SIM Scenario Exchange

Virtual Patient: A Fatigued Figure

Contributed on December 4, 2015, last updated June 30, 2022.



Ayesha Malik, MSc, University of Toronto
Kiran Virdy, MD, University of Toronto

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This virtual patient case, named ‘A fatigued figure’, was the 3rd place winner in the CHEC-CESC Virtual Patient Challenge 2012-2013. The case authors are Ayesha Malik, MSc, MD Candidate, and Kiran Virdy, MD, Faculty of Medicine University of Toronto. This case is designed for medical students and PGY1 in Family Medicine, and is designed as an outpatient case in a family physician’s office. It incorporates the use of the Electronic Medical Record.

Learning Objectives:

By the end of the virtual patient simulation, the learner should be able to:
1. Identify the pertinent questions, physical examinations, and investigations needed to diagnose a patient who presents with fatigue.
2. Demonstrate the skills needed to manage medical conditions such as anemia, menorrhagia and neoplasm.
3. Demonstrate the incorporation of electronic medical records (EMR) in patient care.
4. Demonstrate effective management skills through the judicious and cost-effective use of tests and resources.
5. Demonstrate an understanding of inter- and intra-office collaboration in patient care between professionals including, but not limited to, nurses, family physicians, specialists, nutritionists, and therapists.

Simulation Modality:

Virtual gaming simulation / virtual patient


Malik A, Virdy K. Virtual Patient: A Fatigued Figure. Simulation resource published by Simulation Canada; 2015. Available from

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Target Learners






Graduate / postgraduate / residency
Undergraduate / post-secondary

Fields / Disciplines:

Primary care / community care / family practice

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