Fertleman Caroline, Aubugeau-Williams Phoebe, Sher Carmel, Lim Ai-Nee, Lumley Sophie, Delacroix Sylvie, Pan Xueni
UCL Medical School, London, United Kingdom.
Whittington Hospital, London, United Kingdom.
Front Public Health. 2018 Feb 26;6:44. doi: 10.3389/fpubh.2018.00044. eCollection 2018.
Virtual reality technology is an exciting and emerging field with vast applications. Our study sets out the viewpoint that virtual reality software could be a new focus of direction in the development of training tools in medical education. We carried out a panel discussion at the Center for Behavior Change 3rd Annual Conference, prompted by the study, "The Responses of Medical General Practitioners to Unreasonable Patient Demand for Antibiotics--A Study of Medical Ethics Using Immersive Virtual Reality" (1).
In Pan et al.'s study, 21 general practitioners (GPs) and GP trainees took part in a videoed, 15-min virtual reality scenario involving unnecessary patient demands for antibiotics. This paper was discussed in-depth at the Center for Behavior Change 3rd Annual Conference; the content of this paper is a culmination of findings and feedback from the panel discussion. The experts involved have backgrounds in virtual reality, general practice, medicines management, medical education and training, ethics, and philosophy.
Virtual reality is an unexplored methodology to instigate positive behavioral change among clinicians where other methods have been unsuccessful, such as antimicrobial stewardship. There are several arguments in favor of use of virtual reality in medical education: it can be used for "difficult to simulate" scenarios and to standardize a scenario, for example, for use in exams. However, there are limitations to its usefulness because of the cost implications and the lack of evidence that it results in demonstrable behavior change.
虚拟现实技术是一个令人兴奋的新兴领域,应用广泛。我们的研究提出了这样一种观点,即虚拟现实软件可能成为医学教育培训工具开发的新方向重点。在“医学全科医生对患者不合理抗生素需求的反应——一项使用沉浸式虚拟现实的医学伦理学研究”(1)这项研究的推动下,我们在行为改变中心第三届年会上进行了一次小组讨论。
在潘等人的研究中,21名全科医生(GP)和全科医生实习生参与了一个时长15分钟的视频虚拟现实场景,其中涉及患者对抗生素的不必要需求。本文在行为改变中心第三届年会上进行了深入讨论;本文内容是小组讨论结果和反馈的汇总。参与的专家具有虚拟现实、全科医疗、药品管理、医学教育与培训、伦理学和哲学等方面的背景。
在其他方法(如抗菌药物管理)未成功的情况下,虚拟现实是一种尚未被探索的促使临床医生产生积极行为改变的方法。在医学教育中使用虚拟现实有几个理由:它可用于“难以模拟”的场景并使场景标准化,例如用于考试。然而,由于成本问题以及缺乏证据表明它能导致可证明的行为改变,其效用存在局限性。