Hostname: page-component-848d4c4894-pftt2 Total loading time: 0 Render date: 2024-06-01T12:50:47.427Z Has data issue: false hasContentIssue false
  • English
  • Français

Trainee-perceived benefits of a virtual temporal bone competition

Published online by Cambridge University Press:  14 February 2024

Alexander Yao Open the ORCID record for Alexander Yao [Opens in a new window] ,
Emma Richards Open the ORCID record for Emma Richards [Opens in a new window]  and
C. Lucy Dalton
Alexander Yao*
Affiliation:
ENT Department, Worcester Royal Hospital, Worcester, UK
Emma Richards
Affiliation:
ENT Department, Princess Royal Hospital, Telford, UK
C. Lucy Dalton
Affiliation:
ENT Department, Queen Elizabeth Hospital, Birmingham, UK
*
Corresponding author: Alexander Yao; Email: alexander.yao@nhs.net
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

To assess the perceived benefits of a novel educational approach for otolaryngology trainees: a virtual reality temporal bone simulator drilling competition.

Methods

Regional otolaryngology trainees participated in the competition. Drilling activities using the Voxel-Man TempoSurg simulator were scored by experts. Questionnaires that contained questions covering motivators for attending, perceived learning and enjoyment were sent to participants. Agreement with statements was measured on a 10-point Likert scale (1 = strongly disagree, 10 = strongly agree).

Results

Eighteen trainees participated. The most cited reason for attending was for learning and/or education (61 per cent), with most attendees (72 per cent) believing that competition encourages more reading and/or practice. Seventeen attendees (94 per cent) believed Voxel-Man TempoSurg-based simulation would help to improve intra-operative performance in mastoidectomy (mean 7.83 ± 1.47, p < 0.001) and understanding of anatomy (mean 8.72 ± 1.13, p < 0.001). All participants rated the competition as ‘fun’ and 83 per cent believed the competitive element added to this.

Conclusion

The virtual reality temporal bone competition is a novel educational approach within otolaryngology that was positively received by otolaryngology trainees.

Keywords

Simulation trainingvirtual realitytemporal boneotolaryngologymedical education
Type
Main Article
Information
The Journal of Laryngology & Otology , First View , pp. 1 - 5
Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Alexander Yao takes responsibility for the integrity of the content of the paper

