Innovative Educational Pathways in Spine Surgery: Advanced Virtual Reality-Based Training
Innovative Educational Pathways in Spine Surgery: Advanced Virtual Reality-Based Training
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DOI：
10.1016/j.wneu.2020.04.102
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发表时间：
2020-08-01
影响因子：
2
通讯作者：
Grasso, Giovanni
中科院分区：
文献类型：
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作者：
Luca, Andrea;Giorgino, Riccardo;Grasso, Giovanni
背景技术背景：在过去几年中，促进了教育途径的重组，目的是优化能力的获得及其评估，以减少卫生保健专业人员和最终用户的风险。虚拟现实（VR）已经被反复测试，最初是作为更传统的教育途径的积极强化，最近则是作为其潜在的替代品。本研究的目的是证明虚拟现实模拟训练在脊柱surgic.METHODS的潜力：虚拟现实模拟器再现侧腰椎进入脊柱。模拟包括教程、术前设置和具有不同手术复杂程度的手术会话。本研究共招募了10名用户：3名高级外科医生（A组）和7名骨科住院医师或初级骨科医生（B组）。每个用户完成两次模拟。结果：用户的年龄或以前的VR技术经验没有显示出任何相关性。平均而言，整个模拟在24'36'内完成。B组在两次手术、术前设置和手术模拟中的2次尝试之间均显示出改善。主要错误的数量分别从平均5.2下降到1.8，从平均4（最大6-最小1）下降到1.4。模拟从未中断，因为技术缺陷或不良影响相关technology.CONCLUSIONS：VR为基础的培训途径可能会促进高标准的护理。我们的初步经验表明，传统的教练过程的有效实施。
BACKGROUND: Over the past few years, a reorganization of the educational pathways has been promoted with the purpose of optimizing the acquisition of competences and their assessment, so as to reduce the risks to both health care professionals and end users. Virtual reality (VR) has been repeatedly tested, initially as a positive reinforcement for more traditional educational pathways and, more recently, as their potential substitute. The aim of this study was to demonstrate the potentiality of VR simulation training in spine surgery.METHODS: The VR simulator reproduced the lateral lumbar access to the spine. The simulation included a tutorial, the preoperative settings, and the surgical session with different levels of procedural complexity. A total of 10 users were recruited for this study: 3 senior surgeons (group A) and 7 orthopedic residents or junior orthopedic surgeons (group B). Each user completed the simulation twice.RESULTS: The user's age or previous experience with VR technology did not show any relevance. On average, the entire simulation was completed in 24'36'. Group B showed an improvement between the 2 attempts in both sessions, the preoperative settings and the surgical simulation. The number of major errors dropped from an average of 5.2 to 1.8 and from an average of 4 (maximum 6-minimum 1) to 1.4, respectively. The simulation was never interrupted because of technical bugs or adverse effects related to the technology.CONCLUSIONS: VR-based training pathways might promote a high standard of care. Our preliminary experience suggests an effective implementation of the traditional coaching process.