Education in Focused Assessment With Sonography for Trauma Using Immersive Virtual Reality: A Prospective, Interventional Cohort Study and Non-inferiority Analysis With a Historical Control.

Autor:	Junge K; Department of Radiology, Odense University Hospital, Odense, Denmark; Research and Innovation Unit of Radiology, University of Southern Denmark, Odense, Denmark. Electronic address: Kirstine.Junge@rsyd.dk., Larsen JD; Research and Innovation Unit of Radiology, University of Southern Denmark, Odense, Denmark., Stougaard SW; Research and Innovation Unit of Radiology, University of Southern Denmark, Odense, Denmark., Jensen RO; Research and Innovation Unit of Radiology, University of Southern Denmark, Odense, Denmark; Department of Emergency Medicine, Sygehus Lillebaelt, Kolding, Denmark., Falster C; Department of Respiratory Medicine, Odense University Hospital, Odense, Denmark; Odense Respiratory Research Unit (ODIN), Department of Clinical Research, University of Southern Denmark, Odense, Denmark., Posth S; Department of Emergency Medicine, Odense University Hospital, Odense, Denmark., Nielsen AB; Regional Center for Technical Simulation (SimC), Odense University Hospital, Odense, Denmark; Department of Anesthesiology and Intensive Care, Odense University Hospital, Svendborg, Denmark., Laursen CB; Department of Respiratory Medicine, Odense University Hospital, Odense, Denmark; Odense Respiratory Research Unit (ODIN), Department of Clinical Research, University of Southern Denmark, Odense, Denmark., Konge L; Regional Center for Technical Simulation (SimC), Odense University Hospital, Odense, Denmark; Copenhagen Academy for Medical Education and Simulation (CAMES), Center for Human Resources and Education, The Capital Region of Denmark, Copenhagen, Denmark., Graumann O; Department of Radiology, Aarhus University Hospital, Aarhus, Denmark; Aarhus University, Aarhus, Denmark., Pietersen PI; Department of Radiology, Odense University Hospital, Odense, Denmark; Research and Innovation Unit of Radiology, University of Southern Denmark, Odense, Denmark.
Jazyk:	angličtina
Zdroj:	Ultrasound in medicine & biology [Ultrasound Med Biol] 2024 Feb; Vol. 50 (2), pp. 277-284. Date of Electronic Publication: 2023 Nov 30.
DOI:	10.1016/j.ultrasmedbio.2023.10.013
Abstrakt:	Objective: Focused assessment with sonography for trauma (FAST) is a valuable ultrasound procedure in emergency settings, and there is a need for evidence-based education in FAST to ensure competencies. Immersive virtual reality (IVR) is a progressive training modality gaining traction in the field of ultrasound training. IVR holds several economic and practical advantages to the common instructor-led FAST courses using screen-based simulation (SBS). Methods: This prospective, interventional cohort study investigated whether training FAST using IVR unsupervised and out-of-hospital was non-inferior to a historical control group training at a 90 min SBS course in terms of developing FAST competencies in novices. Competencies were assessed in both groups using the same post-training simulation-based FAST test with validity evidence, and a non-inferiority margin of 2 points was chosen. Results: A total of 27 medical students attended the IVR course, and 27 junior doctors attended the SBS course. The IVR group trained for a median time of 117 min and scored a mean 14.2 ± 2.0 points, compared with a mean 13.7 ± 2.5 points in the SBS group. As the lower bound of the 95% confidence interval at 13.6 was within the range of the non-inferiority margin (11.7-13.7 points), training FAST in IVR for a median of 117 min was found non-inferior to training at a 90 min SBS course. No significant correlation was found between time spent in IVR and test scores. Conclusion: Within the limitations of the use of a historical control group, the results suggest that IVR could be an alternative to SBS FAST training and suitable for unsupervised, out-of-hospital courses in basic FAST competencies. Competing Interests: Conflict of interest K.J., J.D.L., R.O.J., and O.G. were all involved in development of the IVR module. R.O.J. is the chief executive officer and co-founder of VitaSim, which provided the virtual reality software used in this study. J.D.L. was previously employed by VitaSim as a part-time learning consultant. C.F. has voiced a previous VitaSim IVR module. Neither participated in the assessment of the participants’ US skills or data analysis. The remaining authors do not have any conflicts of interest to disclose. (Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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