Evidence map›Paper›PMID 38286564›Full record

ArticleBMJ open quality2024

Virtual reality technology for surgical learning: qualitative outcomes of the first virtual reality training course for emergency and essential surgery delivered by a UK-Uganda partnership.

Helen Please, Karamveer Narang, William Bolton, Mike Nsubuga, Henry Luweesi, Ndiwalana Billy Richards, John Dalton, Catherine Tendo, Mansoor Khan, Daudi Jjingo and 3 more

Abstract read
In one paragraph

Article in BMJ open quality, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

13 authors.

Helen PleaseLeeds Teaching Hospitals NHS Trust, Leeds, UK helenplease@gmail.com.ORCID 0000-0002-8758-6889
Karamveer NarangEast Surrey Hospital, Redhill, UK.
William BoltonLeeds Teaching Hospitals NHS Trust, Leeds, UK.
Mike NsubugaAfrican Center of Excellence in Bioinformatics & Data Sciences, Kampala, Uganda.
Henry LuweesiMengo Hospital, Kampala, Uganda.
Ndiwalana Billy RichardsMengo Hospital, Kampala, Uganda.
John DaltonLeeds Teaching Hospitals NHS Trust, Leeds, UK.
Catherine TendoMengo Hospital, Kampala, Uganda.
Mansoor KhanBrighton and Sussex Medical School, Brighton, UK.
Daudi JjingoAfrican Center of Excellence in Bioinformatics & Data Sciences, Kampala, Uganda.
Mahmood F BhuttaBrighton and Sussex Medical School, Brighton, UK.
Dimitra PetrakakiESRC-funded Digital Futures at Work Research Centre, University of Sussex Business School, Brighton, UK.
Jagtar DhandaBrighton and Sussex Medical School, Brighton, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe extensive resources needed to train surgeons and maintain skill levels in low-income and middle-income countries (LMICs) are limited and confined to urban settings. Surgical education of remote/rural doctors is, therefore, paramount. Virtual reality (VR) has the potential to disseminate surgical knowledge and skill development at low costs. This study presents the outcomes of the first VR-enhanced surgical training course, 'Global Virtual Reality in Medicine and Surgery', developed through UK-Ugandan collaborations.

methodsA mixed-method approach (survey and semistructured interviews) evaluated the clinical impact and barriers of VR-enhanced training. Course content focused on essential skills relevant to Uganda (general surgery, obstetrics, trauma); delivered through: (1) hands-on cadaveric training in Brighton (scholarships for LMIC doctors) filmed in 360°; (2) virtual training in Kampala (live-stream via low-cost headsets combined with smartphones) and (3) remote virtual training (live-stream via smartphone/laptop/headset).

resultsHigh numbers of scholarship applicants (n=130); registrants (Kampala n=80; remote n=1680); and attendees (Kampala n=79; remote n=556, 25 countries), demonstrates widespread appetite for VR-enhanced surgical education. Qualitative analysis identified three key themes: clinical education and skill development limitations in East Africa; the potential of VR to address some of these via 360° visualisation enabling a 'knowing as seeing' mechanism; unresolved challenges regarding accessibility and acceptability.

conclusionOutcomes from our first global VR-enhanced essential surgical training course demonstrating dissemination of surgical skills resources in an LMIC context where such opportunities are scarce. The benefits identified included environmental improvements, cross-cultural knowledge sharing, scalability and connectivity. Our process of programme design demonstrates that collaboration across high-income and LMICs is vital to provide locally relevant training. Our data add to growing evidence of extended reality technologies transforming surgery, although several barriers remain. We have successfully demonstrated that VR can be used to upscale postgraduate surgical education, affirming its potential in healthcare capacity building throughout Africa, Europe and beyond.

Indexed as

Virtual RealityDeveloping CountriesHumansLearningUgandaUnited KingdomDiffusion of InnovationGlobal HealthGraduate medical educationQualitative researchSurgery

Identifiers

PMID38286564
PMCPMC10826552

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.