Implementation and Assessment of a Heart Failure Virtual Patient Simulation in a Required Pharmacotherapy Course

Objective. To assess second year Doctor of Pharmacy students’ academic performance in and perceptions of a heart failure (HF) virtual patient simulation used in a required pharmacotherapy course. Methods. A heart failure virtual patient simulation was created to augment heart failure pharmacotherapy course material at the University at Buffalo School of Pharmacy and Pharmaceutical Sciences in the fall of 2019. This was a retrospective, pre-post observational cohort study. The primary objective was to compare student performance on heart failure pharmacotherapy examination questions in a cohort of students who completed a virtual patient simulation in 2019 compared to a control cohort who completed a paper-based case activity in 2018. Student perceptions of the simulation experience were assessed via electronic survey. Results. Students completed either the virtual patient simulation (n5122) or a paper-based case activity (n5123). Overall, the proportion of correctly answered heart failure pharmacotherapy examination questions was 83.3% in the virtual simulation group compared to 79.2% in the paper-based case group. Survey results indicated that students would prefer that the virtual patient simulation be incorporated in the pharmacotherapy curriculum. Conclusion. Use of a heart failure virtual patient simulation was associated with improved examination performance and was well received by students.