Hostname: page-component-8448b6f56d-sxzjt Total loading time: 0 Render date: 2024-04-19T01:05:42.464Z Has data issue: false hasContentIssue false

The utility of virtual reality surgical simulation in the undergraduate otorhinolaryngology curriculum

Published online by Cambridge University Press:  20 November 2018

T Hardcastle*
Affiliation:
Department of Surgery, Waikato Clinical School, University of Auckland, New Zealand
A Wood
Affiliation:
Department of Surgery, Waikato Clinical School, University of Auckland, New Zealand Department of Otorhinolaryngology – Head and Neck Surgery, Waikato Hospital, Hamilton, New Zealand
*
Author for correspondence: Dr Tim Hardcastle, Department of Otorhinolaryngology – Head and Neck Surgery, Waikato Hospital, Hamilton, New Zealand E-mail: thar956@aucklanduni.ac.nz Fax: +64 9 377 9656

Abstract

Objective

To examine the impact of temporal bone virtual reality surgical simulator use in the undergraduate otorhinolaryngology curriculum.

Methods

Medical students attended a workshop involving the use of a temporal bone virtual reality surgical simulator. Students completed a pre-workshop questionnaire on career interests. A post-workshop questionnaire evaluated the perceived usefulness and enjoyment of the virtual reality surgical simulator experience, and assessed changes in their interest in ENT.

Results

Thirty-two fifth-year University of Auckland medical students were recruited. The majority of students (53.1 per cent) had already chosen their career path. The simulator experience was useful for: stimulating thoughts around career plans (71.9 per cent), providing hands-on experience (93.8 per cent) and teaching disease processes (93.8 per cent). After the workshop, 53.1 per cent of students were more interested in a career in ENT.

Conclusion

Virtual reality may be a fun and engaging way of teaching ENT. Furthermore, it could help guide student career planning.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited, 2018 

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

Dr T Hardcastle takes responsibility for the integrity of the content of the paper

