HAPTEX - Using Haptics & Virtual Reality to Improve Objectivity and Validity of Medical Training & Examinations

在接下来的两年里，英国承诺再培训1500名医学生，这将使每年的学生总数达到近7500名。必须确保新合格医生的能力。8月份的“黑色星期三”是指一批新的初级医生来到病房的那一天。确保新合格医生的能力可以改善患者的治疗效果并减少伤害（提高生活质量）。尽管项目开始解决这个问题，但医学院的能力评估缺乏标准化。英国医学执照考试将在未来五年内在医学院引入共同的书面内容考试。与此同时，普通医学理事会为新获得资格的医生制定了一份核心临床能力清单。然而，没有标准化的国家评估。在评估临床技能方面存在许多额外的挑战，包括：（不使用患者）;基于人体模型的评估缺乏现实性和真实性;评估压力不断上升，导致严重的心理健康影响;临床技能评定的客观性难以与设备的技术故障相吻合，评定的主观性导致无意识近年来，VR和相关技术的快速发展为医学教育带来了许多新的机会。尽管自2000年代初以来已证明有效，但目前的医疗培训技术对特定的临床技能或学科具有高度的针对性。Generic Robotics（GR）开发了一个利用VR和触觉（触摸反馈）的硬件和软件模拟平台，这是世界上第一个多用途临床模拟器（SimuTouch（r））。通用平台带来了许多优势，并改变了培训机构投资和在课程中部署模拟的方式。计算机模拟的下一个前沿是评估，有机会解决许多已经突出的挑战，但独特的是，通过SimuTouch（r）平台，还有机会将培训与评估统一起来，带来更广泛的效率提高，GR将与伦敦国王学院的医学教育专家密切合作。该项目将开始的发现阶段使用一般医学理事会的结果毕业生的核心医疗技能清单作为起点，以确定技术开发领域。将选择大约5种技能进行开发，分为简单的VR任务和更复杂的触觉任务，然后在模拟OSCE中进行验证。

Over the next two years the UK has committed to training an extra 1500 medical students, this will bring the total to almost 7500 students per year. It is essential to ensure the competencies of a newly qualified doctor. The concept of 'Black Wednesday' in August refers to the day when a new cohort of junior doctors arrive on the wards. Ensuring the competency of newly qualified doctors improves patient outcomes and reduces harm (improving quality of life).Assessment of competency lacks standardisation across medical schools although projects are starting to address this. The UK medical licensing exam will introduce a common written content examination across medical schools in the next five years. In Parallel to this the general medical council has introduced a list of core clinical competencies for newly qualified doctors. However, there is no standardised national assessment.Numerous additional challenges in assessing clinical skills exist including: ethical (not using patients); mannequin based assessment lacks realism and authenticity; assessment stress is rising resulting in severe mental health implications; objectivity in assessment of clinical skills is hard to standardise with technical failure of equipment and the subjective nature of assessment gives rise to unconscious bias.In recent years rapid development of VR and related technologies have given rise to many new opportunities for medical education. Despite being demonstrably effective since the early 00's, current technologies for medical training are highly specific to a particular clinical skill or discipline. Generic Robotics (GR) have developed a hardware and software simulation platform leveraging VR and Haptics (Touch Feedback) which is the world's first multi-purpose clinical simulator (SimuTouch(r)). A universal platform brings many advantages and changes the way training institutions can invest in and deploy simulation in their curricula.The next frontier for computer simulation is assessment, there is opportunity to address many of the challenges already highlighted but, uniquely, through the SimuTouch(r) platform, there is additionally the opportunity to unify training with assessment bringing even wider efficiency improvements, cost saving and standardization.GR will collaborate closely with expert medical educators at King's College London. This project will begin with a discovery phase using the General Medical Council outcomes for graduates' core medical skills list as the starting point to identify areas for technological exploitation. Approximately 5 skills will be selected for development, split between simpler, VR tasks and more complex Haptic tasks which will then be validated in a mock OSCE.