Personalized Medicine Decision-Making in a Virtual Clinical Setting
| Status: | Recruiting |
|---|---|
| Conditions: | Cardiology, Cardiology |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | 21 - 100 |
| Updated: | 12/8/2018 |
| Start Date: | April 5, 2014 |
| End Date: | December 31, 2020 |
| Contact: | Vence L Bonham, J.D. |
| Email: | bonhamv@nhgri.nih.gov |
| Phone: | (301) 594-3973 |
Background:
-How people respond to drugs depends in part on their genes. For some drugs, doctors can use
an individuals genetic background to help in dosing the drug. Researchers want to know how
doctors incorporate personalized or genomic medicine into clinical practice.
Objective:
-To study how physicians make personalized treatment decisions
Eligibility:
-Healthy adult primary care physicians who are internal (or family) medicine residents.
Design:
- Participants will complete a screening form.
- Participants will put on a headset, called a head-mounted display, showing a virtual
reality environment.
- The environment will contain an exam room and the virtual patient.
- After interacting with the virtual patient, participants will complete a series of
survey measures.
- Participation will last for about 60 minutes. The virtual patient interaction and
follow-up questions will be audio taped.
-How people respond to drugs depends in part on their genes. For some drugs, doctors can use
an individuals genetic background to help in dosing the drug. Researchers want to know how
doctors incorporate personalized or genomic medicine into clinical practice.
Objective:
-To study how physicians make personalized treatment decisions
Eligibility:
-Healthy adult primary care physicians who are internal (or family) medicine residents.
Design:
- Participants will complete a screening form.
- Participants will put on a headset, called a head-mounted display, showing a virtual
reality environment.
- The environment will contain an exam room and the virtual patient.
- After interacting with the virtual patient, participants will complete a series of
survey measures.
- Participation will last for about 60 minutes. The virtual patient interaction and
follow-up questions will be audio taped.
This study will examine factors related to primary care physicians clinical decision-making.
Using a virtual clinical interaction experiment, we aim to better understand physicians
decision-making processes and to explore their communication behaviors toward patients in the
clinical encounter. Physician participants will enter a virtual exam room where they will be
asked to respond to a virtual patient, acting as her primary care physician in a follow-up
visit to evaluate her for depression. Various aspects of physician communication in the
virtual clinic and self-report measures related to decision-making will be analyzed.
Using a virtual clinical interaction experiment, we aim to better understand physicians
decision-making processes and to explore their communication behaviors toward patients in the
clinical encounter. Physician participants will enter a virtual exam room where they will be
asked to respond to a virtual patient, acting as her primary care physician in a follow-up
visit to evaluate her for depression. Various aspects of physician communication in the
virtual clinic and self-report measures related to decision-making will be analyzed.
- INCLUSION CRITERIA:
- All physicians will be healthy adult volunteers who are medical residents in the
internal medicine specialty.
EXCLUSION CRITERIA:
1. persons with seizure or vestibular disorders;
2. persons who are highly prone to motion sickness;
3. those without normal or normal to corrected vision or hearing;
4. all current and past employees and contractors of NHGRI; and
5. persons who have received information about the study purpose or procedure from a past
participant.
NHGRI employees are excluded for this protocol because they are likely to have specialized
genomic knowledge and may think differently about genomics in the clinical interaction.
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