Everad Friederike, Albrecht Tobias, Kromeier Jan, Heermann Stephan, von Schnakenburg Philip, Hildenbrand Tanja, Speck Iva, Knopf Andreas, Offergeld Christian
Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Centre Freiburg, Freiburg, Germany.
Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Centre Tübingen, Tübingen, Germany.
J Med Educ Curric Dev. 2024 Oct 9;11:23821205241281506. doi: 10.1177/23821205241281506. eCollection 2024 Jan-Dec.
Virtual reality (VR) appears to be a promising educational tool for otorhinolaryngology (ORL) residency training, as it allows for safe and effective practice immediate feedback and potential improvements in patient outcomes. Despite these advantages, VR has not yet been incorporated into residency training in ORL, which may be due to limited availability or validation and skepticism toward incorporation of new training methods. This study investigates whether a VR model of the temporal bone improves learning success for ORL residents in comparison to standard plastic models and whether it depends on surgeon's experience. We also included a subjective evaluation of the learning experience with both models.
ORL residents and specialists at 2 German university hospitals were tested on their knowledge of temporal bone anatomy after training with either VR or standard plastic models. In addition, we compared knowledge of the temporal bone anatomy before- and after-VR training. Lastly, a subjective survey on the benefits and limitations of VR was conducted to assess participants' views on this new technology.
About 85% of the participants considered VR to be better than conventional models and agreed that VR was a useful tool for teaching complex anatomy. Objective evaluation showed significant improvement in knowledge after using VR (before/after comparison), especially in participants with a higher level of preexisting knowledge. Direct comparison to conventional plastic models showed no superiority of the VR model.
VR models in ORL are not only appealing and motivating for residents, but also objectively improve their anatomical knowledge, especially in advanced residency. In addition, VR-in contrast to the plastic model-offers opportunities for further development and optimization.
虚拟现实（VR）似乎是一种很有前景的耳鼻咽喉科（ORL）住院医师培训教育工具，因为它能实现安全有效的练习、即时反馈，并有可能改善患者治疗效果。尽管有这些优势，但VR尚未纳入ORL住院医师培训，这可能是由于其可用性有限、缺乏验证，以及对采用新培训方法存在怀疑态度。本研究调查与标准塑料模型相比，颞骨VR模型是否能提高ORL住院医师的学习成效，以及这是否取决于外科医生的经验。我们还对两种模型的学习体验进行了主观评估。
德国两家大学医院的ORL住院医师和专科医生在使用VR或标准塑料模型进行培训后，接受了颞骨解剖知识测试。此外，我们比较了VR培训前后的颞骨解剖知识。最后，针对VR的优点和局限性进行了一项主观调查，以评估参与者对这项新技术的看法。
约85%的参与者认为VR优于传统模型，并认同VR是教授复杂解剖结构的有用工具。客观评估显示，使用VR后（前后比较）知识有显著提高，尤其是在已有知识水平较高的参与者中。与传统塑料模型的直接比较显示，VR模型并无优势。
ORL中的VR模型不仅对住院医师有吸引力且能激发其积极性，还能客观地提高他们的解剖知识，尤其是在高级住院医师阶段。此外，与塑料模型相比，VR为进一步发展和优化提供了机会。
