Emergency Medicine (JS, NK, DB, DRM, SK, RNe), the Center for Education and Scholarship (RNa), The Ohio State University, Columbus, OH,
Acad Emerg Med. 2011 May;18(5):559-62. doi: 10.1111/j.1553-2712.2011.01064.x. Epub 2011 Apr 26.
Oral examination is a method used to evaluate emergency medicine (EM) residents and is a requirement for board certification of emergency physicians. Second Life (SL) is a virtual three-dimensional (3-D) immersive learning environment that has been used for medical education. In this study we explore the use of SL virtual simulation technology to administer mock oral examinations to EM residents.
This was a prospective observational study of EM residents who had previously completed mock oral examinations, participating in a similar mock oral examination case scenario conducted via SL. EM residents in this training program completed mock oral examinations in a traditional format, conducted face to face with a faculty examiner. All current residents were invited to participate in a similar case scenario conducted via SL for this study. The examinee managed the case while acting as the physician avatar and communicated via headset and microphone from a remote computer with a faculty examiner who acted as the patient avatar. Participants were surveyed regarding their experience with the traditional and virtual formats using a Likert scale.
Twenty-seven EM residents participated in the virtual oral examination. None of the examinees had used SL previously. SL proved easy for examinees to log into (92.6%) and navigate (96.3%). All felt comfortable communicating with the examiner via remote computer. Most examinees thought the SL encounter was realistic (92.6%), and many found it more realistic than the traditional format (70.3%). All examinees felt that the virtual examination was fair, objective, and conducted efficiently. A majority preferred to take oral examinations via SL over the traditional format and expressed interest in using SL for other educational experiences (66.6 and 92.6%, respectively).
Application of SL virtual simulation technology is a potential alternative to traditional mock oral examinations for EM residents.
口腔检查是一种用于评估急诊医学（EM）住院医师的方法，也是急诊医师委员会认证的要求。第二人生（SL）是一种虚拟的三维（3-D）沉浸式学习环境，已被用于医学教育。在这项研究中，我们探索了使用 SL 虚拟模拟技术对 EM 住院医师进行模拟口头检查。
这是一项前瞻性观察研究，涉及以前完成过模拟口头检查的 EM 住院医师，他们参与了通过 SL 进行的类似模拟口头检查案例场景。在这个培训计划中，EM 住院医师以传统格式完成模拟口头检查，与一名教师考官面对面进行。所有现任住院医师都被邀请参加通过 SL 进行的类似案例场景，以进行本研究。考生在作为医生化身管理病例的同时，通过耳机和麦克风从远程计算机与作为患者化身的教师考官进行远程交流。参与者使用李克特量表就传统和虚拟格式的体验进行了调查。
27 名 EM 住院医师参加了虚拟口头检查。没有考生之前使用过 SL。SL 对考生来说很容易登录（92.6%）和导航（96.3%）。所有考生都感到通过远程计算机与考官进行交流很舒服。大多数考生认为 SL 遭遇真实（92.6%），许多人认为比传统格式更真实（70.3%）。所有考生都认为虚拟考试公平、客观、高效。大多数考生表示愿意通过 SL 而不是传统格式进行口头考试，并表示有兴趣将 SL 用于其他教育体验（分别为 66.6%和 92.6%）。
SL 虚拟模拟技术的应用是 EM 住院医师传统模拟口头考试的潜在替代方法。
