Abstract: There are provided a method, system and medium having instructions embedded to determine an attribute of a simulated patient's state resulting from a patient-physician encounter. The method includes receiving a current treatment move and an initial value of the attribute; calculating a maximal expected incremental effect value of the current treatment move over a previous treatment move on the attribute; attenuating the maximal expected incremental effect value based on amount of time between the previous treatment move and the current treatment move; summing the attenuated maximal expected incremental effect value with the initial value to generate an updated attribute of the simulated patient's state; and generating a patient-physician encounter that includes the updated attribute.

Abstract: A method of dynamically simulating a physician assessment and teaching environment for treatment of a chronic illness is provided. The method includes providing a library of patient cases histories, selecting a patient case history from the library of patient case histories, providing a treatment action in response to the particular patient case history selected, and providing a projection of the patient's future clinical status based upon the treatment action provided.