Medical Education, Virtual Reality
Conditions
Keywords
Bronchoscopy Training, Immersive Simulation Training
Brief summary
The purpose of this single-center randomized study is to investigate whether bronchoscopy training in an immersive Virtual Reality (iVR) environment will make the surgeon better at handling distractions and increase the quality of the bronchoscopy. The participants will be stratified according to gender and randomized into two groups. Both groups will initially train on the bronchoscopy simulator without VR. Afterwards the intervention group will train in an iVR environment with Virtual Reality Goggles while using the bronchoscopy simulator, while the control group will train without VR goggles. Afterwards both groups will be tested in the iVR environment in a test scenario
Interventions
OTHERImmersive Virtual Reality
Training in an iVR environment with Virtual Reality Goggles while using the bronchoscopy simulator, while the control group will train without VR goggles.
Sponsors
Copenhagen Academy for Medical Education and Simulation
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
The participants will not be blinded to the main investigator, as this is impossible due to the nature of the trial. The statistical analysis will be performed blinded and by someone other than the principal investigator.
Intervention model description
Randomization is performed online using SealedEnvelope™ (Sealed Envelope ltd, London, UK) before the start of the trial. The participants are stratified by sex (man/woman) as this has been seen to influence skills acquisition during the early part of in the learning curve
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Residents working in Denmark in thoracic surgery and pulmonary medicine * Participants are required to have a medical license.
Exclusion criteria
* Previous participation in trials involving bronchoscopy training. * Experience with independent bronchoscopy. * No informed consent. * Unable to speak Danish on a conversational level.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Structured Progress | From beginning to end of each procedure, aprox. 30 minutes | The systematic visualization and structured passage through the bronchial tree measured in points (0-18 points) |
| Procedure time | From beginning to end of each procedure, aprox. 30 minutes | Time (seconds) from passing the vocal cords to retraction of the endoscope. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Motor Bronchoscopy Skill Score | From beginning to end of each procedure, aprox. 30 minutes | Objective and automatic composite score based on lower arm movement, measured with an Inertial Measurement Unit, and electromyography findings of hand and finger movement |
| Diagnostic completeness | From beginning to end of each procedure, aprox. 30 minutes | The fraction in percent (%) of visited bronchial segments |
| Heart Rate Variability(LF/HF ratio) | From beginning to end of each procedure, aprox. 30 minutes | The fraction between the low frequency and high frequency heart rate, measured as R-R intervals on an electrocardiogram for five minutes (17) Kubios HRV version 2.216 (Biosignal Analysis and Medical Group, Kuopio, Finland) |
| Eye movement measurements | From beginning to end of each procedure, aprox. 30 minutes | Gaze direction (vector) |
Countries
Denmark
Outcome results
None listed