Developing of Virtual Reality Based Neurologic Examination Teaching Tool(VRNET)

Study Overview
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Brief Summary
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The purpose of this study is to evaluate the effect of the virtual reality based neurologic examination teaching tool(VRNET) for medical students. VRNET is a new teaching tool for neurologic examinations by offering different neurologic signs of the face, with which medical students can experience more realistic patients.

Official Title
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Developing of Virtual Reality Based Neurologic Examination Teaching Tool(VRNET)

Conditions
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Medical Students

Intervention / Treatment
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* Other: Standard patients with VRNET
* Other: standard patients


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 4th grade medical students of emergency medicine clerkship who agree with participation on this study. Exclusion Criteria: Disagree with participation on this study. Who are absent the last day of clerkship.

Ages Eligible for Study
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Minimum Age: 23 Years
Maximum Age: 30 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Single Group Assignment
Interventional Model Description: standardized patients with VRNET standardized patients
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: standardized patients with VRNET<br>The medical students examine the standardized patients who have neurological deficits which presented by VRNET. | Other: Standard patients with VRNET<br>* In group of standard patients with VRNET, the medical students examine the standard patient of neurologic deficits. When they examine, they get some information of neurologic signs via the VRNET which presents neurologic deficits directly by alternating facial expressions. The students should interpret that signs to have a diagnosis.<br>|
| Placebo Comparator: standardized patients<br>The medical students examine the standardized patients who have neurological deficits which presented by words or pictures. | Other: standard patients<br>* In group of standard patients, those neurological deficits are presented only by words or pictures which are not realistic.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Neurologic physical exam(NPE) score | NPE score is consist of 6 neurologic examination parts; cranial nerve, motor, sensory, cerebellar function, gait. Each part has 1 points, so NPE score ranges from 0 to 6. NPE score of students is evaluated by neurologist viewing video clips which recorded during the last day of 2 weeks clerkship rotation. | after 2 weeks clinical clerkship rotation. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Satisfaction of students for VRNET | Satisfaction of VRNET are evaluated by students' answer to the question below with Likert scale (0 to 5) after completion examination of standard patient. I am satisfied with VRNET for neurologic examination training. 0 (not at all)---1----2----3-----4-----5 (very helpful) | after 2 weeks clinical clerkship rotation. | 
| Reality of VRNET by students | Reality of VRNET are evaluated by students' answer to the question below with Likert scale (0 to 5) after completion examination of standard patient. VRNET is very realistic. 0 (not at all)---1----2----3-----4-----5 (very realistic) | after 2 weeks clinical clerkship rotation. | 
| Evaluation of students by standardized patients | Evaluation of students by standard patients is also using Likert scale (0 to 5) based on the pre-made check lists. How do you feel as a standard patient that the student did good job? 0 (not at all)---1----2----3-----4-----5 (very competent) | after 2 weeks clinical clerkship rotation. |