Evidence map›Paper›PMID 38831293›Full record

ArticleBMC medicine2024

Virtual reality as an engaging and enjoyable method for delivering emergency clinical simulation training: a prospective, interventional study of medical undergraduates.

Risheka Walls, Priyanka Nageswaran, Adrian Cowell, Tunav Sehgal, Thomas White, James McVeigh, Stefan Staykov, Paul Basett, Daniel Mitelpunkt, Amir H Sam

Abstract read
In one paragraph

Article in BMC medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
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  5. Review
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  8. Article
  9. Evaluating the effectiveness of virtual laboratory simulations for graduate-level training in genetic methodologies.Biochemistry and molecular biology education : a bimonthly publication of the International Union of Biochemistry and Molecular Biology
    Article
  10. 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

10 authors.

Risheka Walls *Imperial College School of Medicine, St Dunstan's Rd, Charing Cross Campus, London, W6 8RP, UK.
Priyanka Nageswaran *Imperial College School of Medicine, St Dunstan's Rd, Charing Cross Campus, London, W6 8RP, UK.
Adrian CowellImperial College Faculty of Medicine Digital Education Office, Exhibition Road, South Kensington, London, SW7 2BX, UK.
Tunav SehgalImperial College School of Medicine, St Dunstan's Rd, Charing Cross Campus, London, W6 8RP, UK.
Thomas WhiteImperial College Digital Media Lab, Exhibition Rd, South Kensington, London, SW7 2BX, UK.
James McVeighImperial College School of Medicine, St Dunstan's Rd, Charing Cross Campus, London, W6 8RP, UK.
Stefan StaykovImperial College Faculty of Medicine Digital Education Office, Exhibition Road, South Kensington, London, SW7 2BX, UK.
Paul BasettStats Consultancy, Amersham, UK.
Daniel MitelpunktImperial College Digital Media Lab, Exhibition Rd, South Kensington, London, SW7 2BX, UK.
Amir H SamImperial College School of Medicine, St Dunstan's Rd, Charing Cross Campus, London, W6 8RP, UK. a.sam@imperial.ac.uk.ORCID 0000-0002-9599-9069

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is a requirement that medical students are educated in emergencies and feel well prepared for practice as a doctor, yet national surveys show that many students feel underprepared. Virtual reality (VR), combined with 360-degree filming, provides an immersive, realistic, and interactive simulation experience. Unlike conventional in-person simulation, it is scalable with reduced workforce demands. We sought to compare students' engagement and enjoyment of VR simulation to desktop computer-based simulation.

methodsWe conducted a prospective, interventional, evaluation study. The study was carried out on final year medical students undertaking their Pre-Foundation Assistantship (n = 116) at Imperial College School of Medicine (ICSM) in London. We compared objective engagement, subjective engagement, and subjective enjoyment of VR simulation to desktop computer-based simulation using cardiac arrest and life-threatening asthma scenarios. Engagement was measured objectively using students' physiological parameters, including heart rate and eye tracking, and facilitator observations using the validated 'Behavioural Engagement Related to Instruction' (BERI) protocol. Students' subjective engagement and enjoyment levels were measured using a post-session survey.

resultsStudents' maximum heart rates were significantly higher during VR simulation with a mean difference of 4.2 beats per minute (3.2 to 5.2, p < 0.001), and eye tracking showed they spent a significantly greater mean percentage of time of 6.4% (5.1 to 7.7, p < 0.001) focusing on the scenarios in VR compared to standard desktop. Qualitative data showed students enjoyed and felt engaged with the sessions, which provided a safe space for learning.

conclusionsOur study shows that students found VR simulations enjoyable and were more engaged compared to standard desktop simulation. This suggests that 360-degree VR simulation experiences provide students with immersive, realistic training, which is scalable, giving them the unique opportunity to manage emergencies and work within emergency teams, which would not typically occur during traditional training.

Indexed as

Education, Medical, UndergraduateSimulation TrainingStudents, MedicalVirtual RealityAdultEmergency MedicineFemaleHumansLondonMaleProspective StudiesYoung AdultInnovationMedical emergenciesSimulationVirtual reality

Identifiers

PMID38831293
PMCPMC11149210

What OpenQuestion holds

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LicenceCC BY
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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.