@article{article_471652, title={A Scenario-Based Virtual Patient Program To İmprove Adherence To Guidelines for Diabetic Foot İnfection and Complicated İntra-Abdominal İnfection among Physicians}, journal={Online Turkish Journal of Health Sciences}, volume={4}, pages={240–261}, year={2019}, DOI={10.26453/otjhs.471652}, author={Karabay, Oguz and Gurlek, Mehmet}, keywords={Komplike intraabdominal enfeksiyon,diyabetik ayak enfeksiyonu,tanı,tedavi uygulamaları,senaryoya dayalı sanal hasta programı}, abstract={<div style="text-align:justify;"> <span style="font-size:14px;line-height:150%;font-family:’Times New Roman’, serif;">In the study it was aimed </span> <b> <span style="font-size:14px;line-height:150%;font-family:’Times New Roman’, serif;"> </span> </b> <span style="font-size:9pt;line-height:150%;font-family:’Times New Roman’, serif;"> <span style="font-size:14px;">to </span> <b> <span style="font-size:14px;"> </span> </b> </span> <span style="font-size:14px;line-height:150%;font-family:’Times New Roman’, serif;">evaluate diagnostic and practice patterns of
physicians who participated for scenario-based virtual patient programs on
complicated intra-abdominal infection (IAI) and diabetic foot infection (DFI). </span> <span lang="en-gb" style="font-size:14px;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-gb"> This study was
conducted with 252 physicians who participated on a voluntary basis in two
scenario-based virtual patient programs relating to complicated IAI (n=210) and
DFI (n=42) which provide data on stepwise evaluation of patient (patient
characteristics, disease characteristics, physical examination, laboratory and
radiological findings) as requested by the physician and were developed using
computer graphics technology. </span> <span style="font-size:14px;line-height:150%;font-family:’Times New Roman’, serif;"> F </span> <span style="font-size:9pt;line-height:150%;font-family:’Times New Roman’, serif;"> <span style="font-size:14px;">or IAI Case Scenario, </span> <b> <span style="font-size:14px;"> </span> </b> <span style="font-size:14px;">the diagnosis was confirmed by 75.0% of physicians, while   surgical intervention with ceftriaxone +
metronidazole (37.6%) or with ertapenem (34.1%) was the most commonly selected
treatment modalities. For DFI Case Scenario, the diagnosis was confirmed by
98.0% of physicians, and 71.0% of physicians considered initiation of
antibiotic treatment and mostly with ertapenem (55.0%) </span> <b> <span style="font-size:14px;">. </span> </b> <span style="font-size:14px;">In conclusion, our findings revealed that use of “scenario-based”
virtual patient programs provided rapid and up-to-date feedback and
self-monitoring of learning outcomes to improve clinical reasoning skills of
physicians on IAI and DFI. Accordingly, our findings indicate practice pattern
of physicians for complicated IAI should be improved in terms of more
appropriate selection of empirical antibiotherapy, while diagnostic and
practice patterns for DFI should also be improved in terms of more careful
assessment of risk factors for infection and appropriate selection of empirical
antibiotherapy. </span> </span> </div>}, number={3}, publisher={Oğuz KARABAY}