Educational Efficacy of VR vs. Simulator in Emergency Medical Training

Development, Application, and Educational Efficacy of Medical Education Program Using Virtual Reality Technology

It has not been revealed which is more effective: an education program using virtual reality technology or a simulation education program using Sim-man.

In this study, the participants are new doctors who graduated from medical school and started working as interns at hospitals. The participants were divided into two groups. One group received a training program using virtual reality technology, and the other group received simulation training using Sim-man. The investigators would like to compare the increase in confidence and satisfaction before and after training.

After the classes and surveys are completed for each group, the participants will be able to receive other educational methods if they wish.

Study Overview

• Status: Not yet recruiting
• Conditions: Simulation Training
• Intervention / Treatment: Other: Educational Program using VR or simulator designed to improve medical intern's performance managing emergency situation

Detailed Description

- The educational program was designed for participants to experience an emergency setting where a patient's oxygen saturation falls. The scenario starts with the decrease in the patient's oxygen saturation and the patient's condition could be changed according to the intern's management. The scenario includes various situations in which oxygen saturation could decrease, and the patient's condition changes depending on the expected responses of participants.

The scenario has been revised and supplemented through expert meetings.

• Experience two types of cases: an easy case where the patient's condition improves just by connecting an oxygen line, and a difficult case where the patient's condition does not improve even after connecting an oxygen line.
• A training program is prepared before the interns start work. The participants are divided into two groups (test group and control group). The test group wears an HMD (head-mounted display) and experiences both easy and difficult cases.
• The control group participates in simulation training using Sim-man, and the scenarios are the same for the test group (easy cases and difficult cases).
• Training on coping skills is provided through debriefing after VR and simulation.
• After completing the assigned program, participants can take the program that was not assigned to them if they wish.
• Both the test and control groups will fill out questionnaires before and after training to see changes in confidence and coping skills before and after training.

• Study Type: Interventional
• Enrollment (Estimated): 166
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• the medical interns who participate in the education program for medical interns, who will work as interns at Seoul National University Hospital from March 2024
• participants who agree to the purpose of the study and consent to participation

Exclusion Criteria:

• who do not consent to participate in the study

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Test group; The test group wears an HMD (head-mounted display) and participates in a simulation program using VR. They experience both easy and difficult cases using VR. After the simulation session, a debriefing session will be provided.	Other: Educational Program using VR or simulator designed to improve medical intern's performance managing emergency situation; Simulation program using VR or simulator that mimics patient's desaturation
Active Comparator: Control group; The control group participates in simulation training using Sim-man, and the scenarios are the same in both the control and the test groups (easy cases and difficult cases). After the simulation session, a debriefing session will be provided.	Other: Educational Program using VR or simulator designed to improve medical intern's performance managing emergency situation; Simulation program using VR or simulator that mimics patient's desaturation

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
performance in managing emergency situation	Objective Structured Clinical Examination for physician's performance in managing emergency situation	1 week after education program
self-rated confidence for managing emergency situation	self-rated confidence survey (10-Likert scale) for managing emergency situation: "I am confident in managing desaturation patients" 1: strongly disagree, 10: strongly agree	1 hour after education program
self-rated confidence for managing emergency situation	self-rated confidence survey (10-Likert scale) for managing emergency situation: "I am confident in managing desaturation patients" 1: strongly disagree, 10: strongly agree	6 months after starting intern training

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
usability of Virtual Reality simulation program using User Experience Questionnaire Short	usability survey of Virtual Reality simulation program using User Experience Questionnaire Short (7-Likert Scale: 1= negative, 7= positive)	1hour after education program
usability of Virtual Reality simulation program using Simulator Sickness Questionnaire	usability survey of Virtual Reality simulation program using Simulator Sickness Questionnaire (0:none, 1: slight, 2:moderate, 3:severe)	1hour after education program
usability of Virtual Reality simulation program using System Usability Scale	usability survey of Virtual Reality simulation program using System Usability Scale (5-Likert Scale: 1=strongly disagree, 5=strongly agree)	1hour after education program

Collaborators and Investigators

• Sponsor: Seoul National University Hospital
• Collaborators: Seoul National University

Study record dates

Study Major Dates

• Study Start (Estimated): April 13, 2024
• Primary Completion (Estimated): February 28, 2025
• Study Completion (Estimated): December 31, 2025

Study Registration Dates

• First Submitted: February 13, 2024
• First Submitted That Met QC Criteria: February 28, 2024
• First Posted (Actual): March 6, 2024

Study Record Updates

• Last Update Posted (Actual): March 8, 2024
• Last Update Submitted That Met QC Criteria: March 6, 2024
• Last Verified: March 1, 2024

More Information

Terms related to this study

• Keywords: Emergency care performance
• Other Study ID Numbers: E-2402

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No