Integration of Mixed Reality Technology Into a Global Neurosurgery Bootcamp.

International bootcamps are important for providing access to advanced education and training to physicians around the world. In countries where resources are scarce, the opportunity to be exposed to advanced training and the latest technologies is limited. We set out to evaluate the educational value of integrating augmented reality (AR) into the curriculum of a global neurosurgery bootcamp. AR was integrated into this year's neurosurgical bootcamp in Hanoi, Vietnam, organized by the Foundation for International Education in Neurological Surgery (FIENS). Participants had not experienced this technology before a surgical adjunct. A study was conducted to evaluate how AR impacts the surgical approach to a cranial tumor for boot camp participants with limited neurosurgical experience. Without the use of AR, the majority of participants (66%) chose the incorrect surgical approach to a frontal tumor. However, after using AR to visualize the lesion in 3D, all participants chose the correct surgical approach. Additionally, participants were more precise when planning with AR as the distance from the skull insertion point to the tumor was significantly shorter with AR than without AR. This study demonstrated the potential of AR to improve the education and enhance the experience trainees have at international bootcamps. Importantly, it is our hope that industry involvement in these global initiatives continues to grow as it is critical for trainees in developing countries to be exposed to common as well as emerging medical technologies.