International Mixed Reality Immersive Experience: Approach via Surgical Grand Rounds.
Journal
Journal of the American College of Surgeons
ISSN: 1879-1190
Titre abrégé: J Am Coll Surg
Pays: United States
ID NLM: 9431305
Informations de publication
Date de publication:
01 01 2022
01 01 2022
Historique:
pubmed:
22
10
2021
medline:
5
3
2022
entrez:
21
10
2021
Statut:
ppublish
Résumé
Coronavirus disease 2019 created unintended but significant experiential barriers for surgical learners to interact at the bedside for teaching/case presentations. We hypothesized that an international grand rounds using the Microsoft HoloLens 2 extended reality (XR) headset would create an improved bedside-learning experience compared to traditional grand rounds formats. From December 2020 to March 2021, the world's first 2 international mixed reality grand rounds events using the HoloLens 2 headset were held, broadcasting transatlantically (between the University of Michigan and the Imperial College of London) bedside rounding experiences on 5 complex surgical patients to an international audience of 325 faculty, residents, and medical trainees. Participants completed pre- and post-event surveys to assess their experience. Of the 325 participants, 267 (80%) completed pre-surveys, and 95 (29%) completed both the pre- and post-surveys. Respondents (average age, 38 y; 44% women, 56% men; 211 US, 56 UK) included 92 (34%) medical students and residents and 175 faculty and staff. In the pre-event survey, 76% had little or no earlier experience with XR devices, and 94% thought implementation of XR into medical curricula was valuable. In the post-survey, 96% thought telerounding using XR technology was important for the current era, and 99% thought the ability to visualize the examination, imaging, and laboratory results at bedside via XR rounding was highly valuable and that this format was superior to traditional grand rounds. Almost all of the participants in the mixed reality international grand rounds felt the immersive XR experiences-allowing visualization of clinical findings, imaging, and laboratory results at the patient's bedside-were superior to a traditional grand rounds format, and that it could be a valuable tool for surgical teaching and telerounding.
Sections du résumé
BACKGROUND
Coronavirus disease 2019 created unintended but significant experiential barriers for surgical learners to interact at the bedside for teaching/case presentations. We hypothesized that an international grand rounds using the Microsoft HoloLens 2 extended reality (XR) headset would create an improved bedside-learning experience compared to traditional grand rounds formats.
STUDY DESIGN
From December 2020 to March 2021, the world's first 2 international mixed reality grand rounds events using the HoloLens 2 headset were held, broadcasting transatlantically (between the University of Michigan and the Imperial College of London) bedside rounding experiences on 5 complex surgical patients to an international audience of 325 faculty, residents, and medical trainees. Participants completed pre- and post-event surveys to assess their experience.
RESULTS
Of the 325 participants, 267 (80%) completed pre-surveys, and 95 (29%) completed both the pre- and post-surveys. Respondents (average age, 38 y; 44% women, 56% men; 211 US, 56 UK) included 92 (34%) medical students and residents and 175 faculty and staff. In the pre-event survey, 76% had little or no earlier experience with XR devices, and 94% thought implementation of XR into medical curricula was valuable. In the post-survey, 96% thought telerounding using XR technology was important for the current era, and 99% thought the ability to visualize the examination, imaging, and laboratory results at bedside via XR rounding was highly valuable and that this format was superior to traditional grand rounds.
CONCLUSIONS
Almost all of the participants in the mixed reality international grand rounds felt the immersive XR experiences-allowing visualization of clinical findings, imaging, and laboratory results at the patient's bedside-were superior to a traditional grand rounds format, and that it could be a valuable tool for surgical teaching and telerounding.
Identifiants
pubmed: 34673244
pii: 00019464-202201000-00005
doi: 10.1016/j.jamcollsurg.2021.09.011
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
25-31Informations de copyright
Copyright © 2022 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.
Références
Dhala A, Sasangohar F, Kash B, et al. Rapid implementation and innovative applications of a virtual intensive care unit during the COVID-19 pandemic: case study. J Med Internet Res. 2020;22:e20143.
Zhu E, Lilienthal A, Shluzas LA, et al. Design of mobile augmented reality in health care education: a theory-driven framework. JMIR Med Educ. 2015;1:e10.
Sorensen MJ, Bessen S, Danford J, et al. Telemedicine for surgical consultations - pandemic response or here to stay?: a report of public perceptions. Ann Surg. 2020;272:e174–e180.
Martin G, Khajuria A, Arora S, et al. The impact of mobile technology on teamwork and communication in hospitals: a systematic review. J Am Med Inform Assoc. 2019;26:339–355.
Lukas H, Xu C, Yu Y, et al. Emerging telemedicine tools for remote COVID-19 diagnosis, monitoring, and management. ACS Nano. 2020;14:16180–16193.
Mishra V. Factors affecting the adoption of telemedicine during COVID-19. Indian J Public Health. 2020;64(suppl):S234–S236.
Bokolo AJ. Use of telemedicine and virtual care for remote treatment in response to COVID-19 pandemic. J Med Syst. 2020;44:132.
Sparkes D, Leong C, Sharrocks K, et al. Rebooting medical education with virtual grand rounds during the COVID-19 pandemic. Future Healthc J. 2021;8:e11–e14.
Knaus WJ, Cheng A. Teleconferencing for virtual visiting professors and virtual grand rounds. Plast Reconstr Surg. 2021;147:872e–874e.
Sutzko DC, Martin CA, Chu DI. Development and implementation of virtual grand rounds in surgery. Am J Surg. 2021;221:46–48.
Martin G, Koizia L, Kooner A, et al.; PanSurg Collaborative. Use of the HoloLens2 mixed reality headset for protecting health care workers during the COVID-19 pandemic: prospective, observational evaluation. J Med Internet Res. 2020;22:e21486.
Stone C. Applying Extended Reality Technologies to Rounds – Center for Academic Innovation. Available at: https://ai.umich.edu/blog/extended-reality-roundsmichigan-medicine/ . Accessed June 2, 2021.
Thomas L. Patient rounds: Ages-old care & learning concept gets technology upgrade, international collaboration | Engaged Michigan. Available at: https://engaged.umich.edu/news-features/patient-rounds-ages-old-care-learning-conceptgets-technology-upgrade-international-collaboration/ . Accessed June 2, 2021.
Alizadehsani R, Alizadeh Sani Z, Behjati M, et al. Risk factors prediction, clinical outcomes, and mortality in COVID-19 patients. J Med Virol. 2021;93:2307–2320.
Emanuel EJ, Persad G, Upshur R, et al. Fair allocation of scarce medical resources in the time of Covid-19. N Engl J Med. 2020;382:2049–2055.