Utilization of Virtual-Reality in Establishing a Code Trauma Crisis Resource Management Training Module.

Area of Science:

• Medical Education
• Emergency Medicine
• Simulation Technology

Background:

• Crisis Resource Management (CRM) is crucial for trauma cases but often underemphasized in Indonesian medical training.
• Effective CRM training is vital for emergency physicians to manage critical incidents.

Purpose of the Study:

• To develop and evaluate a virtual reality (VR)-based CRM training module for emergency physicians.
• To assess the effectiveness of VR simulation in improving CRM skills in a low-resource context.

Main Methods:

• A pilot CRM module was created using expert focus group discussions and the Delphi method.
• The training incorporated lectures, discussions, and VR simulations.
• Fifteen emergency physicians were evaluated using pre/post-tests, CRM checklists, the Ottawa General Rating Scale (GRS), and satisfaction surveys.

Main Results:

• Participants demonstrated significant knowledge improvement (pretest 70 vs. posttest 95.33; p < 0.001).
• High checklist completion rates (81% individual, 80% team) and strong Ottawa GRS scores (mean 6.2/7) indicated improved performance in leadership, problem-solving, communication, and situational awareness.
• Participant satisfaction with the VR module was high.

Conclusions:

• VR-based simulation is an effective and accessible tool for enhancing CRM skills in emergency medicine.
• The developed VR module shows promise for improving both individual and team performance in trauma care.
• Integrating VR into CRM training is recommended, particularly for remote or low-resource environments.