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Clin Teach. 2021 Aug;18(4):386-390. doi: 10.1111/tct.13338. Epub 2021 Mar 30.

A remote access mixed reality teaching ward round.

The clinical teacher

Laksha Bala, James Kinross, Guy Martin, Louis J Koizia, Angad S Kooner, Gideon J Shimshon, Thomas J Hurkxkens, Philip J Pratt, Amir H Sam

Affiliations

  1. Imperial College School of Medicine, Imperial College London, London, UK.
  2. Department of Surgery and Cancer, Imperial College London, London, UK.
  3. Cutrale Perioperative and Ageing Group, Imperial College London, London, UK.
  4. Imperial College Healthcare NHS Trust, London, UK.
  5. Digital Learning Hub, Imperial College London, London, UK.
  6. Helix Centre, Imperial College London, London, UK.

PMID: 33786988 DOI: 10.1111/tct.13338

Abstract

BACKGROUND: Heterogeneous access to clinical learning opportunities and inconsistency in teaching is a common source of dissatisfaction among medical students. This was exacerbated during the COVID-19 pandemic, with limited exposure to patients for clinical teaching.

METHODS: We conducted a proof-of-concept study at a London teaching hospital using mixed reality (MR) technology (HoloLens2™) to deliver a remote access teaching ward round.

RESULTS: Students unanimously agreed that use of this technology was enjoyable and provided teaching that was otherwise inaccessible. The majority of participants gave positive feedback on the MR (holographic) content used (n = 8 out of 11) and agreed they could interact with and have their questions answered by the clinician leading the ward round (n = 9). Quantitative and free text feedback from students, patients and faculty members demonstrated that this is a feasible, acceptable and effective method for delivery of clinical education.

DISCUSSION: We have used this technology in a novel way to transform the delivery of medical education and enable consistent access to high-quality teaching. This can now be integrated across the curriculum and will include remote access to specialist clinics and surgery. A library of bespoke MR educational resources will be created for future generations of medical students and doctors to use on an international scale.

© 2021 The Authors. The Clinical Teacher published by Association for the Study of Medical Education and John Wiley & Sons Ltd.

References

  1. Sam AH, Millar K, Lupton MGF. Digital Clinical Placement for Medical Students in Response to COVID-19. Acad Med.2020; Available from https://doi.org/10.1097/ACM.0000000000003431. - PubMed
  2. Borgersen NJ, Naur TMH, Sørensen SMD, et al. Gathering Validity Evidence for Surgical Simulation: A Systematic Review. Ann Surg.2018;267(6):1063-1068. - PubMed
  3. Ekstrand C, Jamal A, Nguyen R, Kudryk A, Mann J, Mendez I. Immersive and interactive virtual reality to improve learning and retention of neuroanatomy in medical students: a randomized controlled study. CMAJ Open.2018;6(1):E103-E109. - PubMed
  4. Wang S, Parsons M, Stone-McLean J, et al. Augmented Reality as a Telemedicine Platform for Remote Procedural Training. Sensors (Basel).2017;17(10):2294. - PubMed
  5. Pennefather P, Krebs C. Exploring the Role of xR in Visualisations for Use in Medical Education. Biomedical Visualisation. Adv in Exp Med and Biol.2019;1171:15-23. - PubMed
  6. Gerup J, Soerensen C, Dieckmann P. Augmented reality and mixed reality for healthcare education beyond surgery: an integrative review. Int J Med Educ.2020;11:1-18. - PubMed
  7. Pratt P, Ives M, Lawton G, et al. Through the HoloLensTM looking glass: augmented reality for extremity reconstruction surgery using 3D vascular models with perforating vessels. Eur Radiol Exp.2018;2(1):1-6 - PubMed
  8. Boss S. Technology integration: A short history. Edutopia.org (The George Lucas Educational Foundation). Available from: http://www.edutopia.org/technology-integration-history. [Accessed 10th July 2020]. - PubMed
  9. Siemens G. Connectivism: A learning theory for the digital age. International Journal of Instructional Technology and Distance Learning.2005;2(1):3-10. - PubMed
  10. Mayer RE. Multimedia learning. 2nd edn. Cambridge, UK: Cambridge University Press; 2009. - PubMed

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