Virtual Reality Medical Training for Emergency Training

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Sunnybrook Health Sciences Centre

Disqualifiers: Unwillingness, Simulator experience, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

40 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores virtual reality technology to train medical professionals in handling emergencies remotely. It employs the HoloSIM software with a Microsoft Hololens headset to create virtual patients, offering a more interactive training experience. The researchers aim to determine if this method matches the effectiveness of traditional mannequin-based training, which uses physical models for simulation. Residents or fellows in specific acute care training programs at Sunnybrook who have not completed simulator training for anaphylaxis (a severe allergic reaction) may qualify for this trial. As an unphased study, this trial provides a unique opportunity to experience cutting-edge training technology that could enhance emergency response skills.

Do I need to stop taking my current medications for this trial?

The trial protocol does not specify whether you need to stop taking your current medications.

What prior data suggests that the HoloSIM software via Hololens 2 is safe for medical training?

Research on the HoloSIM software using the Hololens 2 device for medical training has shown it to be generally safe. Studies have found that most users do not feel stressed or overwhelmed when using it. No major reports of serious side effects or problems have emerged. Since 2019, the technology has been used in various medical settings, yielding positive results in training healthcare professionals. This suggests that the HoloSIM software is well-tolerated and can be safely used for medical training. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about this trial because it's exploring how virtual reality (VR) can transform emergency medical training. Unlike traditional methods that rely on mannequins, the HoloSIM software uses mixed reality through Hololens 2 to create immersive training scenarios. This innovative approach could offer more realistic and flexible training experiences, potentially improving response times and decision-making skills in real emergencies. By comparing VR with conventional mannequin-based training, researchers aim to find out if this technology can enhance learning outcomes and better prepare healthcare professionals for high-pressure situations.

What evidence suggests that this trial's training methods could be effective for emergency training?

Research has shown that mixed reality headsets like the Hololens can make medical training more engaging and help people complete tasks faster. In one study, the HoloLens 2 reduced the time needed to finish tasks by 28.4%, making training more efficient. This trial will evaluate the effectiveness of HoloSIM software via Hololens 2, used in Group A, the intervention arm. This technology also boosts learners' confidence, crucial for handling real-life emergencies. Additionally, the HoloSIM software allows users to create and manage virtual medical scenarios from anywhere, making it convenient for remote training. These findings suggest that mixed reality could be a powerful tool for improving medical education and skills. Meanwhile, Group B, the control arm, will use traditional mannequin-based simulation for training. ^{1 2 3 6 7}

Who Is on the Research Team?

Julian Wiegelmann, Dr.

Principal Investigator

Sunnybrook Health Science Centre

Are You a Good Fit for This Trial?

This trial is for resident or fellow level volunteers from acute care postgraduate programs like Internal Medicine, Emergency Medicine, Anesthesiology, and Critical Care at Sunnybrook Health Sciences Centre. It's not for those who have previously used simulators to learn about anaphylaxis.

Inclusion Criteria

Resident or fellow level volunteers from acute care postgraduate training programs (Internal Medicine, Emergency Medicine, Anesthesiology, Critical Care Medicine at Sunnybrook Health Sciences Centre)

Exclusion Criteria

Previous experience with simulator based teaching on anaphylaxis

I do not want to participate in the study.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Development and Usability Testing

Iteratively develop and usability test the HoloSIM software with acute care medicine specialties

8-12 weeks

Training and Assessment

Determine if the HoloSIM platform is non-inferior to the current teaching and assessment standard of high-fidelity mannequin-based crisis simulation

4-6 weeks

Follow-up

Participants are monitored for effectiveness and usability of the training solution

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

• HoloSIM Software via Hololens 2
• Training by Mannequin Based Simulation

Trial Overview The study tests the HoloSIM software on Microsoft Hololens 2 against traditional mannequin-based simulation training. The goal is to see if this mixed reality technology can improve medical training during situations where in-person sessions are disrupted.

How Is the Trial Designed?

