Role of virtual reality simulation in endoscopy training

Harpham-Lockyer, Louis; Laskaratos, Faidon-Marios; Berlingieri, Pasquale; Epstein, Owen

doi:10.4253/wjge.v7.i18.1287

Cited by 34 publications

(20 citation statements)

References 25 publications

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“…For medical training, students play the physician role to diagnose virtual patient's pain and prescribe appropriate treatments by extracting symptoms in validated clinical and educational interview scenarios [3]. Virtual patients take different forms according to educational objectives and already exist in virtual reality simulators for endoscopy training [4]. They are also used, to teach the techniques of oral examination to interns in emergency medicine [5], to enable nurses to develop acute care skills such as assessment and management of clinical deterioration [5], and trainees to practice clinical reasoning techniques [6], [7].…”

Section: Related Workmentioning

confidence: 99%

Semantic similarity to improve question understanding in a virtual patient

Laleye¹,

Blanié

Brouquet

et al. 2020

Proceedings of the 35th Annual ACM Symposium on Applied Computing

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In medicine, a communicating virtual patient or doctor allows students to train in medical diagnosis and develop skills to conduct a medical consultation. In this paper, we describe a conversational virtual standardized patient system to allow medical students to simulate a diagnosis strategy of an abdominal surgical emergency. We exploited the semantic properties captured by distributed word representations to search for similar questions in the virtual patient dialogue system. We created two dialogue systems that were evaluated on datasets collected during tests with students. The first system based on hand-crafted rules obtains 92.29% as F 1-score on the studied clinical case while the second system that combines rules and semantic similarity achieves 94.88%. It represents an error reduction of 9.70% as compared to the rules-only-based system.

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Section: Related Workmentioning

confidence: 99%

Semantic similarity to improve question understanding in a virtual patient

Laleye¹,

Blanié

Brouquet

et al. 2020

Proceedings of the 35th Annual ACM Symposium on Applied Computing

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“…Even then, there is insufficient evidence to demonstrate how best to integrate this into the curriculum, so this remains untackled. 2 In 2015 UCLPartners funded a Gastroenterology Simulation Fellow, based at The Homerton Hospital, to consider how best to use simulation to deliver multi-professional training across UCLP Trusts. Among the aims has been optimising trainee preparation for learning endoscopy; improving interprofessional training; addressing a need for higher-level skills training; creating sustainability in delivering training; and engaging trainees in reflective practice that is little utilised as a tool elsewhere in training.…”

Section: Disclosure Of Interest None Declaredmentioning

confidence: 99%

PTH-126 Virtual Reality and Beyond: Integrating Simulation into The Gastroenterology Training Curriculum

Gadhok¹,

Murray

Wood

2016

Gut

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IntroductionSimulation has been increasingly utilised in medical education since the publication of Safer Medical Practice.1 Some specialities have led the way in integrating simulation training into curricula to cover technical and higher-level non-technical skills training.To date simulation in gastroenterology has largely restricted itself to the use of virtual reality endoscopy training. Even then, there is insufficient evidence to demonstrate how best to integrate this into the curriculum, so this remains untackled.2In 2015 UCLPartners funded a Gastroenterology Simulation Fellow, based at The Homerton Hospital, to consider how best to use simulation to deliver multi-professional training across UCLP Trusts. Among the aims has been optimising trainee preparation for learning endoscopy; improving inter-professional training; addressing a need for higher-level skills training; creating sustainability in delivering training; and engaging trainees in reflective practice that is little utilised as a tool elsewhere in training.MethodsOver the course of a year we are delivering 15 one-day courses from 4 UCLParters trusts. They include courses in Screen-based Endoscopy Technical Skills, Human-Factors in Virtual Endoscopy and Situational Training in Gastroenterology. The courses are open to both gastroenterology and endoscopy nurses and gastroenterology and surgical registrars, matching different courses to different training grades. We are evaluating the courses by means of written feedback using both Likert Scales and freetext. We will analyse both quantitative and qualitative data to evaluate how well received the courses were; how well they addressed specific demands of the curriculum and revalidation requirements; and whether they successfully addressed elements of the curriculum not met elsewhere. We are also undertaking faculty feedback to ascertain explore the perception of increasing simulation training in gastroenterology and identify any barriers to the ongoing delivery of training.ResultsEarly results from the first courses seem to indicate that they were well received with high levels of enjoyment and engagement, and that there may be significant gaps in the training programme which may best be met by simulation. By early June we will have undertaken collation of all data from course feedback, and analysis as above.ConclusionThe results will inform the integration of simulation into the training program and local curriculum over the coming years and how to create sustainability to achieve this.References1 Donaldson, L. 2008 Annual Report of the Chief Medical Officer On the State of Public Health. London: Department of Health. 2009.2 Harpham-Lockyer L, et al. Role of virtual reality simulation in endoscopy training. World J Gastrointest Endosc. 2015 Dec 10; 7(18):1287–1294.Disclosure of InterestNone Declared

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“…The combination of these two methods has been found more beneficial than either of the two alone. The skills acquired with VR training were maintained for at least 9 months [33]. GI Mentor™, EndoVR™ (CAE Healthcare, the old AccuTouch ® , Immersion) and Olympus Endo TS-1 (Olympus) are among the simulators that have been studied and have showed construct and predictive validity [21,33].…”

Section: Colonoscopymentioning

confidence: 99%

“…The skills acquired with VR training were maintained for at least 9 months [33]. GI Mentor™, EndoVR™ (CAE Healthcare, the old AccuTouch ® , Immersion) and Olympus Endo TS-1 (Olympus) are among the simulators that have been studied and have showed construct and predictive validity [21,33]. GI Mentor™ has been chosen by SAGES as the platform for the Fundamentals of Endoscopic Surgery™ (FES™) examination [34].…”

Section: Colonoscopymentioning

confidence: 99%

Virtual and Augmented Reality in Medical Education

Pantelidis¹,

Chorti²,

Papagiouvanni³

et al. 2018

Medical and Surgical Education - Past, Present and Future

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Virtual reality (VR) and augmented reality (AR) are two contemporary simulation models that are currently upgrading medical education. VR provides a 3D and dynamic view of structures and the ability of the user to interact with them. The recent technological advances in haptics, display systems, and motion detection allow the user to have a realistic and interactive experience, enabling VR to be ideal for training in hands-on procedures. Consequently, surgical and other interventional procedures are the main fields of application of VR. AR provides the ability of projecting virtual information and structures over physical objects, thus enhancing or altering the real environment. The integration of AR applications in the understanding of anatomical structures and physiological mechanisms seems to be beneficial. Studies have tried to demonstrate the validity and educational effect of many VR and AR applications, in many different areas, employed via various hardware platforms. Some of them even propose a curriculum that integrates these methods. This chapter provides a brief history of VR and AR in medicine, as well as the principles and standards of their function. Finally, the studies that show the effect of the implementation of these methods in different fields of medical training are summarized and presented.

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Role of virtual reality simulation in endoscopy training

Cited by 34 publications

References 25 publications

Semantic similarity to improve question understanding in a virtual patient

Semantic similarity to improve question understanding in a virtual patient

PTH-126 Virtual Reality and Beyond: Integrating Simulation into The Gastroenterology Training Curriculum

Virtual and Augmented Reality in Medical Education

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