Related Experiment Video
Updated: Jun 2, 2026
11:45
Creation of a High-Fidelity, Low-Cost, Intraosseous Line Placement Task Trainer via 3D Printing
Published on: August 17, 2022
Telesimulation: an innovative and effective tool for teaching novel intraosseous insertion techniques in developing
Angelo Mikrogianakis1, April Kam, Shawna Silver
1Division of Pediatric Emergency Medicine, Alberta Children's Hospital, Calgary, Alberta, Canada. angelo.mikrogianakis@albertahealthservices.ca
Summary
Telesimulation effectively taught pediatricians the intraosseous (IO) insertion technique remotely. This novel method improved physician knowledge and confidence, proving accurate scoring is possible via the Internet for procedural skills training.
Area of Science:
- Medical Education
- Surgical Simulation
- Telemedicine
Background:
- Procedural skills training is crucial for physicians.
- Traditional simulation methods have limitations in remote settings.
- Telesimulation offers a novel approach by combining simulation with remote access.
Purpose of the Study:
- To evaluate the effectiveness of telesimulation for teaching intraosseous (IO) insertion technique.
- To assess if pediatricians in Canada could teach this skill to physicians in Africa using telesimulation.
- To determine the feasibility and accuracy of remote assessment of procedural skills.
Main Methods:
- A telesimulation setup connected Toronto, Canada, and Gaborone, Botswana.
- Real-time audio-visual communication and simulator interaction were enabled.
- Physicians' knowledge and skills were assessed via pre/post-tests, self-assessments, and timed IO insertion demonstrations.
Main Results:
- Significant improvements in post-test scores and self-reported knowledge/comfort with IO insertion (p < 0.01).
- No significant difference in IO insertion task scoring or timing between local and remote assessments.
- 95% of participants felt better prepared for pediatric resuscitation post-intervention.
Conclusions:
- Telesimulation is a viable method for teaching procedural skills, including IO insertion.
- The technique significantly enhances physician knowledge and confidence.
- Remote scoring and assessment via the Internet are accurate, supporting telesimulation's potential for global medical education.
