Young Daniel, Real Francis J, Sahay Rashmi D, Zackoff Matthew
Department of Pediatrics
Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio.
Hosp Pediatr. 2021 Oct;11(10):e258-e262. doi: 10.1542/hpeds.2021-005927. Epub 2021 Sep 9.
Resident physicians are expected to recognize patients requiring escalation of care on day 1 of residency, as outlined by the Association of American Medical Colleges. Opportunities for medical students to assess patients at the bedside or through traditional simulation-based medical education have decreased because of coronavirus disease 2019 restrictions. Virtual reality (VR) delivered remotely via video teleconferencing may address this educational gap.
A prospective pilot study targeting third-year pediatric clerkship students at a large academic children's hospital was conducted from April to December 2020. Groups of 6 to 15 students participated in a 1.5-hour video teleconferencing session with a physician facilitator donning a VR headset and screen sharing interactive VR cases of a hospitalized infant with respiratory distress. Students completed surveys assessing the immersion and tolerability of the virtual experience and reported its perceived effectiveness to traditional educational modalities. Comparisons were analyzed with binomial testing.
Participants included third-year medical students on their pediatric clerkship. A total of 140 students participated in the sessions, with 63% completing the survey. A majority of students reported VR captured their attention (78%) with minimal side effects. Students reported remote VR training as more effective ( < .001) than reading and online learning and equally or more effective ( < .001) than didactic teaching. Most students (80%) rated remote VR as less effective than bedside teaching.
This pilot reveals the feasibility of remote group clinical training with VR via a video conferencing platform, addressing a key experience gap while navigating coronavirus disease 2019 limitations on training.
正如美国医学院协会所概述的,住院医师预计在住院实习的第一天就识别出需要升级护理的患者。由于2019冠状病毒病的限制,医学生在床边评估患者或通过传统的基于模拟的医学教育的机会减少了。通过视频电话会议远程提供的虚拟现实(VR)可能会弥补这一教育差距。
2020年4月至12月,在一家大型学术儿童医院对三年级儿科实习学生进行了一项前瞻性试点研究。6至15名学生组成的小组参加了一个1.5小时的视频电话会议,会议中有一名戴着VR头显的医生主持人,并进行屏幕共享,展示一名患有呼吸窘迫的住院婴儿的交互式VR病例。学生们完成了评估虚拟体验的沉浸感和耐受性的调查,并报告了其相对于传统教育方式的感知有效性。采用二项式检验进行比较分析。
参与者包括三年级儿科实习医学生。共有140名学生参加了这些课程,63%的学生完成了调查。大多数学生报告说VR吸引了他们的注意力(78%),且副作用最小。学生们报告说远程VR培训比阅读和在线学习更有效(<.001),并且比讲授式教学同样有效或更有效(<.001)。大多数学生(80%)认为远程VR不如床边教学有效。
这项试点揭示了通过视频会议平台进行远程VR小组临床培训的可行性,在应对2019冠状病毒病对培训的限制的同时,弥补了关键的经验差距。