TIMC-IMAG, CNRS, Grenoble INP, University Grenoble Alpes, Grenoble, France.
Infection control unit, Grenoble Alpes University Hospital, Grenoble, France.
BMJ Open. 2020 Jun 21;10(6):e037299. doi: 10.1136/bmjopen-2020-037299.
Some surgical site infections (SSI) could be prevented by following adequate infection prevention and control (IPC) measures. Poor compliance with IPC measures often occurs due to knowledge gaps and insufficient education of healthcare professionals. The education and training of SSI preventive measures does not usually take place in the operating room (OR), due to safety, and organisational and logistic issues. The proposed study aims to compare virtual reality (VR) as a tool for medical students to learn the SSI prevention measures and adequate behaviours (eg, limit movements…) in the OR, to conventional teaching.
This protocol describes a randomised controlled multicentre trial comparing an educational intervention based on VR simulation to routine education. This multicentre study will be performed in three universities: Grenoble Alpes University (France), Imperial College London (UK) and University of Heidelberg (Germany). Third-year medical students of each university will be randomised in two groups. The students randomised in the intervention group will follow VR teaching. The students randomised in the control group will follow a conventional education programme. Primary outcome will be the difference between scores obtained at the IPC exam at the end of the year between the two groups. The written exam will be the same in the three countries. Secondary outcomes will be satisfaction and students' progression for the VR group. The data will be analysed with intention-to-treat and per protocol.
This study has been approved by the Medical Education Ethics Committee of the London Imperial College (MEEC1920-172), by the Ethical Committee for the Research of Grenoble Alpes University (CER Grenoble Alpes-Avis-2019-099-24-2) and by the Ethics Committee of the Medical Faculty of Heidelberg University (S-765/2019). Results will be published in peer-reviewed medical journals, communicated to participants, general public and all relevant stakeholders.
一些手术部位感染（SSI）可以通过采取充分的感染预防和控制（IPC）措施来预防。由于知识差距和医疗保健专业人员教育不足，IPC 措施的遵守情况往往不佳。由于安全、组织和后勤问题，SSI 预防措施的教育和培训通常不在手术室（OR）进行。拟议的研究旨在比较虚拟现实（VR）作为一种工具，用于医学生在 OR 中学习 SSI 预防措施和适当行为（例如，限制动作……），以进行常规教学。
本方案描述了一项随机对照多中心试验，比较基于 VR 模拟的教育干预与常规教育。这项多中心研究将在三所大学进行：格勒诺布尔阿尔卑斯大学（法国）、伦敦帝国理工学院（英国）和海德堡大学（德国）。每所大学的三年级医学生将被随机分为两组。随机分入干预组的学生将接受 VR 教学。随机分入对照组的学生将接受常规教育计划。主要结局是两组学生在年底 IPC 考试中的得分差异。三个国家的书面考试将相同。次要结局是 VR 组的满意度和学生的进步。将采用意向治疗和方案进行数据分析。
这项研究已获得伦敦帝国理工学院医学教育伦理委员会（MEEC1920-172）、格勒诺布尔阿尔卑斯大学伦理委员会（CER Grenoble Alpes-Avis-2019-099-24-2）和海德堡大学医学系伦理委员会（S-765/2019）的批准。结果将发表在同行评议的医学期刊上，并向参与者、公众和所有相关利益攸关方传播。
