FIRST PERSON POINT OF VIEW AUGMENTED REALITY FOR MEDICAL TRAINING

医生与人口的比例开始趋于稳定，预计随着人口增长， 美国老年人（和更需要医疗服务的人）的人数正在增加。因此，医生劳动力 可能无法满足美国人民的需求。事实上，2020年，美国可能面临 初级保健医生短缺45 400人，医疗专家短缺46 100人，共计91 500人 医生太少了。其他预测估计，美国医生的供应可能会减少， 更低，到2020年缺口高达20多万。此外，质量时间的数量 医学生必须学习的程序引起了研究人员的关注。ArchieMD拥有 一直在开发一个医疗模拟增强现实系统， 技术与人体模型，使内部解剖覆盖医疗培训师。ArchieMD 开发了基于人体模型任务训练器结合2D和3D的技术 解剖学视觉模型呈现在屏幕上。使用增强现实跟踪，ArchieMD的 身体内部解剖结构的3D图像叠加在用户的视图上， 在使用任务训练器人体模型时提供额外的3D教学信息。的一个关键 该方法的局限性在于它提供了第三人称视角（Point-of-View）而不是第一人称视角。 人，虽然第三人称视角的方法对小组活动有用， 但是，这是一个很大的问题，它是一个很大的问题。第一次使用 人员培训将能够无缝地融入医疗培训。这可以通过 通过使用增强现实眼镜或护目镜。近日，一批令人振奋的 已经出现了关于光学透视增强现实眼镜的发展， 护目镜第一阶段SBIR项目，ArchieMD为中央开发了第一人的BMMR培训师 静脉导管放置，这是在密歇根大学进行初步评估， 医学教育的实用性和可行性。在第二阶段，我们将继续工作， 实现以下具体目标。 具体目标1：继续开发第一人称混合现实教练， 包括以下步骤： o扩大程序，纳入全方位的重要医疗 包括IV和动脉管路放置、神经轴技术在内的手术 （脊椎，脊椎），周围神经阻滞，穿刺术，胸腔穿刺术和 胸管插入 o优化第一人的CNOMR培训师，以提高性能和一致性。 具体目标2：使用扩展的第一人称练习进行迭代可用性测试 混合现实教练 具体目标3：进行一项随机对照试验，以评估第一个 与传统的混合现实相比， 模特运动鞋

The physician-to-population ratio is beginning to plateau, and is expected to decline right as the U.S. elderly (and more medically needy) population is on the rise. Thus, the physician workforce may not be able fulfill the U.S. population's demand. In fact, in 2020, the United States may face shortages of 45,400 primary care physicians and 46,100 medical specialists—a total of 91,500 too few doctors. Other projections estimate that the supply of US physicians may decrease even lower, with a shortfall as high as over 200,000 by 2020. Furthermore, the amount of quality time medical students have to learn procedures has drawn concern from researchers. ArchieMD has been developing a medical simulation augmented reality system to combine multimedia technologies with manikins to enable internal anatomy overlays on medical trainers. ArchieMD developed the technology based on a human manikin task trainer combined with 2D and 3D anatomic visual models presented on a screen. Using augmented reality tracking, ArchieMD's 3D imagery of the body's internal anatomy was superimposed over the view of the user, providing additional 3D didactic information while using a task trainer manikin. One of the key limitations of the approach is that it provides a 3rd person Point-of-View (POV) instead of a 1st person POV. While the 3rd person POV approach has utility for group activities and demonstration, it is of lesser value to the individual practicing the procedure. The use of a 1st person POV would enable seamless integration into medical training. This could be enabled through the use of augmented reality glasses or goggles. Recently, a number of exciting developments have occurred with respect to optical see-through augmented reality glasses and goggles. Phase I SBIR project, ArchieMD developed a 1st person POV MR trainer for Central venous catheter placement, which was evaluated at the University of Michigan for preliminary utility and feasibility in medical education. During Phase II we will continue the work by completing the following specific aims.  Specific Aim 1: Continue development of the 1st person POV Mixed Reality trainer to include: o Expanding procedures to incorporates a full range of important medical procedures including IV and arterial line placement, neuraxial techniques (spinals, epidurals), peripheral nerve blocks, paracentesis, thoracentesis and chest tube insertion. o Optimize 1st person POV MR trainer for improved performance and alignment.  Specific Aim 2: Conduct iterative usability testing with the expanded 1st person POV Mixed Reality trainer  Specific Aim 3: Conduct a randomized controlled trial to assess the ability of the 1st person POV Mixed Reality to improve procedural skills, as compared to traditional manikin trainers.