Ahmad Manal, Tran Mi-Tra, Ahmad Basma, Kavallieros Konstantinos, Shalhoub Joseph, Davies Alun Huw
Section of Vascular Surgery, Department of Surgery and Cancer Imperial College London London UK.
Imperial Vascular Unit, Imperial College NHS Trust London UK.
Health Sci Rep. 2024 Dec 4;7(12):e70216. doi: 10.1002/hsr2.70216. eCollection 2024 Dec.
Simulation allows trainees to practice skills safely. It is the current gold standard method of teaching. More recently, novel methods such as virtual reality and augmented reality are being explored as possible alternative methods.
To evaluate the current evidence pertaining to simulation and virtual reality as methods of teaching in teaching trauma management.
Medline and Embase (via Ovid interface) were used to search for articles up to April 2023. A combination of the following MeSH terms were employed in the primary search string - "virtual reality," "simulation," "surgery," "trauma," and "medical education."
3815 studies were initially identified. After de-duplication, 2648 articles were screened using Covidence. Forty articles underwent full text review. Thirteen studies were included in the final review with a pooled total of 489 participants. Significant heterogeneity exists in the range of participants, scenarios and parameters assessed. The overall self-reported perception of VR as a teaching modality is positive and is well accepted however objective assessment and validation is needed.
VR can be useful for training and evaluation of trauma-based scenarios. It is a useful adjunct but is unlikely to replace simulation at present. More robust and replicable studies with larger sample sizes are needed to evaluate the long-term integration of virtual reality and augmented reality into the medical and surgical teaching curriculum.
模拟训练使学员能够安全地练习技能。它是当前教学的金标准方法。最近，虚拟现实和增强现实等新方法正在作为可能的替代方法进行探索。
评估有关模拟和虚拟现实作为创伤管理教学方法的现有证据。
使用Medline和Embase（通过Ovid界面）检索截至2023年4月的文章。在主要搜索字符串中使用了以下医学主题词的组合——“虚拟现实”、“模拟”、“外科手术”、“创伤”和“医学教育”。
最初识别出3815项研究。在去重后，使用Covidence筛选了2648篇文章。40篇文章进行了全文审查。最终审查纳入了13项研究，共有489名参与者。在评估的参与者范围、场景和参数方面存在显著异质性。总体而言，自我报告的对VR作为一种教学方式的看法是积极的，并且得到了很好的接受，然而需要进行客观评估和验证。
VR可用于基于创伤场景的培训和评估。它是一种有用的辅助手段，但目前不太可能取代模拟训练。需要进行更有力、可重复且样本量更大的研究，以评估虚拟现实和增强现实长期融入医学和外科教学课程的情况。
