnesses that present with rash and fever, and determine an effective patient management plan, all while maintaining appropriate rapport and bedside manner.