Keicher Franca, Backhaus Joy, König Sarah, Mühling Tobias
Institute of Medical Teaching and Medical Education Research, University Hospital Würzburg, Würzburg, Bavaria, Germany.
University Hospital Würzburg, Children's Hospital, Würzburg, Bavaria, Germany.
Int J Emerg Med. 2024 Sep 27;17(1):125. doi: 10.1186/s12245-024-00721-2.
The teaching and assessment of clinical-practical skills in medical education face challenges in adequately preparing students for professional practice, especially in handling emergency situations. This study aimed to evaluate the emergency medical competencies of junior doctors using Virtual Reality (VR)-based scenarios to determine their preparedness for real-world clinical situations.
Junior doctors with 0-6 months of professional experience participated in one of three VR-based emergency scenarios. These scenarios were designed to test competencies in emergency medical care. Performance was automatically assessed through a scenario-specific checklist, and participants also completed self-assessments and a clinical reasoning ability test using the Post-Encounter Form.
Twenty-one junior doctors participated in the study. Results showed that while general stabilization tasks were performed well, there were notable deficiencies in disease-specific diagnostic and therapeutic actions. On average, 65.6% of the required actions were performed correctly, with no significant variance between different scenarios. Participants achieved an average score of 80.5% in the Post-Encounter-Form, indicating a robust ability to handle diagnostic decisions. Self-assessments did not correlate significantly with objective measures of competency, highlighting the subjective nature of self-evaluation.
VR-based simulations can provide a detailed picture of EMC, covering both diagnostic and therapeutic aspects. The findings of this pilot study suggest that while participants are generally well-prepared for routine tasks, more focus is needed on complex case management. VR assessments could be a promising tool for evaluating the readiness of new medical professionals for clinical practice.
医学教育中临床实践技能的教学与评估在让学生充分为专业实践做好准备方面面临挑战，尤其是在应对紧急情况时。本研究旨在使用基于虚拟现实（VR）的场景评估初级医生的急诊医学能力，以确定他们对现实临床情况的准备程度。
具有0至6个月专业经验的初级医生参与了三种基于VR的急诊场景之一。这些场景旨在测试急诊医疗护理方面的能力。通过特定场景的清单自动评估表现，参与者还使用事后检查表完成了自我评估和临床推理能力测试。
21名初级医生参与了该研究。结果表明，虽然一般的稳定任务执行得很好，但在特定疾病的诊断和治疗行动方面存在明显不足。平均而言，所需行动的65.6%被正确执行，不同场景之间没有显著差异。参与者在事后检查表中的平均得分是80.5%，表明他们有较强的处理诊断决策的能力。自我评估与能力的客观衡量指标没有显著相关性，突出了自我评估的主观性。
基于VR的模拟可以提供急诊医学能力的详细情况，涵盖诊断和治疗两个方面。这项初步研究的结果表明，虽然参与者通常对常规任务准备充分，但需要更多地关注复杂病例管理。VR评估可能是评估新医学专业人员临床实践准备情况的一个有前景的工具。
