Ebner Florian, De Gregorio Amelie, Schochter Fabienne, Bekes Inga, Janni Wolfgang, Lato Krisztian
Helios Amper Klinikum, Dachau, Germany.
University of Ulm, Ulm, Germany.
JMIR Serious Games. 2019 May 1;7(2):e12713. doi: 10.2196/12713.
Medical education is evolving from "learning by doing" to simulation-based hands-on tutorials.
The aim of this prospective 2-armed study was to evaluate a newly developed augmented reality ultrasound app and its effect on educational training and diagnostic accuracy.
We recruited 66 medical students and, using imaging and measuring a kidney as quality indicators, tested them on the time they needed for these tasks. Both groups used textbooks as preparation; in addition, the study group had access to a virtual ultrasound simulation app for mobile devices.
There was no significant difference between the study arms regarding age (P=.97), sex (P=.14), and previous ultrasound experience (P=.66). The time needed to complete the kidney measurements also did not differ significantly (P=.26). However, the results of the longitudinal kidney measurements differed significantly between the study and control groups, with larger, more realistic values in the study group (right kidney: study group median 105.3 mm, range 86.1-127.1 mm, control group median 92 mm, range 50.4-112.2 mm; P<.001; left kidney: study group median 100.3 mm, range 81.7-118.6 mm, control group median 85.3 mm, range 48.3-113.4 mm; P<.001). Furthermore, whereas all students of the study group obtained valid measurements, students of the control group did not obtain valid measurements of 1 or both kidneys in 7 cases.
The newly developed augmented reality ultrasound simulator mobile app provides a useful add-on for ultrasound education and training. Our results indicate that medical students' use of the mobile app for training purposes improved the quality of kidney measurements.
医学教育正在从“边做边学”向基于模拟的实践教程转变。
这项前瞻性双臂研究的目的是评估一款新开发的增强现实超声应用程序及其对教育培训和诊断准确性的影响。
我们招募了66名医学生,并以对肾脏进行成像和测量作为质量指标,测试他们完成这些任务所需的时间。两组都使用教科书进行准备;此外,研究组可以使用一款适用于移动设备的虚拟超声模拟应用程序。
研究组在年龄(P = 0.97)、性别(P = 0.14)和先前的超声经验(P = 0.66)方面没有显著差异。完成肾脏测量所需的时间也没有显著差异(P = 0.26)。然而,研究组和对照组在肾脏纵向测量结果上存在显著差异,研究组的值更大、更接近实际情况(右肾:研究组中位数105.3毫米,范围86.1 - 127.1毫米,对照组中位数92毫米,范围50.4 - 112.2毫米;P < 0.001;左肾:研究组中位数100.3毫米,范围81.7 - 118.6毫米,对照组中位数85.3毫米,范围48.3 - 113.4毫米;P < 0.001)。此外,研究组的所有学生都获得了有效的测量结果,而对照组有7名学生未能获得一侧或双侧肾脏的有效测量结果。
新开发的增强现实超声模拟器移动应用程序为超声教育培训提供了一个有用的补充。我们的结果表明,医学生将移动应用程序用于培训目的提高了肾脏测量的质量。