Abstract:Incorporation of screen based simulators into medical training has recently gained momentum, as advances in technology have coincided with a government led drive to increase the use of medical simulation training to improve patient safety with progressive reductions in working hours available for junior doctors to train. High fidelity screen based simulators hold great appeal for endoscopy training. Potentially, their incorporation into endoscopy training curricula could enhance speed of acquisition of skills … Show more
“…Several studies showed that the use of VR in training programs improves skill acquisition amongst patients, trainers, and trainees. Maximum benefit has been seen amongst novice trainees [3]. Some reviews tried to determine the role of VR simulation within modern educational programs.…”
Section: Discussionmentioning
confidence: 99%
“…There are some published trials that tested the validity of VR training simulation. Thereby, VR has shown potential to improve existing trainings in endoscopy and laparoscopic training programs [3,4]. Additionally, studies showed that the learning effect is higher when we actively do things rather than only read, watch, or listen to them [5].…”
Background/Aim: Peritonitis rates in peritoneal dialysis (PD) vary considerably not only across countries but also between centers in the same country. Patient education has been shown to significantly reduce infection rates but up till now training lacks standardization with patients being trained using different methods and media (e.g., illustrations, videos). As a result, patients may be insufficiently experienced in performing PD, which might be one of the causes for high peritonitis rates. To address these issues, we developed a PD training program based on virtual reality (VR). Methods: To become acquainted with the PD procedure, patients are equipped with a VR headset and controllers. They are presented with a virtual PD set, which simulates the feeling of sitting in front of a real PD set. The patient is enabled to run through the program as often as necessary to become familiarized with the whole PD procedure. The aim is to standardize, facilitate, and accelerate the individual learning process. To compare the effect of the applied training method to traditional training, a randomized controlled trial is underway. Conclusion: Previous studies on the effectiveness of learning showed that VR training applications are superior to traditional methods, such as text- or video-based training. However, no study has been undertaken in the context of dialysis. We believe that the implementation of VR training programs in clinical practice will be beneficial in improving the patient’s proficiency, and thereby the quality and safety of PD.
“…Several studies showed that the use of VR in training programs improves skill acquisition amongst patients, trainers, and trainees. Maximum benefit has been seen amongst novice trainees [3]. Some reviews tried to determine the role of VR simulation within modern educational programs.…”
Section: Discussionmentioning
confidence: 99%
“…There are some published trials that tested the validity of VR training simulation. Thereby, VR has shown potential to improve existing trainings in endoscopy and laparoscopic training programs [3,4]. Additionally, studies showed that the learning effect is higher when we actively do things rather than only read, watch, or listen to them [5].…”
Background/Aim: Peritonitis rates in peritoneal dialysis (PD) vary considerably not only across countries but also between centers in the same country. Patient education has been shown to significantly reduce infection rates but up till now training lacks standardization with patients being trained using different methods and media (e.g., illustrations, videos). As a result, patients may be insufficiently experienced in performing PD, which might be one of the causes for high peritonitis rates. To address these issues, we developed a PD training program based on virtual reality (VR). Methods: To become acquainted with the PD procedure, patients are equipped with a VR headset and controllers. They are presented with a virtual PD set, which simulates the feeling of sitting in front of a real PD set. The patient is enabled to run through the program as often as necessary to become familiarized with the whole PD procedure. The aim is to standardize, facilitate, and accelerate the individual learning process. To compare the effect of the applied training method to traditional training, a randomized controlled trial is underway. Conclusion: Previous studies on the effectiveness of learning showed that VR training applications are superior to traditional methods, such as text- or video-based training. However, no study has been undertaken in the context of dialysis. We believe that the implementation of VR training programs in clinical practice will be beneficial in improving the patient’s proficiency, and thereby the quality and safety of PD.
“…It is likely that individuals who require high volume experiential learning (frequently required at the initial stages of skills acquisition) will be required to spend time on models and simulators before exposure to patients. This will be necessary for basic skills acquisition4 5 as well as more advanced techniques.…”
Endoscopy training has developed extensively over the past decade but despite signifi cant improvements many challenges remain and further development of endoscopy training programmes and content is required. Endoscopy training is struggling with increasing pressure from service provision and competition for limited National Health Service (NHS) resources. There is a rapidly increasing proportion of work shifting from diagnostic to therapeutic practice in the face of limited dedicated therapeutic training provision. In addition, there is a need to align quality assurance outcomes related to endoscopic practice with the key NHS quality indicators of patient experience, clinical effectiveness and safety. A vision for the future of endoscopy training is presented focusing on the need to target training resources most effectively and developing technical skills training in parallel to non-technical skills training (eg, effective decision making, communication and teamwork). Proposals for specialist technical skills training, future information technology systems and quality assurance framework integration are developed. The need to challenge some existing culture and behaviours is explained along with a challenge to embed a life-long learning approach in endoscopy training. Endoscopy training developments aim to ensure a high quality assured endoscopy service for all patients, where a skilled workforce can be provided to meet rising demand and changing technical skills requirements.
“…Procedure-based assessment and direct observation of procedural skills are currently used to validate practical competencies and can be useful learning and feedback tools but are rather crude and not entirely objective.VR simulation is a validated assessment for surgical training 1 and has been shown to be transferable to the operating theatre. 2 Since a structured and supervised training programme on simulators is required for learning to occur, 3 validated qualification of technical skills can help to ensure that surgeons perform to an acceptable standard and in doing so can demonstrate public, political and professional accountability for safe and effective training. Number of movements of right instrument <2,500…”
The virtual reality (VR) laparoscopic colorectal curriculum is a unique and innovative learning opportunity for surgical trainees. Although it can enhance the skills of senior surgeons, its main aim is to introduce junior surgeons to the concept and practice of laparoscopic colorectal surgery before they might have the opportunity to perform such surgery on patients in theatres. Based at the Medical Simulation Centre at the Royal Free hospital in London (http://www.rfh-simulator-centre.co.uk/), the curriculum equips the trainee with the technical skills to perform a VR laparoscopic sigmoid colectomy independently to objectively defined benchmarks calculated from surgeons who have completed over 100 laparoscopic colorectal resections.
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