References

Greenaway, D. Shape of Training: Securing the Future of Excellent Patient Care. In: https://www.gmc-uk.org/-/media/documents/Shape_of_training_FINAL_Report.pdf_53977887.pdfGoogle Scholar
Migirov, L, Yakirevitch, A, Kronenberg, J. Mastoid subperiosteal abscess: a review of 51 cases. Int J Pediatr Otorhinolaryngol 2005;69:1529–33CrossRefGoogle ScholarPubMed
Psarommatis, I, Giannakopoulos, P, Theodorou, E, Voudouris, C, Carabinos, C, Tsakanikos, M. Mastoid subperiosteal abscess in children: drainage or mastoidectomy? J Laryngol Otol 2012;126:1204–8CrossRefGoogle ScholarPubMed
Taylor, MF, Berkowitz, RG. Indications for mastoidectomy in acute mastoiditis in children. Ann Otol Rhinol Laryngol 2004;113:69–72CrossRefGoogle ScholarPubMed
Davis, J, Spraggs, P, Murray, C. Otolaryngology Curriculum. The Intercollegiate Surgical Curriculum Programme 2021. August 2021. https://www.iscp.ac.uk/media/1106/otolaryngology-curriculum-aug-2021-approved-oct-20.pdfGoogle Scholar
Calman, K, Temple, J, Naysmith, R, Cairncross, R, Bennett, S. Reforming higher specialist training in the United Kingdom: a step along the continuum of medical education. Med Educ 1999;33:28–33CrossRefGoogle ScholarPubMed
Benes, V. The European working time directive and the effects on training of surgical specialists (doctors in training). Acta Neurochir (Wien) 2006;148:1020–6CrossRefGoogle ScholarPubMed
Neville, E. Modernising medical careers. Clin Med (Lond) 2003;3:529CrossRefGoogle ScholarPubMed
Mick, P, Murphy, R. Aerosol-generating otolaryngology procedures and the need for enhanced PPE during the COVID-19 pandemic: a literature review. J Otolaryngol Head Neck Surg 2020;49:1–10CrossRefGoogle ScholarPubMed
Lion, P, McClenaghan, F, Hall, A, Mackinnon, S, Navaratnam, A. ENT trainees’ experience of redeployment during the coronavirus disease 2019 pandemic: a qualitative study. J Laryngol Otol 2021;135:391–5CrossRefGoogle ScholarPubMed
George, A, De, R. Review of temporal bone dissection teaching: how it was, is and will be. J Laryngol Otol 2010;124:119–25CrossRefGoogle ScholarPubMed
Arora, A, Khemani, S, Tolley, N, Singh, A, Budge, J, Varela, DADV et al. Face and content validation of a virtual reality temporal bone simulator. Otolaryngol Head Neck Surg 2012;146:497–503CrossRefGoogle ScholarPubMed
Nash, R, Sykes, R, Majithia, A, Arora, A, Singh, A, Khemani, S. Objective assessment of learning curves for the Voxel-Man TempoSurg temporal bone surgery computer simulator. J Laryngol Otol 2012;126:663–9CrossRefGoogle ScholarPubMed
Aussedat, C, Venail, F, Marx, M, Boullaud, L, Bakhos, D. Training in temporal bone drilling. Eur Ann Otorhinolaryngol Head Neck Dis 2022;139:140–5CrossRefGoogle ScholarPubMed
Ericsson, KA, Krampe, RT, Tesch-Römer, C. The role of deliberate practice in the acquisition of expert performance. Psychol Rev 1993;100:363CrossRefGoogle Scholar
Hashimoto, DA, Gomez, ED, Beyer-Berjot, L, Khajuria, A, Williams, NN, Darzi, A et al. A randomized controlled trial to assess the effects of competition on the development of laparoscopic surgical skills. J Surg Educ 2015;72:1077–84CrossRefGoogle ScholarPubMed
Leraas, HJ, Cox, ML, Bendersky, VA, Sprinkle, SS, Gilmore, BF, Gunasingha, RM et al. Instituting a surgical skills competition increases technical performance of surgical clerkship students over time. J Surg Educ 2018;75:644–9CrossRefGoogle ScholarPubMed
Janssen, A, Shaw, T, Goodyear, P, Kerfoot, BP, Bryce, D. A little healthy competition: using mixed methods to pilot a team-based digital game for boosting medical student engagement with anatomy and histology content. BMC Med Educ 2015;15:1–10CrossRefGoogle Scholar
Killick, N, Amnolsingh, R, Chu, M. 1st Core Trainees Virtual Temporal Bone Competition ENT and Audiology News. Edinburgh, Scotland: Pinpoint Scotland Ltd, 2019;28:20Google Scholar
Ford, K, Cooper, L. The Surgical Skills competition. Bull R Coll Surg Engl 2022;104:14–17CrossRefGoogle Scholar
Wenger, E. Communities of practice and social learning systems. Organization 2000;7:225–46CrossRefGoogle Scholar
Andersen, SA, Cayé-Thomasen, P, Sørensen, MS. Mastoidectomy performance assessment of virtual simulation training using final-product analysis. Laryngoscope 2015;125:431–5CrossRefGoogle ScholarPubMed
Francis, HW, Niparko, JK. Temporal Bone Dissection Guide. New York: Thieme, 2016Google Scholar
R Core Team. R: A language and environment for statistical computing. Vienna: R Foundation for Statistical Computing, 2021Google Scholar
McGaghie, WC, Issenberg, SB, Petrusa, ER, Scalese, RJ. A critical review of simulation-based medical education research: 2003–2009. Med Educ 2010;44:50–63CrossRefGoogle ScholarPubMed
Knowles, MS, Holton, III EF, Swanson, RA, Swanson, R, Robinson, PA. The adult learner: the definitive classic in adult education and human resource development. London: Routledge, 2020CrossRefGoogle Scholar
Mokadam, NA, Lee, R, Vaporciyan, AA, Walker, JD, Cerfolio, RJ, Hermsen, JL et al. Gamification in thoracic surgical education: using competition to fuel performance. J Thorac Cardiovasc Surg 2015;150:1052–58CrossRefGoogle ScholarPubMed
Kerfoot, BP, Kissane, N. The use of gamification to boost residents’ engagement in simulation training. JAMA Surg 2014;149:1208–9CrossRefGoogle ScholarPubMed
Timonen, T, Dietz, A, Linder, P, Lehtimäki, A, Löppönen, H, Elomaa, A-P et al. The effect of virtual reality on temporal bone anatomy evaluation and performance. Eur Arch Otorhinolaryngol 2021;279:4303–12CrossRefGoogle ScholarPubMed
Vygotsky, LS, Cole, M. Mind in Society: Development of Higher Psychological Processes. Harvard: Harvard University Press, 1978Google Scholar
Bandura, A. Social Foundations of Thought and Action. Englewood Cliffs, NJ: Prentice Hall, 1986;23–8Google Scholar
McCoy, L, Lewis, JH, Dalton, D. Gamification and multimedia for medical education: a landscape review. J Am Osteopath Assoc 2016;116:22–34Google ScholarPubMed
Epstein, RM. Assessment in medical education. N Engl J Med 2007;356:387–96CrossRefGoogle ScholarPubMed
Pankhania, R, Pelly, T, Bowyer, H, Shanmugathas, N, Wali, A. A systematic review of low-cost simulators in ENT surgery. J Laryngol Otol 2021;135:486–91CrossRefGoogle ScholarPubMed
McCreery, GL, El-Beheiry, M, Schlachta, CM. Local and national laparoscopic skill competitions: residents’ opinions and impact on adoption of simulation-based training. Surg Endosc 2017;31:4711–16CrossRefGoogle ScholarPubMed
Greenhalgh, T. Computer assisted learning in undergraduate medical education. BMJ 2001;322:40–4CrossRefGoogle ScholarPubMed
Hope, C, Reilly, JJ, Griffiths, G, Lund, J, Humes, D. The impact of COVID-19 on surgical training: a systematic review. Tech Coloproctol 2021;25:505–20CrossRefGoogle ScholarPubMed
Supplementary material: File

Yao et al. supplementary material

Yao et al. supplementary material
Download Yao et al. supplementary material(File)
File 41.6 KB