A new reality: Bedside geriatric teaching in an age of remote learning

Rafi, Damir; Stackhouse, Ashlyn A; Walls, Risheka; Dani, Melanie; Cowell, Adrian; Hughes, Elizabeth; Sam, Amsir H

doi:10.7861/fhj.2021-0108

Cited by 9 publications

(8 citation statements)

References 9 publications

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“…The articles discussed in this section ( Multimedia Appendix 3 [ 32 , 36 , 40 - 42 , 47 - 51 , 58 , 62 , 69 ]) are divided based on nonsurgical contexts, which include clinical skills, autopsy, and sonography, and surgical contexts, which include procedure observation, tool-specific training, simulations, and intraoperative learning. Of note, one-third (6/19, 32%) of the articles that involved education have been described in the previous section and will be briefly mentioned in this section.…”

Section: Resultsmentioning

confidence: 99%

“…The Microsoft HoloLens 2 allowed students to not only see through the clinician’s eyes using their personal devices but also simultaneously review overlaid 2D patient data and imaging. Rafi et al [ 47 ] featured a cardiovascular examination that was remotely spectated by final-year medical students. Using the Microsoft Teams application compatible with the HoloLens, the study measured student engagement in the form of written “chat” comments from students during the session [ 47 ].…”

Section: Resultsmentioning

confidence: 99%

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Augmented Reality in Real-time Telemedicine and Telementoring: Scoping Review

Dinh¹,

Yin²,

Estrin³

et al. 2023

JMIR Mhealth Uhealth

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Background Over the last decade, augmented reality (AR) has emerged in health care as a tool for visualizing data and enhancing simulation learning. AR, which has largely been explored for communication and collaboration in nonhealth contexts, could play a role in shaping future remote medical services and training. This review summarized existing studies implementing AR in real-time telemedicine and telementoring to create a foundation for health care providers and technology developers to understand future opportunities in remote care and education. Objective This review described devices and platforms that use AR for real-time telemedicine and telementoring, the tasks for which AR was implemented, and the ways in which these implementations were evaluated to identify gaps in research that provide opportunities for further study. Methods We searched PubMed, Scopus, Embase, and MEDLINE to identify English-language studies published between January 1, 2012, and October 18, 2022, implementing AR technology in a real-time interaction related to telemedicine or telementoring. The search terms were “augmented reality” OR “AR” AND “remote” OR “telemedicine” OR “telehealth” OR “telementoring.” Systematic reviews, meta-analyses, and discussion-based articles were excluded from analysis. Results A total of 39 articles met the inclusion criteria and were categorized into themes of patient evaluation, medical intervention, and education. In total, 20 devices and platforms using AR were identified, with common features being the ability for remote users to annotate, display graphics, and display their hands or tools in the local user’s view. Common themes across the studies included consultation and procedural education, with surgery, emergency, and hospital medicine being the most represented specialties. Outcomes were most often measured using feedback surveys and interviews. The most common objective measures were time to task completion and performance. Long-term outcome and resource cost measurements were rare. Across the studies, user feedback was consistently positive for perceived efficacy, feasibility, and acceptability. Comparative trials demonstrated that AR-assisted conditions had noninferior reliability and performance and did not consistently extend procedure times compared with in-person controls. Conclusions Studies implementing AR in telemedicine and telementoring demonstrated the technology’s ability to enhance access to information and facilitate guidance in multiple health care settings. However, AR’s role as an alternative to current telecommunication platforms or even in-person interactions remains to be validated, with many disciplines and provider-to-nonprovider uses still lacking robust investigation. Additional studies comparing existing methods may offer more insight into this intersection, but the early stage of technical development and the lack of standardized tools and adoption have hindered the conduct of larger longitudinal and randomized controlled trials. Overall, AR has the potential to complement and advance the capabilities of remote medical care and learning, creating unique opportunities for innovator, provider, and patient involvement.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Augmented Reality in Real-time Telemedicine and Telementoring: Scoping Review

Dinh¹,

Yin²,

Estrin³

et al. 2023

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

show abstract

“…Surgical specialties have explored this potential extensively, with telesurgery tools such as Proximie and Virtual Interactive Presence and AR allowing remote experts to see the operating field of surgeons and interact using real-time annotation and labeling [36][37][38][39]. The nonsurgical specialties have also seen an emergence of AR to share views for remote shadowing in inpatient wards [40,41] and wound evaluations [42,43]. For emergency medicine, studies have shown that AR assists both remote emergency procedures and assessments through the use of a shared view, with trials focused on speed and performance [29,44,45].…”

