Reinhold Maximilian, Asal Can, Driesen Tobias, Roch Jonathan, Jäckle Katharina, Borgmann Susanne, Lehmann Wolfgang
Goettingen Medical University, Department of Trauma Surgery, Orthopedics and Plastic Surgery, Robert-Koch-Str. 40, D-37099, Goettingen, Germany.
NonNocere, Sorauer Str. 14, D-10997, Berlin, Germany.
Brain Spine. 2024 May 10;4:102826. doi: 10.1016/j.bas.2024.102826. eCollection 2024.
As medical education becomes more complex, the demand for advanced teaching and training methods has grown. Technological advancements have opened up new possibilities, particularly in the realm of virtual reality (VR) simulations for training.
Our prospective, randomized pilot study aims to assess whether a novel VR-based 3D training platform can effectively teach the knowledge and skills needed for complex spinal surgery, specifically pedicle screw placement. Material and MethodsWe enrolled 25 participants who received either a traditional lecture (control group, n=11) or a VR lecture with identical content featuring 3D/VR anatomical models (VR group, n=14). The VR group also underwent VR simulation for pedicle screw placement. We evaluated their learning through a quiz, a practical skills test, and selfassessment questionnaires.
In the theory multiple-choice test, the contral group scored an average of 69% (range 53-87%, SD 0.10), while the VR group scored 66% (range 47-87%, SD 0.11) (p=0.692, independent sample t-test).For the practical DOPS test (pedicle screw placement), the average score was 2.4 points (n=25; range 1-4). The VR group on average scored 2.9 points compared to the control (2 points) (p=0.134). Discussion and Conclusion Our study indicates that teaching with a new 3D VR training tool yields results comparable to traditional methods in terms of knowledge retention. This research supports the platform's effectiveness as an educational resource. Importantly, trainees can apply VR-acquired knowledge to real surgical procedures, which are well-received.
随着医学教育变得更加复杂，对先进教学和培训方法的需求也在增加。技术进步开辟了新的可能性，特别是在用于培训的虚拟现实（VR）模拟领域。
我们的前瞻性随机试点研究旨在评估一种新型的基于VR的3D培训平台是否能有效教授复杂脊柱手术所需的知识和技能，特别是椎弓根螺钉置入术。材料与方法我们招募了25名参与者，他们分别接受传统讲座（对照组，n = 11）或具有相同内容且以3D/VR解剖模型为特色的VR讲座（VR组，n = 14）。VR组还进行了椎弓根螺钉置入的VR模拟。我们通过测验、实践技能测试和自我评估问卷来评估他们的学习情况。
在理论多项选择题测试中，对照组平均得分为69%（范围53 - 87%，标准差0.10），而VR组得分为66%（范围47 - 87%，标准差0.11）（p = 0.692，独立样本t检验）。对于实践DOPS测试（椎弓根螺钉置入），平均得分为2.4分（n = 25；范围1 - 4）。VR组平均得分为2.9分，而对照组为2分（p = 0.134）。讨论与结论我们的研究表明，使用新的3D VR培训工具进行教学在知识保留方面产生的结果与传统方法相当。这项研究支持该平台作为一种教育资源的有效性。重要的是，受训者可以将通过VR获得的知识应用于实际手术操作中，并且这些操作受到了好评。
