When you copy a bundled patient, your copied custom patient will come with the basic structure of the Objectives and Credits, but you will need to define what the requirements are.
The layout of the Objectives tab is the following:
Editing and Defining Credits
To customize a credit:
Click the pencil icon next to a credit to open the editing window.
Choose a criteria type from the dropdown menu:
Criteria Types
Conversation-based criteria
Speech Conversation Responds With: Tracks what conversation topics the AI uses during the simulation (found in Advanced Mode->States->Conversation)*.
Conversation Including: Tracks specific words or phrases said by either the student or the patient.
Log Entry Including: Tracks keywords in simulation log entries.
*Only on certain simulator service levels
Event-Based Criteria
Log Entries – Match keywords in the simulation log.
Vital Sign Values – Heart rate, respiratory rate, changes, etc.
Time Passed – Track elapsed time or time limits.
Diagnose & Treat Orders – Items requested from the Diagnose and Treat feature.
Physical Exam – Specific actions like palpation or auscultation.
End-of-Simulation Quiz – Based on quiz answers.
SOAP Note Entries – Keywords or phrases entered in SOAP notes.
You can use one or multiple conditions to trigger each credit.
Each credit can have multiple criteria, and you can specify whether these must be met in order or in any order.
Using “Speech Conversation Responds With”
This option uses predefined clinical interview topics from the Conversation Tab to recognize and score specific types of questions or statements during the simulation.
You can select general or specific topics.
Example: The AI might detect any question related to the presenting complaint and award credit accordingly.
Using “Conversation Including”
This option is keyword-based and allows fine-tuned control. You can choose to match:
Q&A pair: Keywords can appear in either the question, the answer, or split across both.
Only in Q: Match only the question.
Only in A: Match only the answer.
Keyword Syntax Guide (All case-insensitive)
Space = AND
Example:fever cough→ both fever and cough must be present.
|= OR
Example:nausea|vomiting→ either nausea or vomiting must be present.Quotes
" "= Exact match
Example:"chest pain"→ matches the exact phrase chest pain.Combining
Example:headache|dizziness fatigue|weakness→ must contain either headache or dizziness, and either fatigue or weakness.Exclusion using
!!fever→ must not contain fever.!fever cough→ must not contain fever, but must contain cough.
Adding and Structuring Objectives and Credits
You can add new Credits to existing Objectives or create new Objectives as needed.
Define how each credit is fulfilled and how many points it's worth.
Combine multiple criteria for more accurate scoring.