Learning Management of Open Fractures on Virtual Patient

Suspended

• Conditions: Fractures, Bone; Simulation of Physical Illness; Emergencies; Educational Problems
• Interventions: Other: Virtual reality online world

• Registration Number: NCT04605380
• Lead Sponsor: Imperial College Healthcare NHS Trust

Brief Summary

* A novel virtual world programme with over 240 multiple choice questions was developed to assess the competencies in managing an open fracture of the lower limb according to the British Orthopaedic Association Standards for Trauma (BOAST) and Advanced Trauma Life support (ATLS) guidelines.

* A longitudinal, observational, multi-centre prospective cohort study was conducted at Imperial College London.

* Primary objective consisted of objective scores calculated in real-time from the 240 multiple choice questions between Novices, Intermediates and Experts.

* Participants who had either completed ATLS training, or had familiarised themselves with BOAST guidelines were also identified and correlated with objective scores.

Detailed Description

This is a multi-centre prospective randomised controlled educational trial observing for validity and training effect of managing an orthopaedic emergency using a virtual patient within an online world. Cohorts consist of junior, intermediate and expert surgeons being tested on 240 multiple choice questions to assess for competency as well as face, content and construct validity.

Study Timeline

• Study Start: 2020-03-01
• Study First Submitted: 2020-10-15
• Study First Submitted QC: 2020-10-21
• Study First Posted: 2020-10-28
• Status Verified: 2024-01
• Last Update Submitted: 2024-01-22
• Last Update Posted: 2024-01-25
• Primary Completion: 2024-06-01
• Study Completion: 2026-06-01

Recruitment & Eligibility

• Status: SUSPENDED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• Postgraduate orthopaedic trainees and naïve to surgical simulation

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Exclusion Criteria

• undergraduates and previous exposure to surgical simulation involving cognitive task analysis

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Novices	Virtual reality online world	Junior doctors/interns
Intermediates	Virtual reality online world	Specialist trainees/Residents
Experts	Virtual reality online world	Consultants/Attendings

Primary Outcome Measures

Name	Time	Method
Objective test score	Immediately after the intervention/procedure/surgery - objective test scores collected immediately after a single attempt	Objective real-time performance test scores from 240 multiple choice questions (MCQs) on each step of managing virtual patient in virtual online world. The MCQs will either be true or false. Each correct answer will score one mark. There will be no negative marking. The scores will correlate with performance.

Trial Locations

Locations (1)

Imperial College Healthcare NHS Trust; 🇬🇧 London, United Kingdom