Practice Improvement using Virtual Online Training


The PIVOT site and cases were created for The Lupus Initiative by a team of educators and content experts who believe the future of medical education will increasingly involve open-access, asynchronous, realistically simulated, online cases. Such cases will allow learners to test their clinical reasoning skills in a safe environment without harming actual patients. PIVOT offers this type of experiential learning experience.

The Lupus Initiative would like to acknowledge and thank the following contributors to this effort:


Maria Dall'Era, MD
Co-project leader
Dr. Dall'Era is an Associate Professor of Medicine at the University of California, San Francisco (UCSF) and is one of the nation's leading experts in lupus care. She is the Director of the UCSF Lupus Clinic and the Rheumatology Clinical Research Center.

Michelle Lin, MD
Co-project leader
Dr. Lin is an Associate Professor of Emergency Medicine and Academy Endowed Chair for Emergency Medicine Education at UCSF. She has successfully developed and implemented a project on behalf of the Clerkship Directors of Emergency Medicine (CDEM) to allow medical students the ability to diagnose and manage critically ill patients using an online simulation game. These cases, called Digital Instruction in Emergency Medicine (DIEM), are currently being used by hundreds of medical students in Emergency Medicine throughout the United States since 2009.

UC Berkeley: Architecture, Platforms, and Integration

PIVOT Collaborators

David Wofsy, MD
Associate Dean for Admissions, UCSF
George A. Zimmermann Distinguished Professor of Rheumatology, UCSF

Christy Boscardin, PhD
Assistant Professor of Medicine, UCSF Office of Medical Education
Expert in educational research involving technology

Jeff Jorgenson
Assistant Director of UCSF mHealth Department

Lidia Espino
Research Finance Analyst, UCSF Department of Rheumatology

Expert Panel for the Script Concordance Tests