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Abstract
SUMMARY STATEMENT Simulation-based training using virtual reality head-mounted displays (VR-HMD) is increasingly being used within the field of medical education. This article systematically reviews and appraises the quality of the literature on the use of VR-HMDs in medical education. A search in the databases PubMed/MEDLINE, Embase, ERIC, Scopus, Web of Science, Cochrane Library, and PsychINFO was carried out. Studies were screened according to predefined exclusion criteria, and quality was assessed using the Medical Education Research Study Quality Instrument. In total, 41 articles were included and thematically divided into 5 groups: anatomy, procedural skills, surgical procedures, communication skills, and clinical decision making. Participants highly appreciated using VR-HMD and rated it better than most other training methods. Virtual reality head-mounted display outperformed traditional methods of learning surgical procedures. Although VR-HMD showed promising results when learning anatomy, it was not considered better than other available study materials. No conclusive findings could be synthesized regarding the remaining 3 groups.
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Bakhos D, Galvin J, Aoustin JM, Robier M, Kerneis S, Bechet G, Montembault N, Laurent S, Godey B, Aussedat C. Training outcomes for audiology students using virtual reality or traditional training methods. PLoS One 2020; 15:e0243380. [PMID: 33270806 PMCID: PMC7714342 DOI: 10.1371/journal.pone.0243380] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Accepted: 11/19/2020] [Indexed: 11/19/2022] Open
Abstract
Due to limited space and resources, it can be difficult to train students on audiological procedures adequately. In the present study, we compared audiology training outcomes between a traditional approach and a recently developed immersive virtual reality (VR) approach in audiology students. Twenty-nine first-year audiology students participated in the study; 14 received traditional training (“TT group”), and 15 received the VR training (“VRT group”). Pre- and post-training evaluation included a 20-item test developed by an audiology educator. Post-training satisfaction and self-confidence were evaluated using Likert scales. Mean post-training test scores improved by 6.9±9.8 percentage points in the TT group and by 21.1±7.8 points in the VRT group; the improvement in scores was significant for both groups. After completing the traditional training, the TT group was subsequently trained with the VR system, after which mean scores further improved by 7.5 points; there was no significant difference in post-VR training scores between the TT and VRT groups. After training, the TT and VRT groups completed satisfaction and self-confidence questionnaires. Satisfaction and self-confidence ratings were significantly higher for the VR training group, compared to the traditional training group. Satisfaction ratings were “good” (4 on Likert scale) for 74% of the TT group and 100% of the VRT group. Self-confidence ratings were “good” for 71% of the TT group and 92% of the VRT group. These results suggest that a VR training approach may be an effective alternative or supplement to traditional training for audiology students.
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Affiliation(s)
- David Bakhos
- CHU de Tours, service ORL et Chirurgie Cervico-Faciale, Tours, France
- Faculté de Médecine de Tours, Université François-Rabelais de Tours, CHRU de Tours, Tours, France
- INSERM UMR 1253 I-brain, Université François-Rabelais de Tours, CHRU de Tours, Tours, France
- * E-mail:
| | - John Galvin
- INSERM UMR 1253 I-brain, Université François-Rabelais de Tours, CHRU de Tours, Tours, France
- House Ear Institute, Los Angeles, California, United States of America
| | - Jean-Marie Aoustin
- CHU de Tours, service ORL et Chirurgie Cervico-Faciale, Tours, France
- Audilab, Saint-Pierre-des-Corps, France
| | - Mathieu Robier
- CHU de Tours, service ORL et Chirurgie Cervico-Faciale, Tours, France
- Audilab, Saint-Pierre-des-Corps, France
| | - Sandrine Kerneis
- CHU de Tours, service ORL et Chirurgie Cervico-Faciale, Tours, France
| | - Garance Bechet
- Ecole d’audioprothèse JE Bertin, Université de Rennes 1, Javene, France
| | | | - Stéphane Laurent
- Ecole d’audioprothèse JE Bertin, Université de Rennes 1, Javene, France
| | - Benoit Godey
- Ecole d’audioprothèse JE Bertin, Université de Rennes 1, Javene, France
- Service d’ORL et Chirurgie Cervico-Faciale, CHU de Rennes, Rennes, France
| | - Charles Aussedat
- CHU de Tours, service ORL et Chirurgie Cervico-Faciale, Tours, France
- Faculté de Médecine de Tours, Université François-Rabelais de Tours, CHRU de Tours, Tours, France
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Thai-Van H, Bakhos D, Bouccara D, Loundon N, Marx M, Mom T, Mosnier I, Roman S, Villerabel C, Vincent C, Venail F. Telemedicine in Audiology. Best practice recommendations from the French Society of Audiology (SFA) and the French Society of Otorhinolaryngology-Head and Neck Surgery (SFORL). Eur Ann Otorhinolaryngol Head Neck Dis 2020; 138:363-375. [PMID: 33097467 PMCID: PMC7575454 DOI: 10.1016/j.anorl.2020.10.007] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
