Virtual Reality Simulation for Teaching and Assessment of Anesthesia Crisis Management

Study Overview
=================
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: Build a multi-user, multi-site virtual reality simulator for anesthesia management and team training Evaluate the simulation as a tool for competency based medical education Compare the effectiveness of the simulator with mannequin based simulator for competency based medical education.

Official Title
-----------------
Virtual Reality Simulation for Teaching and Assessment of Anesthesia Crisis Management

Conditions
-----------------
Patient Simulation

Intervention / Treatment
-----------------
* Other: Training by Virtual Reality Simulation
* Other: Training by Mannequin Based Simulation


Participation Criteria
=================
Eligibility Criteria
-----------------
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
Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Sequential Assignment
Interventional Model Description: building the technical components for interaction within the virtual reality environment (phase 1); application of this virtual reality in medical training (phase 2) and measurement of training effectiveness with this Virtual Reality simulator against mannequin based training (phase 3).
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Arm-A<br>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 | Other: Training by Virtual Reality Simulation<br>* Those Randomized 15 residents will be receive Local Anesthetic Systemic Toxicity simulation training by Virtual Reality simulation and after two weeks, they will be evaluated by investigators by using the same performance evaluation tool.<br>|
| Experimental: Arm-B<br>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 | Other: Training by Mannequin Based Simulation<br>* Randomized other 15 residents will be receive Local Anesthetic Systemic Toxicity simulation training by mannequin based simulation and after two weeks, they will be evaluated by investigators by using the same performance evaluation tool.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of tasks correctly performed | 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 | 1 hour | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| use the Anesthesiologists' Non-Technical Skills (ANTS) tool | 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. | 1 hour | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Virtual Reality Simulation, Teaching and Assessment, Anesthesia Crisis Management