References

1Dawe, SR, Pena, GN, Windsor, JA, Broeders, JA, Cregan, PC, Hewett, PJ et al. Systematic review of skills transfer after surgical simulation-based training. Br J Surg 2014;101:1063–76Google Scholar
2Satava, RM. Emerging trends that herald the future of surgical simulation. Surg Clin North Am 2010;90:623–33Google Scholar
3Andersen, SA. Virtual reality simulation training of mastoidectomy - studies on novice performance. Dan Med J 2016;63:B5277Google Scholar
4Zhao, YC, Kennedy, G, Yukawa, K, Pyman, B, O'Leary, S. Improving temporal bone dissection using self-directed virtual reality simulation: results of a randomized blinded control trial. Otolaryngol Head Neck Surg 2011;144:357–64Google Scholar
5O'Leary, SJ, Hutchins, MA, Stevenson, DR, Gunn, C, Krumpholz, A, Kennedy, G et al. Validation of a networked virtual reality simulation of temporal bone surgery. Laryngoscope 2008;118:1040–6Google Scholar
6Knobe, M, Carow, JB, Ruesseler, M, Leu, BM, Simon, M, Beckers, SK et al. Arthroscopy or ultrasound in undergraduate anatomy education: a randomized cross-over controlled trial. BMC Med Educ 2012;12:85Google Scholar
7Liu, M, Curet, M. A review of training research and virtual reality simulators for the da Vinci surgical system. Teach Learn Med 2015;27:1226Google Scholar
8Nicholson, DT, Chalk, C, Funnell, WR, Daniel, SJ. Can virtual reality improve anatomy education? A randomised controlled study of a computer-generated three-dimensional anatomical ear model. Med Educ 2006;40:1081–7Google Scholar
9Venail, F, Deveze, A, Lallemant, B, Guevara, N, Mondain, M. Enhancement of temporal bone anatomy learning with computer 3D rendered imaging software. Med Teach 2010;32:e2828Google Scholar
10Chawdhary, G, Ho, EC, Minhas, SS. Undergraduate ENT education: what students want. Clin Otolaryngol 2009;34:584–5Google Scholar
11Scott, GM, Best, CAE, Micomonaco, DC. Otolaryngology exposure in a longitudinal integrated clerkship setting. J Otolaryngol Head Neck Surg 2017;46:51Google Scholar
12Griffiths, E. Incidence of ENT problems in general practice. J R Soc Med 1979;72:740–2Google Scholar
13Mace, AD, Narula, AA. Survey of current undergraduate otolaryngology training in the United Kingdom. J Laryngol Otol 2004;118:217–20Google Scholar
14Campisi, P, Asaria, J, Brown, D. Undergraduate otolaryngology education in Canadian medical schools. Laryngoscope 2008;118:1941–50Google Scholar
15Haddad, J, Shah, J, Takoudes, TG. A survey of US medical education in otolaryngology. Arch Otolaryngol Head Neck Surg 2003;129:1166–9Google Scholar
16Doshi, J, Carrie, S. A survey of undergraduate otolaryngology experience at Newcastle University Medical School. J Laryngol Otol 2006;120:770–3Google Scholar
17Markert, RJ. Change in specialty choice during medical school. J Fam Pract 1983;17:295300Google Scholar
18Zeldow, PB, Preston, R, Daugherty, S. The decision to enter a medical specialty: timing and stability. Med Educ 1992;26:327–32Google Scholar
19Kassebaum, DG, Szenas, PL. Medical students' career indecision and specialty rejection: roads not taken. Acad Med 1995;70:937–43Google Scholar
20Pianosi, K, Bethune, C, Hurley, KF. Medical student career choice: a qualitative study of fourth-year medical students at Memorial University, Newfoundland. CMAJ Open 2016;4:E14752Google Scholar
21Maiorova, T, Stevens, F, Scherpbier, A, van der Zee, J. The impact of clerkships on students’ specialty preferences: what do undergraduates learn for their profession? Med Educ 2008;42:554–62Google Scholar
22Bland, KI, Isaacs, G. Contemporary trends in student selection of medical specialties: the potential impact on general surgery. Arch Surg 2002;137:259–67Google Scholar
23Schlickum, M, Hedman, L, Felländer-Tsai, L. Visual-spatial ability is more important than motivation for novices in surgical simulator training: a preliminary study. Int J Med Educ 2016;7:5661Google Scholar
24Hutchins, M, O'Leary, S, Stevenson, D, Gunn, C, Krumpholz, A. A networked haptic virtual environment for teaching temporal bone surgery. Stud Health Technol Inform 2005;111:204–7Google Scholar
25Hutchins, MA, Stevenson, DR, Gunn, C, Krumpholz, A, Adriaansen, T, Pyman, B et al. Communication in a networked haptic virtual environment for temporal bone surgery training. Virtual Real 2006;9:97107Google Scholar
26Howse, K, Harris, J, Dalgarno, N. Canadian national guidelines and recommendations for integrating career advising into medical school curricula. Acad Med 2017;92:1543–8Google Scholar
27Boyle, V, Shulruf, B, Poole, P. Influence of gender and other factors on medical student specialty interest. N Z Med J 2014;127:7887Google Scholar
28Weinstein, P, Gipple, C. Some determinants of career choice in the second year of medical school. J Med Educ 1975;50:194–8Google Scholar
29Sternszus, R, Cruess, S, Cruess, R, Young, M, Steinert, Y. Residents as role models: impact on undergraduate trainees. Acad Med 2012;87:1282–7Google Scholar
30McCord, JH, McDonald, R, Sippel, RS, Leverson, G, Mahvi, DM, Weber, SM. Surgical career choices: the vital impact of mentoring. J Surg Res 2009;155:136–41Google Scholar
31Ranta, M, Hussain, S, Gardiner, Q. Factors that inform the career choice of medical students: implications for otolaryngology. J Laryngol Otol 2002;116:839–41Google Scholar