Group I: Group A: HoloSIM (intervention) Experimental Treatment 1 Intervention

Training by Mixed Reality Simulation

Group II: Group B: Mannequin (control) Active Control 1 Intervention

Training by Mannequin Based Simulation

Who Is Running the Clinical Trial?

Sunnybrook Health Sciences Centre

Lead Sponsor

Trials

693

Recruited

1,569,000+

Published Research Related to This Trial

The HoloLens has shown promise in supporting physicians during medical procedures that typically lack image guidance, but its accuracy and reliability are not yet sufficient to fully replace traditional guidance systems.

There is a significant focus on using the HoloLens for medical education, particularly in AR-enhanced simulators for medical students, although the validation of these applications is hindered by a lack of standardized evaluation protocols.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The HoloLens in medicine: A systematic review and taxonomy. Gsaxner, C., Li, J., Pepe, A., et al.[2023]

Mixed Reality (MR) devices can effectively teach surgical skills by providing 3D holographic representations, which allow for better visualization and interactivity compared to traditional learning methods like videos and apprenticeships.

In evaluations, participants using MR models for learning complex hand motions scored similarly to those trained through traditional methods, indicating that MR can be a viable alternative for skill acquisition in surgical training.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Building Your Future Holographic Mentor: Can We Use Mixed Reality Holograms for Visual Spatial Motor Skills Acquisition in Surgical Education? Leung, R., Shi, G.[2023]

The use of the Microsoft HoloLens 2 extended reality headset for international grand rounds significantly enhanced the bedside learning experience for 325 participants, with 99% valuing the ability to visualize clinical findings and results in real-time.

Participants overwhelmingly preferred the XR format over traditional grand rounds, with 96% recognizing its importance for modern medical education, indicating that XR technology could be a valuable tool for surgical teaching and telerounding.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

International Mixed Reality Immersive Experience: Approach via Surgical Grand Rounds. Mahajan, AP., Inniss, DA., Benedict, MD., et al.[2023]

Virtual reality (VR) technology has been effectively used in training medical professionals, with 48% of the reviewed studies focusing on laparoscopic surgery, demonstrating its specific application in surgical education.

The majority of studies (74%) reported improved learning outcomes and 87% noted higher accuracy in medical practice among those trained with VR, highlighting its efficacy in enhancing medical training and performance.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The Applications of Virtual Reality Technology in Medical Groups Teaching. Samadbeik, M., Yaaghobi, D., Bastani, P., et al.[2022]

Training caregivers using a mixed reality head-mounted display (HMD) significantly enhances engagement and confidence in performing emergency medical tasks compared to traditional training methods.

In a study with 20 participants, those trained with the HMD completed tasks more quickly and retained skills better over a three-week period, suggesting that this technology could improve critical care training outcomes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Can Mixed-Reality Improve the Training of Medical Procedures? Azimi, E., Winkler, A., Tucker, E., et al.[2020]

A systematic review of 32 articles found that virtual reality (VR) and augmented reality (AR) training significantly improves healthcare providers' confidence and satisfaction in disaster medicine (DM) education.

The review indicates that VR and AR can enhance traditional disaster training methods, but further research is needed to standardize their use and assess their impact on patient care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Virtual Reality Training in Disaster Medicine: A Systematic Review of the Literature. Brown, N., Margus, C., Hart, A., et al.[2023]

A systematic review of 34 studies on virtual reality (VR) in emergency skills training suggests that VR can enhance knowledge retention and skill performance, making it a promising tool for medical education.

Despite the educational benefits observed, there is currently insufficient evidence to show that VR training leads to improved patient outcomes or cost-effectiveness in clinical settings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Virtual reality in simulation-based emergency skills training: A systematic review with a narrative synthesis. Abbas, JR., Chu, MMH., Jeyarajah, C., et al.[2023]

A mixed-reality training system using HoloLens for hip arthroplasty was developed, combining virtual and physical components to create an immersive surgical training environment, which showed promising accuracy in target positioning.

