Immersive Virtual Reality Simulation-Effects of Self-Guided Versus Facilitator-Guided Debriefing

Condition(s) studied

Investigational drug(s) / intervention(s)

Ìmmersive virtual reality simulation with self-guided debriefing: * Familiarization with immersive virtual reality simulation (1 hour) * Video tutorial introducing paediatric Airway, Breathing, Circulation, Disability, Exposure (ABCDE) assessment, emergency teamwork and communication, and core elements in debriefing (1 hour) * Three immersive virtual reality simulation-based pediatric emergency team training scenarios with self-guided debriefing (2 hours)

Ìmmersive virtual reality simulation with facilitator-guided debriefing: * Familiarization with immersive virtual reality simulation (1 hour) * Video tutorial introducing paediatric ABCDE assessment, emergency teamwork and communication, and core elements in debriefing (1 hour) * Three immersive virtual reality simulation-based pediatric emergency team training scenarios with facilitator-guided debriefing (2 hours)

Study summary

The goal of this clinical trial is to find out whether self-guided and facilitator-guided virtual reality (VR) simulations are equally effective in helping medical students learn how to manage and treat critically ill children. The study will also investigate how medical students feel about the two training methods and examine how many experience cybersickness. The main questions it aims to answer are:

* Does self-guided VR simulation work as well as facilitator-guided VR simulation in teaching medical students how to manage critically ill children?
* How do medical students experience the ease of use, workload, reflection on learning, and motivation in each training method?
* How many students experience cybersickness? To answer these questions, researchers will compare the two training methods to evaluate if self-guided VR simulation is an effective way to teach medical students how to manage critically ill children.

Participants will:

* Work through three VR cases to practice managing critically ill children in a safe environment.
* Be tested before and after the VR simulation to assess changes in their skills managing critically ill children.
* Complete surveys about their experience of the VR simulation, the training sessions, and any cybersickness symptoms they might have.

Eligibility

Primary outcome measure(s)

• Clinical Teamwork Scale — The medical students will be videorecorded at Day 1 (intervention day) immediately before and after the intervention. Two raters will assess the videos once all data collection for the trial has been completed.
  The investigators will assess medical students' teamwork skills using the Clinical Teamwork Scale (CTS). This validated scale assesses fifteen teamwork skills across five main domains: overall teamwork, communication, situational awareness, decision-making, and role responsibility, on an 11-point Likert scale ranging from 1 = unacceptable to 11 = perfect. The CTS has been translated into Danish using a forward-backward translation process by two professional translators. Medical students will be videorecorded immediately before and after the intervention while managing a mannequin-based pediatric emergency in teams of two. Two independent raters will assess each team's collective performance based on the videos, using the CTS.

Trial sites (1)

More Copenhagen University Hospital, Rigshospitalet trials in Denmark