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Three-Dimensional Virtual Reality Spinal Cord Stimulator Training Improves Trainee Procedural Confidence and
William W White1, Michael J Jung2
1Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Aurora, CO, USA; Department of Physical Medicine and Rehabilitation, University of California, Davis, University of California Davis Medical Center, Sacramento, CA, USA.
Virtual reality training significantly improves trainee confidence and technical skills for spinal cord stimulator (SCS) placement. This simulation method enhances epidural access and lead delivery, proving vital for neuromodulation education.
Area of Science:
- Medical Simulation
- Pain Management
- Neurosurgery Training
Background:
- Neuromodulation education is crucial for pain management specialists.
- Variable exposure to spinal cord stimulator (SCS) placement during residency and fellowship poses training challenges.
Purpose of the Study:
- To evaluate a 3D virtual reality (VR) system for training interlaminar epidural access and SCS lead placement.
- To assess the impact of VR simulation on trainee confidence and technical proficiency.
Main Methods:
- Fourteen pain fellows and residents participated in the study.
- Trainees underwent pre- and post-simulation surveys to gauge experience and confidence.
- Performance was objectively measured using needle angle, the Pain Procedure Rating System (PaPRS), and procedure time during VR simulation sessions.
Main Results:
- Significant improvements were observed in safe epidural space access (57.1% to 100%) and percutaneous lead delivery (7.1% to 71.4%).
- Mean confidence levels increased by 71.4% for epidural access and 306% for SCS placement.
- Procedural efficiency improved by 43.2%, and PaPRS scores increased by 73.3%.
Conclusions:
- Virtual reality simulation is an effective tool for enhancing neuromodulation training.
- VR-based didactics offer a viable solution to supplement variable clinical exposure in residency and fellowship programs.
- This training modality can improve both the confidence and technical skills of future pain management specialists.
