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Simultaneous Application of Transcranial Direct Current Stimulation during Virtual Reality Exposure
Published on: January 18, 2021
Virtual reality triage training provides a viable solution for disaster-preparedness.
Pamela B Andreatta1, Eric Maslowski, Sean Petty
1Department of Medical Education, University of Michigan Medical School, Ann Arbor, MI, USA. pandreat@umich.edu
Summary
Standardized patient drills and virtual reality training for emergency medicine residents showed similar disaster triage performance. Post-test results favored standardized patients, but virtual reality offers a flexible training alternative.
Area of Science:
- Medical Education
- Emergency Medicine
- Simulation Training
Background:
- Disaster triage training is crucial for emergency medicine (EM) residents.
- Comparing simulation modalities like virtual reality (VR) and standardized patients (SP) is essential for effective training.
Purpose of the Study:
- To compare the impact of VR versus SP simulation on EM residents' disaster triage skills using the Simple Triage and Rapid Treatment (START) algorithm.
- To determine if these methods differentiate between learners of varying experience levels.
Main Methods:
- Fifteen EM residents (PGY1-PGY4) were randomized into VR or SP groups.
- Both groups trained in identical mass disaster scenarios, with VR using virtual patients and SP using live actors.
- Triage performance and START algorithm knowledge (pre/post) were assessed.
Main Results:
- Pre-test knowledge scores were similar between VR and SP groups.
- No significant difference was found in triage performance between the two groups during the drills.
- A trend favored the SP group in post-test knowledge scores.
Conclusions:
- Virtual reality (VR) is a feasible and comparable alternative to standardized patient (SP) drills for mass disaster triage training.
- VR offers consistent, on-demand training on a repeatable platform, valuable for developing assessment standards.
- Both methods showed potential in differentiating learner experience, though further analysis may be needed.