Objectives Access to diagnosis and treatments for auditory disorders and related pathologies has regressed in France during the COVID-19 pandemic, posing a risk to the patient's chance of recovery. This best practice recommendations guide aims to list the existing technological solutions for the remote examination of a patient with hearing complaint, and to outline their benefits and, where applicable, their limitations. Methods The recommendations were developed both from the clinical experience of the medical experts who drafted the guide, and from an extensive review of the literature dealing with clinical practice recommendations for tele-audiology. Tele-audiometry solutions were identified on the basis of a search engine query carried out in April 2020, prior to verification of their availability on the European market. Results Video otoscopy solutions allow for the teletransmission of images compatible with a high-quality diagnosis, either by connecting via internet to a tele-health platform or using a smartphone or a tablet with an iOS or Android operating system. Using the same telecommunication methods, it is possible to remotely conduct a pure-tone audiometry test in accordance with standard practice, a speech-in-quiet or a speech-in-noise audiometry test, as well as objective measures of hearing. Clinical and paraclinical examinations can be accessed by the physician to be interpreted on a deferred basis (asynchronous tele-audiology). Examinations can also be conducted in real time in a patient, at any age of life, as long as a caregiver can be present during the installation of the transducers or the acoumetry. Tele-audiology solutions also find application in the remote training of future healthcare professionals involved in the management of deafness and hearing impairment. Conclusion Under French law, tele-otoscopy is a medical procedure that is either a tele-expertise (asynchronous adive) or a teleconsultation act (synchronous advice). Subjective and objective evaluation of the patient's hearing functions can be done remotely provided that the listed precautions are respected.
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Affiliation(s)
- H Thai-Van
- Department of Audiology and Otoneurological Evaluation, Edouard-Herriot Hospital, HCL (hospices civils de Lyon), 69003 Lyon, France; Claude-Bernard University Lyon 1, 69100 Villeurbanne, France; Inserm (French National Institute of Health and Medical Research) U1120, Hearing Institute-Paris, Research Centre of Institut Pasteur, 75012 Paris, France.
| | - D Bakhos
- Faculty of Medicine, University of Tours, 10, boulevard Tonnellé, 37000 Tours, France; Inserm U1253, ibrain, 37044 Tours, France
| | - D Bouccara
- Department of ENT and Head & Neck Oncology, Georges-Pompidou European Hospital, Paris Ouest University Hospitals, AP-HP, 75015 Paris, France; SOFRESC (French Society of Sensory and Cognitive Research), 92130 Issy-les-Moulineaux, France
| | - N Loundon
- Department of ENT & Maxillofacial Surgery, Necker Children's University Hospital, 75015 Paris, France; Inserm U587, Genetics of Deafness Unit, IMAGINE, 75015 Paris, France
| | - M Marx
- Department of Otology, Otoneurology, and Paediatric Otorhinolaryngology, Pierre-Paul-Riquet Hospital, Toulouse Purpan University Hospital, 31000 Toulouse, France; Brain and Cognition Laboratory, UMR 5549, Toulouse III University, 31000 Toulouse, France
| | - T Mom
- Department of Otorhinolaryngology and Head & Neck Surgery, Gabriel-Montpied University Hospital, 63000 Clermont-Ferrand, France; Inserm UMR 1107, Sensorineural Biophysics Laboratory, Clermont-Auvergne University, 63000 Clermont-Ferrand, France
| | - I Mosnier
- Functional unit for auditory implants and audiovestibular testing, Department of Otorhinolaryngology, île de France reference centre for cochlear and brainstem implants in adults, Pitié-Salpêtrière Hospital Group, Sorbonne University, AP-HP, 75013 Paris, France
| | - S Roman
- Department of ENT, Timone Children's Hospital, AP-HM (Assistance publique-Hôpitaux de Marseille), 13385 Marseille cedex 5, France; La Timone Faculty of Medicine, UMR 1106, The institut de neurosciences des systèmes, 13005 Marseille, France
| | - C Villerabel
- Department of ENT & Maxillofacial Surgery, Gui-de-Chauliac University Hospital, 34000 Montpellier, France; Inserm U1051, Institute for Neurosciences of Montpellier, University of Montpellier, 34000 Montpellier, France
| | - C Vincent
- Department of Otology and Otoneurology, Salengro Hospital, University of Lille, 59000 Lille, France
| | - F Venail
- Department of ENT & Maxillofacial Surgery, Gui-de-Chauliac University Hospital, 34000 Montpellier, France; Inserm U1051, Institute for Neurosciences of Montpellier, University of Montpellier, 34000 Montpellier, France
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