Mould Holly, Kinshuck Andrew, Abbas Jonathan R, Culley Nick, Karakashevska Elena
Aintree University Hospital Liverpool University Hospitals Trust Liverpool UK.
ExR Education ExR Solutions Ltd London UK.
Laryngoscope Investig Otolaryngol. 2025 Sep 9;10(5):e70243. doi: 10.1002/lio2.70243. eCollection 2025 Oct.
Virtual reality (VR) simulators have been well established in ear, nose, and throat (ENT) training for many years. However, most are aimed at specialist trainee level or above, with no current VR ENT training packages for foundation year doctors, who perform a significant amount of out-of-hours ENT care. Novel VR and 360° video packages for the training of anterior nasal packing were developed and evaluated.
In this feasibility study, 16 foundation year doctors were pseudorandomised to a three-arm study: using solely the VR simulation, solely the 360° video, or the video followed by the VR simulation. Pre- and post-intervention questionnaires were devised using expert consensus, and confidence, competence, objective knowledge, usability, face and content validity, and qualitative data were all evaluated.
There was a significant increase between pre- and post-intervention confidence, competence, and knowledge for the whole cohort. The 360° video used alongside the VR simulation and alone was deemed user-friendly. All packages achieved content validity, whilst the VR simulation did not achieve face validity, with responses indicating that the haptic feedback requires improvement. Participants found the packages engaging and immersive, encouraging safe practice in an enjoyable manner.
These novel VR and 360° videos are engaging ways of effectively increasing confidence, competence, and knowledge in anterior nasal packing. Further adjustments should be made to the haptic feedback of the VR simulator to make it more realistic.
N/A.
虚拟现实（VR）模拟器在耳鼻喉科（ENT）培训中已应用多年。然而，大多数模拟器针对的是专科培训学员及以上水平，目前尚无针对基础年医生的VR耳鼻喉科培训套餐，而基础年医生承担着大量非工作时间的耳鼻喉科护理工作。我们开发并评估了用于前鼻孔填塞培训的新型VR和360°视频套餐。
在这项可行性研究中，16名基础年医生被伪随机分配到一个三臂研究中：仅使用VR模拟、仅使用360°视频或先观看视频后使用VR模拟。通过专家共识设计干预前后的问卷，并对信心、能力、客观知识、可用性、表面效度和内容效度以及定性数据进行评估。
整个队列在干预前后的信心、能力和知识方面有显著提高。与VR模拟一起使用或单独使用的360°视频被认为用户友好。所有套餐均达到了内容效度，而VR模拟未达到表面效度，反馈表明触觉反馈需要改进。参与者发现这些套餐引人入胜且身临其境，以一种有趣的方式鼓励安全操作。
这些新型VR和360°视频是有效提高前鼻孔填塞信心、能力和知识的引人入胜的方式。应进一步调整VR模拟器的触觉反馈，使其更逼真。
无。
