Virtual reality or personal computer-based gynecologic pelvic exam simulation: medical student preferences

Area of Science:

• Medical Education Technology
• Virtual Reality in Healthcare Training
• Gynecologic Simulation

Background:

• Gynecologic pelvic exams (GPEs) are essential for healthcare trainees, but practical training opportunities are scarce.
• The Virtual Approach to Gynecology Project developed virtual GPE modules to supplement traditional learning.
• This study evaluates trainee experiences with immersive virtual reality (VR) versus personal computer (PC) GPE simulations.

Purpose of the Study:

• To compare trainee experiences and preferences between immersive VR and non-immersive PC-based gynecologic pelvic exam simulations.
• To assess the impact of simulation modality on perceived realism, ease of use, comfort, and confidence.

Main Methods:

• Preclinical medical students were randomized to complete both PC and VR GPE simulations.
• Trainees provided written feedback and participated in structured focus groups after each simulation.
• Thematic analysis of focus group data and Likert-scale analysis of written feedback were used to compare the two modalities.

Main Results:

• Twenty-two students participated, with all focus group participants preferring the VR simulation.
• The VR version received significantly higher ratings for ease of use, realism, comfort, and confidence.
• Key themes identified were realism, immersiveness, ease of use, and enjoyment, with VR excelling in realism and enjoyment.

Conclusions:

• Immersive VR-based simulation offers a superior training experience for gynecologic pelvic exams compared to PC-based simulations.
• VR technology is a promising tool for enhancing medical trainee proficiency in GPEs.
• The VR GPE module was unanimously preferred by trainees for its enhanced realism and engagement.