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Gesundheit N et al. – Student acceptance of this web–based method was high, with greater acceptance in pre–clinical (second–year) compared with clinical (fourth–year) medical students. Students rated VPs as realistic and appropriately challenging; they particularly liked the ability of VPs to show physical abnormalities (such as abnormal heart and lung sounds, skin lesions, and neurological findings), a feature that is absent in standardized patients. These results document high acceptance of web–based instruction and assessment by medical students. VPs of the complexity used in this study appear to be particularly well suited for learning and assessment purposes in early medical students who have not yet had significant clinical contact.


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