Virtual Reality Simulation for Teaching and Assessment of Anesthesia Crisis Management

Not Applicable

• Conditions: Patient Simulation
• Interventions: Other: Training by Virtual Reality Simulation; Other: Training by Mannequin Based Simulation

• Registration Number: NCT03434002
• Lead Sponsor: University Health Network, Toronto

Brief Summary

In this study, Investigators are going to develop and test a device to apply virtual reality simulation to improve and help for teaching and assessment of anesthesia crisis management.

Detailed Description

Competency based medical education (CBME) is an outcomes-based approach to the design, implementation, assessment, and evaluation of medical education. The goals of Competency Based Medical Education are to improve patient safety, patient health outcomes, and enhance the competence and performance of individuals, groups and teams. Simulation-based training is a proven effective method to improve the skills and competency of the student by permit-ting repetitive practice before an actual procedure is performed on real patients.

e Virtual reality simulation has been used successfully to teach technical skills such as laparoscopic surgery, carotid stenting, gall bladder surgery, and knee arthroscopy.

The specific aims of this project are:

1. Build a multi-user, multi-site virtual reality simulator for anesthesia management and team training

2. Evaluate the simulation as a tool for competency based medical education

3. Compare the effectiveness of the simulator with mannequin based simulator for competency based medical education.

Study Timeline

• Study Start: 2018-01-01
• Study First Submitted: 2018-01-17
• Status Verified: 2018-02
• Study First Submitted QC: 2018-02-08
• Last Update Submitted: 2018-02-08
• Study First Posted: 2018-02-15
• Last Update Posted: 2018-02-15
• Primary Completion: 2019-08
• Study Completion: 2020-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Anesthesia resident or fellow volunteers from University of Toronto

Exclusion Criteria

• Unwilling to enter the study
• Previous experience with simulator based teaching on local anesthetic systemic toxicity

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SEQUENTIAL

Arm && Interventions

Group	Intervention	Description
Arm-A	Training by Virtual Reality Simulation	Randomized 15 residents out of 30 Post Graduate Year 1 or 2 anesthesia residents (not involved in initial Virtual Reality testing) will be receive Local Anesthetic Systemic Toxicity simulation training by Virtual Reality simulation
Arm-B	Training by Mannequin Based Simulation	Randomized other 15 residents out of 30 Post Graduate Year 1 or 2 anesthesia residents (not involved in initial Virtual Reality testing) will be receive Local Anesthetic Systemic Toxicity simulation training by mannequin based simulation

Primary Outcome Measures

Name	Time	Method
Number of tasks correctly performed	1 hour	The primary outcome in performance evaluation is the number of tasks correctly performed during management of the Local Anesthetic Systemic Toxicity event. Investigators will use the same performance evaluation tool.; The performance evaluation tool will assess the trainee's performance (i.e., medical management of Local Anesthetic Systemic Toxicity) per performance evaluation tool

Secondary Outcome Measures

Name	Time	Method
use the Anesthesiologists' Non-Technical Skills (ANTS) tool	1 hour	The Investigators will use the anesthesiologists' non-technical skills (ANTS) tool in the Local Anesthetic Systemic Toxicity Event (Data Collection Tools, Supplemental Digital Content 2, http://links.lww.com/AAP/A45) as described by Neal.

Trial Locations

Locations (1)

Toronto Western Hospital; 🇨🇦 Toronto, Ontario, Canada