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Virtual Reality Simulation as a Tool for ENT Training: An Autoethnographic Study.

Thomas W Binnersley1, Emma Richards2, Joshua D Whittaker3

  • 1Department of ENT, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.

Journal of Surgical Education
|February 8, 2025
PubMed
Summary

This study explores factors affecting surgical skill acquisition in novice trainees using virtual reality temporal bone drilling simulation. Key themes include technological challenges, physical impacts, and the importance of feedback for effective learning.

Keywords:
autoethnographyotolaryngologysimulationsurgeryvoxel-man

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Area of Science:

  • Surgical Education
  • Medical Simulation
  • Virtual Reality Training

Background:

  • Virtual reality (VR) offers a promising tool for surgical training.
  • Temporal bone (TB) drilling simulation is crucial for otologic surgery proficiency.
  • Autoethnography provides a unique lens for understanding the trainee experience.

Purpose of the Study:

  • To investigate factors influencing novice surgical skill acquisition in VR temporal bone drilling.
  • To apply autoethnography as a novel methodology in surgical simulation research.
  • To identify key learning elements and challenges in VR surgical training.

Main Methods:

  • Autoethnography was employed, combining researcher's personal experience with systematic analysis.
  • The researcher, a surgical novice, completed 16 sessions on the Voxel-Man TempoSurg (VMT) simulator over 8 months.
  • Qualitative data from field notes and journals were analyzed using inductive thematic analysis, alongside quantitative assessment scores.

Main Results:

  • Six themes emerged: VMT as a learning tool, technological challenges, physical impacts, inaccuracy from rushing, value of reflection and feedback, and overcoming demotivation.
  • Three themes offered novel insights into VR simulation: tool utility, technical hurdles, and physical strain.
  • Three themes corroborated existing knowledge on skill acquisition: impact of haste, feedback importance, and managing demotivation.

Conclusions:

  • Autoethnography is a valuable, novel approach for studying surgical skill acquisition in VR simulation.
  • Understanding the identified themes can enhance VR temporal bone drilling training programs.
  • This research provides a foundation for future studies and improved surgical education outcomes.