Randomized Trial of a Virtual Reality Tool to Teach Surgical Technique for Tibial Shaft Fracture Intramedullary Nailing
| Autor: | Gideon Blumstein, Zach Burke, Chad R Ishmael, Nelson F. SooHoo, Samuel J. Clarkson, Nicholas M. Bernthal, Howard Y. Park, Stephen D. Zoller, Nicolas Cevallos, Brian K Zukotynski |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
education 030230 surgery Virtual reality Article Education law.invention Intramedullary rod 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Humans Medicine 030212 general & internal medicine Simulation Training Tibia business.industry Virtual Reality Training methods Checklist Fracture Fixation Intramedullary Passive learning Active learning Orthopedic surgery Physical therapy Surgery Clinical Competence business |
| Zdroj: | J Surg Educ |
| ISSN: | 1931-7204 |
| Popis: | INTRODUCTION: Active learning methods have accumulated popularity due to improved results in knowledge acquisition as opposed to passive learning methods. For surgical resident physicians with limited training opportunities outside of the operating room due to time constraints, virtual reality (VR) is a relatively inexpensive and time-efficient active training method for procurement of surgical skills. We conducted a simulated intramedullary nailing (IMN) of a tibia to demonstrate VR training programs as a more effective modality of learning orthopaedic surgical techniques compared to passive learning tools such as a standard guide (SG) through trained novice medical students performing a SawBones simulation of intramedullary nail fixation. MATERIALS AND METHODS: First and second-year medical students without prior experience of procedure were recruited and randomized to SG or VR training. Participants were observed performing simulated tibia IMN procedure immediately after training and evaluated by a blinded attending surgeon using procedure-specific checklist and 5-point global assessment scale. Participants returned after 2-weeks for repeat training and evaluation. RESULTS: 20 participants were recruited and randomized into VR (n=10) and SG (n=10) groups. All 20 participants completed the first phase and 17 completed the second phase of the study. Aggregate global assessment scores were significantly higher for VR than SG group (17.5 vs. 7.5, p |
| Databáze: | OpenAIRE |
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