Development and Impact Assessment of Virtual Reality Simulator on the Education of the Endotracheal Intubation in the Medical Students

Study Overview
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Brief Summary
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The medical school educates students on essential skills, which is an important task. Especially, endotracheal intubation is considered an important option in the management of cardiopulmonary resuscitation. To avoid technical and ethical concerns of training involving real patients, conventional teaching methods incorporate the use of a low-fidelity manikin in replacement. However, the manikin anatomy often lacks the realism of a live human. The addition of virtual reality technology may optimize learning by providing an ethical, cost-effective and more realistic modality to acquire the basic skills of intubation. If it is proven to be effective, efforts to integrate virtual reality technology into routine training of such procedures in the medical school should be promoted. The investigators hypothesize that the addition of virtual reality mobile application to conventional training will improve procedural skill dexterity and proficiency and hence, improve learner's satisfaction and confidence in performing endotracheal intubation.

Official Title
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Development and Impact Assessment of Virtual Reality Simulator on the Education of the Endotracheal Intubation in the Medical Students

Conditions
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Medical Education

Intervention / Treatment
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* Other: virtual reality simulator


Participation Criteria
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Eligibility Criteria
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Participants included medical school students without intubation intubation experience

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 40 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: Parallel Assignment
Interventional Model Description: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Interventional<br>Additional self-directed learning and practice using virtual reality simulator, after conventional training session | Other: virtual reality simulator<br>* Additional self-directed learning and practice using virtual reality simulator<br>* Other names: virtual reality simulator for endotracheal intubation;|
| No Intervention: Control<br>Conventional training session which includes didactic teaching and low-fidelity simulation session involving trainer's demonstration, followed by hands-on practice | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Total score of required 20-key points of intubation during endotracheal intubation procedure | During the intubation training evaluation using manikin, the score was added by using the check list Which is consisted of the patient's positioning, opening the mouth, laryngoscope handling, glottis view evaluation, insertion and fixation of the endotracheal tube, etc, and consists of a total of 20 points | within 1 month after training session | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Intubation complete time (secs) | Impact assessment of virtual reality simulator for endotracheal intubation | within 1 months after training session | 
| Overall proficiency grading (fail/ pass/ high pass/ honors) | Impact assessment of virtual reality simulator for endotracheal intubation | within 1 months after training session | 
| Overall confidence, anxiety, comfort level: 5-point Likert scale (1 = very low, 2 = low, 3 = moderate, 4 = high, 5 = very high) | Impact assessment of virtual reality simulator for endotracheal intubation | within 1 months after training session |