Evidence map›Paper›PMID 35389347›Full record

ArticleJMIR formative research2022

Using Mixed Reality Headsets to Deliver Remote Bedside Teaching During the COVID-19 Pandemic: Feasibility Trial of HoloLens 2.

Arun Sivananthan, Aurelien Gueroult, Geiske Zijlstra, Guy Martin, Aravindhan Baheerathan, Philip Pratt, Ara Darzi, Nisha Patel, James Kinross

Open access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% of its field
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. E-learning Challenges among Healthcare Students: A Scoping Review.Journal of advances in medical education & professionalism · 2026
    Review
  7. Holo-Stroke-ii: Stroke care through stroke hologram teleportation- inpatient immersion.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Holo-Stroke: Assessing for Immersive Stroke Care Through Stroke Hologram Teleportation.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
    Article
  12. Review
  13. Review
  14. Observational
  15. Article
  16. Towards Wearable Augmented Reality in Healthcare: A Comparative Survey and Analysis of Head-Mounted Displays.International journal of environmental research and public health · 2023
    Review
  17. Article
  18. HoloLensTherapeutic advances in urology
    Review
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

9 authors at 3 institutions in 1 country.

Arun Sivananthan *Institute of Global Health Innovation, Imperial College London, London, United Kingdom.ORCID https://orcid.org/0000-0002-1649-0150
Aurelien Gueroult *Department of Gastroenterology and Hepatology, Imperial College Healthcare NHS Trust, London, United Kingdom.ORCID https://orcid.org/0000-0002-5042-0455
Geiske ZijlstraDepartment of Academic Public Health, Imperial College London, London, United Kingdom.ORCID https://orcid.org/0000-0002-4697-5706
Guy MartinDepartment of Surgery and Cancer, Imperial College London, London, United Kingdom.ORCID https://orcid.org/0000-0002-5759-962X
Aravindhan BaheerathanDepartment of Neurology, Imperial College Healthcare NHS Trust, London, United Kingdom.ORCID https://orcid.org/0000-0003-2291-6354
Philip PrattMedical iSight Corporation, London, United Kingdom.ORCID https://orcid.org/0000-0001-9340-4781
Ara DarziInstitute of Global Health Innovation, Imperial College London, London, United Kingdom.ORCID https://orcid.org/0000-0001-7815-7989
Nisha PatelInstitute of Global Health Innovation, Imperial College London, London, United Kingdom.ORCID https://orcid.org/0000-0001-8061-0113
James KinrossDepartment of Surgery and Cancer, Imperial College London, London, United Kingdom.ORCID https://orcid.org/0000-0002-0427-7643
Imperial College Healthcare NHS Trust · GBImperial College London · GBAi Corporation (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 has had a catastrophic impact in terms of human lives lost. Medical education has also been impacted as appropriately stringent infection control policies precluded medical trainees from attending clinical teaching. Lecture-based education has been easily transferred to a digital platform, but bedside teaching has not.

objectiveThis study aims to assess the feasibility of using a mixed reality (MR) headset to deliver remote bedside teaching.

methodsTwo MR sessions were led by senior doctors wearing the HoloLens headset. The trainers selected patients requiring their specialist input. The headset allowed bidirectional audiovisual communication between the trainer and trainee doctors. Trainee doctor conceptions of bedside teaching, impact of the COVID-19 pandemic on bedside teaching, and the MR sessions were evaluated using pre- and postround questionnaires, using Likert scales. Data related to clinician exposure to at-risk patients and use of personal protective equipment (PPE) were collected.

resultsPrequestionnaire respondents (n=24) strongly agreed that bedside teaching is key to educating clinicians (median 7, IQR 6-7). Postsession questionnaires showed that, overall, users subjectively agreed the MR session was helpful to their learning (median 6, IQR 5.25-7) and that it was worthwhile (median 6, IQR 5.25-7). Mixed reality versus in-person teaching led to a 79.5% reduction in cumulative clinician exposure time and 83.3% reduction in PPE use.

conclusionsThis study is proof of principle that HoloLens can be used effectively to deliver clinical bedside teaching. This novel format confers significant advantages in terms of minimizing exposure of trainees to COVID-19, reducing PPE use, enabling larger attendance, and delivering convenient and accessible real-time clinical training.

Indexed as

bedside teachingCOVID-19digital educatione-learningfeasibilityHoloLensmedical educationmedical studentmixed realitypersonal protective equipmentprotectionremote learningvirtual reality

Identifiers

PMID35389347
PMCPMC9116455
OpenAlexW4226190791

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.