Evidence map›Paper›PMID 36869306›Full record

Trial reportBMC medical education2023

Can mixed reality technologies teach surgical skills better than traditional methods? A prospective randomised feasibility study.

Payal Guha, Jason Lawson, Iona Minty, James Kinross, Guy Martin

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medical education, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 pooled it
10.8field-weighted citation impact, top 1% 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

16 citing papers in PubMed, 4 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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  16. 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

5 authors at 2 institutions in 1 country.

Payal GuhaDepartment of Surgery and Cancer, Imperial College London, St Mary's Hospital, 10th Floor QEQM Building, W2 1NY, London, UK.
Jason LawsonDepartment of Surgery and Cancer, Imperial College London, St Mary's Hospital, 10th Floor QEQM Building, W2 1NY, London, UK.
Iona MintyDepartment of Surgery and Cancer, Imperial College London, St Mary's Hospital, 10th Floor QEQM Building, W2 1NY, London, UK.
James KinrossDepartment of Surgery and Cancer, Imperial College London, St Mary's Hospital, 10th Floor QEQM Building, W2 1NY, London, UK.
Guy MartinDepartment of Surgery and Cancer, Imperial College London, St Mary's Hospital, 10th Floor QEQM Building, W2 1NY, London, UK. guy.martin@imperial.ac.uk.
St. Mary's Hospital · GBSt Mary's Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBasic surgical skills teaching is often delivered with didactic audio-visual content, and new digital technologies may allow more engaging and effective ways of teaching to be developed. The Microsoft HoloLens 2 (HL2) is a multi-functional mixed reality headset. This prospective feasibility study sought to assess the device as a tool for enhancing technical surgical skills training.

methodsA prospective randomised feasibility study was conducted. 36 novice medical students were trained to perform a basic arteriotomy and closure using a synthetic model. Participants were randomised to receive a structured surgical skills tutorial via a bespoke mixed reality HL2 tutorial (n = 18), or via a standard video-based tutorial (n = 18). Proficiency scores were assessed by blinded examiners using a validated objective scoring system and participant feedback collected.

resultsThe HL2 group showed significantly greater improvement in overall technical proficiency compared to the video group (10.1 vs. 6.89, p = 0.0076), and a greater consistency in skill progression with a significantly narrower range of scores (SD 2.48 vs. 4.03, p = 0.026). Participant feedback showed the HL2 technology to be more interactive and engaging with minimal device related problems experienced.

conclusionsThis study has demonstrated that mixed reality technology may provide a higher quality educational experience, improved skill progression and greater consistency in learning when compared to traditional teaching methodologies for basic surgical skills. Further work is required to refine, translate, and evaluate the scalability and applicability of the technology across a broad range of skills-based disciplines.

Indexed as

Augmented RealityFeasibility StudiesHumansLearningProspective StudiesTechnologyClinical competenceMedical educationMixed realityTechnology assessment

Identifiers

PMID36869306
PMCPMC9985210
OpenAlexW4323048090

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.