Evidence map›Paper›PMID 34292162›Full record

ArticleJMIR research protocols2021

Virtual Interactive Surgical Skills Classroom: Protocol for a Parallel-Group, Noninferiority, Adjudicator-Blinded, Randomized Controlled Trial (VIRTUAL).

Arjun Nathan, Monty Fricker, Sonam Patel, Maria Georgi, Man Kien Hang, Aqua Asif, Amil Sinha, William Mullins, Jessie Shea, Nancy Hanna and 4 more

Abstract read
In one paragraph

Article in JMIR research protocols, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Arjun Nathan *University College London, London, United Kingdom.ORCID https://orcid.org/0000-0002-8572-2832
Monty Fricker *Newcastle University, Newcastle, United Kingdom.ORCID https://orcid.org/0000-0003-1856-4624
Sonam PatelUniversity College London, London, United Kingdom.ORCID https://orcid.org/0000-0003-3313-2600
Maria GeorgiUniversity College London, London, United Kingdom.ORCID https://orcid.org/0000-0001-6509-4691
Man Kien HangUniversity College London, London, United Kingdom.ORCID https://orcid.org/0000-0002-4105-1774
Aqua AsifUniversity College London, London, United Kingdom.ORCID https://orcid.org/0000-0003-3233-7428
Amil SinhaUniversity of Cambridge, Cambridge, United Kingdom.ORCID https://orcid.org/0000-0002-3092-498X
William MullinsUniversity of Cambridge, Cambridge, United Kingdom.ORCID https://orcid.org/0000-0002-6929-708X
Jessie SheaUniversity of Cambridge, Cambridge, United Kingdom.ORCID https://orcid.org/0000-0002-0713-4947
Nancy HannaUniversity of Cambridge, Cambridge, United Kingdom.ORCID https://orcid.org/0000-0003-4011-7791
Benjamin LambCambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.ORCID https://orcid.org/0000-0003-2220-893X
John KellyUniversity College London, London, United Kingdom.ORCID https://orcid.org/0000-0002-7036-1923
Ashwin SridharUniversity College London, London, United Kingdom.ORCID https://orcid.org/0000-0001-8235-4619
Justin CollinsUniversity College London, London, United Kingdom.ORCID https://orcid.org/0000-0003-2228-1213

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTraditional face-to-face training (FFT) for basic surgical skills is inaccessible and resource-intensive. Noninteractive computer-based learning is more economical but less educationally beneficial. Virtual classroom training (VCT) is a novel method that permits distanced interactive expert instruction. VCT may optimize resources and increase accessibility.

objectiveWe aim to investigate whether VCT is superior to computer-based learning and noninferior to FFT in improving proficiency in basic surgical skills.

methodsThis is a protocol for a parallel-group, noninferiority, randomized controlled trial. A sample of 72 undergraduates will be recruited from 5 medical schools in London. Participants will be stratified by subjective and objective suturing experience level and allocated to 3 intervention groups at a 1:1:1 ratio. VCT will be delivered using the BARCO weConnect software, and FFT will be provided by expert instructors. Optimal student-to-teacher ratios of 12:1 for VCT and 4:1 for FFT will be maintained. The assessed task will be interrupted suturing with hand-tied knots.

resultsThe primary outcome will be the postintervention Objective Structured Assessment of Technical Skills score, adjudicated by 2 experts blinded to the study and adjusted for baseline proficiency. The noninferiority margin (δ) will be defined using historical data.

conclusionsThis study will serve as a comprehensive appraisal of the suitability of virtual basic surgical skills classroom training as an alternative to FFT. Our findings will assist the development and implementation of further resource-efficient, accessible, virtual basic surgical skills training programs during the COVID-19 pandemic and in the future.

trial registrationInternational Standard Randomized Controlled Trial Number ISRCTN12448098; https://www.isrctn.com/ISRCTN12448098. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/28671.

Indexed as

digital educationdigital healtheducationsurgerysurgicalsurgical skillssurgical trainingsuturingtelemedicinevirtual classroomvirtual training

Identifiers

PMID34292162
PMCPMC8367109

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.