Learning Management of Open Fractures on Virtual Patient

January 22, 2024 updated by: Kapil Sugand, Imperial College Healthcare NHS Trust

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

  • 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.

Study Overview

Status

Suspended

Conditions

Intervention / Treatment

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.

Study Type

Observational

Enrollment (Actual)

30

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United Kingdom
      • London, United Kingdom
        • Imperial College Healthcare NHS Trust

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

24 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Sampling Method

Non-Probability Sample

Study Population

Postgraduate orthopaedic trainees and Attendings/Consultants

Description

Inclusion Criteria:

  • Postgraduate orthopaedic trainees and naïve to surgical simulation

Exclusion Criteria:

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

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Novices
Junior doctors/interns
Other: Virtual reality online world
Virtual patient with open fracture inside a virtual world
Intermediates
Specialist trainees/Residents
Other: Virtual reality online world
Virtual patient with open fracture inside a virtual world
Experts
Consultants/Attendings
Other: Virtual reality online world
Virtual patient with open fracture inside a virtual world

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Objective test score
Time Frame: Immediately after the intervention/procedure/surgery - objective test scores collected immediately after a single attempt
Objective 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.
Immediately after the intervention/procedure/surgery - objective test scores collected immediately after a single attempt

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Imperial College Healthcare NHS Trust

Investigators

  • Principal Investigator: Kapil Sugand, MRCS, Imperial College London

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

March 1, 2020

Primary Completion (Estimated)

June 1, 2024

Study Completion (Estimated)

June 1, 2026

Study Registration Dates

First Submitted

October 15, 2020

First Submitted That Met QC Criteria

October 21, 2020

First Posted (Actual)

October 28, 2020

Study Record Updates

Last Update Posted (Actual)

January 25, 2024

Last Update Submitted That Met QC Criteria

January 22, 2024

Last Verified

January 1, 2024

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • VW01

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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