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Low back pain is one of the most common presentations in the Family Practice. In many patients, the low back pain is self-limiting. If there are no red flags, the patient can initially be treated with simple pain killers. However, of the patients seeking medical attention, many are unnecessarily being sent for further investigations, which contributes to high health care costs.This case "John's back again" was developed for students to learn tips on diagnosing and managing low back pain, including exploring red flags symptoms. In addition, this case will give them an idea on how quickly health care costs can rise by ordering unnecessary tests. Furthermore, it shows them how Electronic Medical Records (EMRs) and network systems operate and how they can be helpful and time-saving in daily practice.For the authors, this case gives them an opportunity to see how feedback and instructions influence the student's choices in physical exam and management plan during John's second visit to their office.Students can get direct feedback during the case and get an overall summary on their performance at the end of the case. 

Participant in the CHEC-CESC Virtual Patient Challenge 2012-2013. 

This Virtual Patient Case was submitted as part of the CHEC-CESC Virtual Patient Challenge 2012 as part of the AFMC-Infoway Physician in Training e-Health Curriculum and e-Learning initiative.

The focus of the challenge is on virtual patients that incorporate the use of electronic health records (EHRs) and other aspects of e-health to improve patient care. Below you will find the submission requirements including e-Health topics that must be incorporated in the case design, and the pedagogical and instructional case design criteria.

Abnormal Uterine Bleeding is a common patient concern seen in primary care. Bleeding Barbara’s virtual case will help clinical clerks and residents to recognize AUB, learn the etiology of AUB in premenopausal women, define various patterns of vaginal bleeding, learn tips on diagnosing and investigating and managing AUB. This case also demonstrates how the use of information systems such as electronic medical records (EMRs) and personal health records will influence how we practice.

Participant in the CHEC-CESC Virtual Patient Challenge 2012-2013. 

This Virtual Patient Case was submitted as part of the CHEC-CESC Virtual Patient Challenge 2012  as part of the AFMC-Infoway Physician in Training e-Health Curriculum and e-Learning initiative.

The focus of the challenge is on virtual patients that incorporate the use of electronic health records (EHRs) and other aspects of e-health to improve patient care. Below you will find the submission requirements including e-Health topics that must be incorporated in the case design, and the pedagogical and instructional case design criteria.

After completing this case, the fourth-year medical student is expected to demonstrate the following CanMEDS competencies:

1. Perform a complete and appropriate assessment of a patient with diabetes mellitus type 2 (DM2), with emphasis on general aspects of screening, diagnosis, initial management using metformin, and screening for complications. (medical expert)
2. Safely and effectively communicate medical information to patients with the appropriate use of e-health resources. (communicator, manager, professional)
3. Collaborate effectively with health professionals in an interprofessional diabetes team care setting. (collaborator)
4. Retrieve evidence on diabetes including the latest Canadian guidelines and evidence-based physical examination techniques. (scholar)
5. Appropriately utilize an electronic medical record (EMR) to review laboratory results and team-based progress notes. (manager)

1st place winner in the CHEC-CESC Virtual Patient Challenge 2012-2013. 

The Association of Faculties of Medicine of Canada (AFMC) and Canada Health Infoway, are proud to announce the 1st place winner of the CHEC-CESC Virtual Patient Challenge 2012 as part of the AFMC-Infoway Physician in Training e-Health Curriculum and e-Learning initiative.

The focus of the challenge is on virtual patients that incorporate the use of electronic health records (EHRs) and other aspects of e-health to improve patient care. Below you will find the submission requirements including e-Health topics that must be incorporated in the case design, and the pedagogical and instructional case design criteria.

By the end of the virtual patient simulation, the learner should be able to:

• Identify the pertinent questions, physical examinations, and investigations needed to diagnose a patient who presents with fatigue.
• Demonstrate the skills needed to manage medical conditions such as anemia, menorrhagia and neoplasm.
• Demonstrate the incorporation of electronic medical records (EMR) in patient care.
• Demonstrate effective management skills through the judicious and cost-effective use of tests and resources.
• Demonstrate an understanding of inter- and intra-office collaboration in patient care between professionals including, but not limited to, nurses, family physicians, specialists, nutritionists, and therapists.