Section: Principal Findingsmentioning

confidence: 99%

Perceptions About Augmented Reality in Remote Medical Care: Interview Study of Emergency Telemedicine Providers

Dinh¹,

Tseng²,

Yin³

et al. 2023

JMIR Form Res

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Background Augmented reality (AR) and virtual reality (VR) have increasingly appeared in the medical literature in the past decade, with AR recently being studied for its potential role in remote health care delivery and communication. Recent literature describes AR’s implementation in real-time telemedicine contexts across multiple specialties and settings, with remote emergency services in particular using AR to enhance disaster support and simulation education. Despite the introduction of AR in the medical literature and its potential to shape the future of remote medical services, studies have yet to investigate the perspectives of telemedicine providers regarding this novel technology. Objective This study aimed to understand the applications and challenges of AR in telemedicine anticipated by emergency medicine providers with a range of experiences in using telemedicine and AR or VR technology. Methods Across 10 academic medical institutions, 21 emergency medicine providers with variable exposures to telemedicine and AR or VR technology were recruited for semistructured interviews via snowball sampling. The interview questions focused on various potential uses of AR, anticipated obstacles that prevent its implementation in the telemedicine area, and how providers and patients might respond to its introduction. We included video demonstrations of a prototype using AR during the interviews to elicit more informed and complete insights regarding AR’s potential in remote health care. Interviews were transcribed and analyzed via thematic coding. Results Our study identified 2 major areas of use for AR in telemedicine. First, AR is perceived to facilitate information gathering by enhancing observational tasks such as visual examination and granting simultaneous access to data and remote experts. Second, AR is anticipated to supplement distance learning of both minor and major procedures and nonprocedural skills such as cue recognition and empathy for patients and trainees. AR may also supplement long-distance education programs and thereby support less specialized medical facilities. However, the addition of AR may exacerbate the preexisting financial, structural, and literacy barriers to telemedicine. Providers seek value demonstrated by extensive research on the clinical outcome, satisfaction, and financial benefits of AR. They also seek institutional support and early training before adopting novel tools such as AR. Although an overall mixed reception is anticipated, consumer adoption and awareness are key components in AR’s adoption. Conclusions AR has the potential to enhance the ability to gather observational and medical information, which would serve a diverse set of applications in remote health care delivery and education. However, AR faces obstacles similar to those faced by the current telemedicine technology, such as lack of access, infrastructure, and familiarity. This paper discusses the potential areas of investigation that would inform future studies and approaches to implementing AR in telemedicine.

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“…Nine contributions [ 99 , 100 , 101 , 102 , 103 , 104 , 105 , 106 , 107 ] described the use of AR technology and the feasibility of using the HoloLens 2 headset to deliver remote bedside teaching or to enable 3D display for the facilitation of the learning process or in tele-mentoring and tele-consulting contexts.…”

Section: Ms Hololens 2 Applications In Medical and Healthcare Context...mentioning

confidence: 99%

Microsoft HoloLens 2 in Medical and Healthcare Context: State of the Art and Future Prospects

Palumbo

2022

Sensors

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In the world reference context, although virtual reality, augmented reality and mixed reality have been emerging methodologies for several years, only today technological and scientific advances have made them suitable to revolutionize clinical care and medical contexts through the provision of enhanced functionalities and improved health services. This systematic review provides the state-of-the-art applications of the Microsoft® HoloLens 2 in a medical and healthcare context. Focusing on the potential that this technology has in providing digitally supported clinical care, also but not only in relation to the COVID-19 pandemic, studies that proved the applicability and feasibility of HoloLens 2 in a medical and healthcare scenario were considered. The review presents a thorough examination of the different studies conducted since 2019, focusing on HoloLens 2 medical sub-field applications, device functionalities provided to users, software/platform/framework used, as well as the study validation. The results provided in this paper could highlight the potential and limitations of the HoloLens 2-based innovative solutions and bring focus to emerging research topics, such as telemedicine, remote control and motor rehabilitation.

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A new reality: Bedside geriatric teaching in an age of remote learning

Cited by 9 publications

References 9 publications

Augmented Reality in Real-time Telemedicine and Telementoring: Scoping Review

Augmented Reality in Real-time Telemedicine and Telementoring: Scoping Review

Perceptions About Augmented Reality in Remote Medical Care: Interview Study of Emergency Telemedicine Providers

Microsoft HoloLens 2 in Medical and Healthcare Context: State of the Art and Future Prospects

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