User feedback indicated low perceived workload and satisfactory performance during 40-minute simulation sessions, although some postural discomfort and visual fatigue were noted, highlighting the need for optimal design to enhance user comfort.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

How to Build a Patient-Specific Hybrid Simulator for Orthopaedic Open Surgery: Benefits and Limits of Mixed-Reality Using the Microsoft HoloLens. Condino, S., Turini, G., Parchi, PD., et al.[2019]

The integration of gaming technologies with medical training aims to create realistic simulations for mass casualty incidents, allowing medical professionals to practice in scenarios that reflect complex, real-life situations.

This program, developed in collaboration with Forterra Systems and Stanford University, focuses on enhancing the physiological realism of computer-generated avatars, which will help improve the training and preparedness of healthcare teams in emergency situations.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Avatars alive! The integration of physiology models and computer generated avatars in a multiplayer online simulation. Kusumoto, L., Heinrichs, WL., Dev, P., et al.[2008]

A novel virtual reality (VR) training program for public health emergency responders was positively received by 61 participants, with 98% rating their skills above neutral, indicating high perceived effectiveness of the training.

Participants found the VR training immersive and relevant to real-life scenarios, suggesting it could be a valuable tool for enhancing the skills of emergency responders, although further research is needed to assess its impact on those with less experience.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Training the public health emergency response workforce: a mixed-methods approach to evaluating the virtual reality modality. Bugli, D., Dick, L., Wingate, KC., et al.[2023]

The rapid evolution of medical knowledge and procedures necessitates ongoing education for healthcare professionals, with Virtual Reality (VR) emerging as a powerful tool to enhance training and skills acquisition.

VR training offers an interactive and engaging learning environment that supports experiential learning, which can improve motivation and effectiveness in acquiring complex medical skills, ranging from surgical techniques to mental health treatments.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Virtual reality training for health-care professionals. Mantovani, F., Castelnuovo, G., Gaggioli, A., et al.[2022]

The slow adoption of virtual simulation technologies in surgical training is largely due to a focus on advanced technology rather than understanding the needs of users, highlighting the importance of human factors in design.

Three case studies show that achieving psychological fidelity—where simulations effectively replicate the skills and behaviors needed in real-world scenarios—can be more important than striving for complete realism in simulations.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The (human) science of medical virtual learning environments. Stone, RJ.[2021]

Citations

1. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC9611914/

Microsoft HoloLens 2 in Medical and Healthcare Context The results provided in this paper could highlight the potential and limitations of the HoloLens 2-based innovative solutions and bring focus to emerging ...

2. withpower.com withpower.com/trial/phase-emergencies-2-2023-1a7f0

Virtual Reality Medical Training for Emergency Training Research shows that using mixed reality headsets like the Hololens can make training more engaging, improve task performance time, and boost confidence in ...

3. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC11626676/

HoloLens platform for healthcare training & urology applications The use of HoloLens 2 shortened the time for completion (28.4% reduction), and no difference in the success of the punctures. Table 3 depicts ...

4. cdn.clinicaltrials.gov cdn.clinicaltrials.gov/large-docs/02/NCT05729802/Prot_001.pdf

The Holographic Standardized Patient: Using Mixed ... A wide variety of medical emergencies can be initiated using the HoloSIM instructor software, and then monitored/controlled from any distance using a high ...

5. researchgate.net researchgate.net/publication/364529982_Microsoft_HoloLens_2_in_Medical_and_Healthcare_Context_State_of_the_Art_and_Future_Prospects

Microsoft HoloLens 2 in Medical and Healthcare Context This systematic review provides the state-of-the-art applications of the Microsoft® HoloLens 2 in a medical and healthcare context.

6. clinicaltrials.gov clinicaltrials.gov/study/NCT05729802

NCT05729802 | The Holographic Standardized Patient It is a two stage study: 1) iteratively develop and usability test the HoloSIM software with acute care medicine specialties at Sunnybrook, and 2) determine if ...

7. jamanetwork.com jamanetwork.com/journals/jamanetworkopen/fullarticle/2808798

Effect of Mixed Reality on Delivery of Emergency Medical ... Findings This pilot randomized crossover trial in 22 physicians found that mixed reality led to a reduced error rate in emergency clinical care ...