Vishal Patel, Rajesh Aggarwal, Daniel Cohen, Dave Taylor, Ara Darzi. Implementation of an Interactive Virtual-World Simulation for Structured Surgeon Assessment of Clinical Scenarios.
Journal of the American College of Surgeons, 2013; 217 (2): 270 10.1016/j.jamcollsurg.2013.03.023
A novel interactive 3-dimensional (3-D) simulation platform offers surgical residents a unique opportunity to hone their diagnostic and patient management skills, and then have those skills accurately evaluated according to a new study appearing in the August issue of the Journal of the American College of Surgeons. The findings may help establish a new tool for assessing and training surgical residents.
Previous research studies have shown that the management of patient complications following operations is an extremely important skill set for surgeons to master. Therefore, in addition to performing operations, surgeons must also be able to effectively manage surgical patients in the emergency room, on the hospital floor unit, or in the intensive care unit. Until now, the standard approach for this instruction has been to learn to master this skill set on patients.
"The way we learn in residency currently has been called 'training by chance,' because you don't know what is coming through the door next," said study coauthor Rajesh Aggarwal, MD, PhD, MA, FRCS, a National Institute for Health Research (NIHR) clinician scientist in surgery at Imperial College, St. Mary's Hospital in London. "What we are doing is taking the chance encounters out of the way, residents learn and forming a structured approach to training."
Using an online virtual world called Second Life™, a multidisciplinary team of researchers from Imperial College, St. Mary's Hospital developed three virtual reality environments -- a standard hospital ward, an intensive care unit, and an emergency room.
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