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http://www.cincinnatichildrens.org Medical education has traditionally been done at the bedside, or in clinic. That’s also where parents often learn to take care of their sick children. But there is a new generation of young learners, who have grown up learning through technology. Dr. Joe Real teaches pediatric primary care to patients, families, medical students and residents at Cincinnati Children’s. Dr. Real and a team of program developers created a virtual clinic, with avatar parents who were hesitant to vaccinate their children against flu. The goal was to teach residents how to communicate better with parents and decrease vaccine refusal. It worked. Rates of flu vaccine refusal decreased 10 percent. Dr. Real decided to focus on asthma – the number one reason for patients to be admitted to Cincinnati Children’s. The team created a virtual reality program so parents can learn the difference between rescue and controller inhalers and how to administer the medications. David Davis, a senior educational consultant, is on the virtual reality team at Cincinnati Children’s. He says it’s essential for success that these programs include real-life experiences. One of the newest projects focuses on respiratory distress in infants because of bronchiolitis, a lower respiratory infection and another common reason for patients to be admitted to the hospital. It can be difficult for a doctor in training, and even more so for a parent, to recognize when a patient is worsening and requires an escalation of care. But this project allows viewers to see a virtual baby and hear whether the baby’s breathing is getting worse. As for Dr. Real, he’s excited by what he calls the “gamification of learning.” He and Davis plan to continue creating novel and innovative methods of educating physicians and families.