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使用混合现实模拟来提高初级医学学员准备管理高急性创伤的准备
Kirsty Clarke1,2, Aws Al-Mukhtar2,3, Lina Alim4,2
1Imperial College London, London, UK Kirsty.michelle.clarke@gmail.com.
BMJ open quality
|April 8, 2024
概括
使用HoloLens耳机的混合现实 (MR) 模拟提高了初级学员的创伤知识回忆和准备能力. 与传统方法相比,MR组的实习生表现得持续更高的分数和更好的临床监督评估.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 模拟技术的模拟技术
背景情况:
- 高急性创伤需要快速干预,但对真实病例的初级医生进行培训会带来患者安全风险.
- 传统的教学方法在为复杂的创伤场景准备学员方面存在局限性.
- 混合现实 (MR) 为沉浸式和安全的外科训练提供了一个潜在的解决方案.
研究的目的:
- 用微软HoloLens耳机评估混合现实 (MR) 模拟课程的有效性.
- 评估MR模拟对初学者创伤学员临床知识回忆和准备实践的影响.
- 将MR模拟训练与紧急创伤教育的传统教学方法进行比较.
主要方法:
- 一个计划-做-研究-行动的质量改进周期精炼了六个紧急创伤片段,用于MR模拟.
- 研究了两组没有先前经历过高急性创伤的预注册医学学生.
- 一组接受了传统的教学培训 (n=16),另一组接受了MR模拟培训 (n=32).
- 临床知识是通过书面测试评估课程后立即和课程后2周.
- 从一个为期2周的大型创伤病房安置的监督员评估成绩被记录下来.
- 参与者的反和NASA-Task Load Index问卷被用于平衡措施.
主要成果:
- 与传统组相比,MR模拟课程的参与者表现出更高和持续的临床知识得分.
- 参与MR模拟的参与者更有可能获得积极的顾问监督评估.
- 参与者的反表明,他们对MR培训模式的接受是积极的.
结论:
- 混合现实 (MR) 可穿戴技术可以有效地提高临床知识回忆和准备能力,以帮助新手学习者在高强度创伤中获得准备.
- 模拟MR提供了一个可行的和安全的替代方案,以提高具有有限临床暴露的初级学员的技能.
- 这项研究是将MR技术纳入外科教育的概念验证.
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