Decentralized virtual reality mastoidectomy simulation training: a prospective, mixed-methods study
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Decentralized virtual reality mastoidectomy simulation training : a prospective, mixed-methods study. / Frendø, Martin; Thingaard, Ebbe; Konge, Lars; Sørensen, Mads Sølvsten; Andersen, Steven A W.
In: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, Vol. 276, No. 10, 10.2019, p. 2783-2789.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Decentralized virtual reality mastoidectomy simulation training
T2 - a prospective, mixed-methods study
AU - Frendø, Martin
AU - Thingaard, Ebbe
AU - Konge, Lars
AU - Sørensen, Mads Sølvsten
AU - Andersen, Steven A W
PY - 2019/10
Y1 - 2019/10
N2 - PURPOSE: Virtual reality (VR) training of mastoidectomy is effective in surgical training-particularly if organized as distributed practice. However, centralization of practice facilities is a barrier to implementation of distributed simulation training. Decentralized training could be a potential solution. Here, we aim to assess the feasibility, use, and barriers to decentralized VR mastoidectomy training using a freeware, high-fidelity temporal bone simulator.METHODS: In a prospective, mixed-methods study, 20 otorhinolaryngology residents were given three months of local access to a VR mastoidectomy simulator. Additionally, trainees were provided a range of learning supports for directed, self-regulated learning. Questionnaire data were collected and focus group interviews conducted. The interviews were analyzed using thematic analysis and compared with quantitative findings.RESULTS: Participants trained 48.5 h combined and mainly towards the end of the trial. Most participants used between two and four different learning supports. Qualitative analysis revealed five main themes regarding implementation of decentralized simulation training: convenience, time for training, ease of use, evidence for training, and testing.CONCLUSIONS: Decentralized VR training using a freeware, high-fidelity mastoidectomy simulator is feasible but did not lead to a high training volume or truly distributed practice. Evidence for training was found motivational. Access to training, educational designs, and the role of testing are important for participant motivation and require further evaluation.
AB - PURPOSE: Virtual reality (VR) training of mastoidectomy is effective in surgical training-particularly if organized as distributed practice. However, centralization of practice facilities is a barrier to implementation of distributed simulation training. Decentralized training could be a potential solution. Here, we aim to assess the feasibility, use, and barriers to decentralized VR mastoidectomy training using a freeware, high-fidelity temporal bone simulator.METHODS: In a prospective, mixed-methods study, 20 otorhinolaryngology residents were given three months of local access to a VR mastoidectomy simulator. Additionally, trainees were provided a range of learning supports for directed, self-regulated learning. Questionnaire data were collected and focus group interviews conducted. The interviews were analyzed using thematic analysis and compared with quantitative findings.RESULTS: Participants trained 48.5 h combined and mainly towards the end of the trial. Most participants used between two and four different learning supports. Qualitative analysis revealed five main themes regarding implementation of decentralized simulation training: convenience, time for training, ease of use, evidence for training, and testing.CONCLUSIONS: Decentralized VR training using a freeware, high-fidelity mastoidectomy simulator is feasible but did not lead to a high training volume or truly distributed practice. Evidence for training was found motivational. Access to training, educational designs, and the role of testing are important for participant motivation and require further evaluation.
KW - Adult
KW - Clinical Competence
KW - Computer Simulation
KW - Humans
KW - Internship and Residency
KW - Mastoidectomy/education
KW - Otolaryngology/education
KW - Prospective Studies
KW - Simulation Training/methods
KW - Virtual Reality
U2 - 10.1007/s00405-019-05572-9
DO - 10.1007/s00405-019-05572-9
M3 - Journal article
C2 - 31350598
VL - 276
SP - 2783
EP - 2789
JO - Archiv fur klinische und experimentelle Ohren- Nasen- und Kehlkopfheilkunde
JF - Archiv fur klinische und experimentelle Ohren- Nasen- und Kehlkopfheilkunde
SN - 0942-8992
IS - 10
ER -
ID: 236326679