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Learning Management of Open Fractures on Virtual Patient

Validating Virtual World Simulation to Assess Decision-making of Managing an Open Lower Limb Fracture: a Prospective Cohort Study

Status
Suspended
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT04605380
Enrollment
30
Registered
2020-10-28
Start date
2020-03-01
Completion date
2026-06-01
Last updated
2024-01-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Educational Problems, Emergencies, Fractures, Bone, Simulation of Physical Illness

Keywords

virtual reality, simulation, resuscitation

Brief summary

* A novel virtual world programme with over 240 multiple choice questions was developed to assess the competencies in managing an open fracture of the lower limb according to the British Orthopaedic Association Standards for Trauma (BOAST) and Advanced Trauma Life support (ATLS) guidelines. * A longitudinal, observational, multi-centre prospective cohort study was conducted at Imperial College London. * Primary objective consisted of objective scores calculated in real-time from the 240 multiple choice questions between Novices, Intermediates and Experts. * Participants who had either completed ATLS training, or had familiarised themselves with BOAST guidelines were also identified and correlated with objective scores.

Detailed description

This is a multi-centre prospective randomised controlled educational trial observing for validity and training effect of managing an orthopaedic emergency using a virtual patient within an online world. Cohorts consist of junior, intermediate and expert surgeons being tested on 240 multiple choice questions to assess for competency as well as face, content and construct validity.

Interventions

OTHERVirtual reality online world

Virtual patient with open fracture inside a virtual world

Sponsors

Imperial College Healthcare NHS Trust
Lead SponsorOTHER

Study design

Observational model
OTHER
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
24 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Postgraduate orthopaedic trainees and naïve to surgical simulation

Exclusion criteria

* undergraduates and previous exposure to surgical simulation involving cognitive task analysis

Design outcomes

Primary

MeasureTime frameDescription
Objective test scoreImmediately after the intervention/procedure/surgery - objective test scores collected immediately after a single attemptObjective real-time performance test scores from 240 multiple choice questions (MCQs) on each step of managing virtual patient in virtual online world. The MCQs will either be true or false. Each correct answer will score one mark. There will be no negative marking. The scores will correlate with performance.

Countries

United Kingdom

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026