Learning Management of Open Fractures on Virtual Patient

Study Overview
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Brief Summary
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A novel virtual world programme with over 240 multiple choice questions was developed to assess the competencies in managing an open fracture of the lower limb according to the British Orthopaedic Association Standards for Trauma (BOAST) and Advanced Trauma Life support (ATLS) guidelines. A longitudinal, observational, multi-centre prospective cohort study was conducted at Imperial College London. Primary objective consisted of objective scores calculated in real-time from the 240 multiple choice questions between Novices, Intermediates and Experts. Participants who had either completed ATLS training, or had familiarised themselves with BOAST guidelines were also identified and correlated with objective scores.

Detailed Description
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This is a multi-centre prospective randomised controlled educational trial observing for validity and training effect of managing an orthopaedic emergency using a virtual patient within an online world. Cohorts consist of junior, intermediate and expert surgeons being tested on 240 multiple choice questions to assess for competency as well as face, content and construct validity.

Official Title
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Validating Virtual World Simulation to Assess Decision-making of Managing an Open Lower Limb Fracture: a Prospective Cohort Study

Conditions
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Educational Problems, Simulation of Physical Illness, Fractures, Bone, Emergencies

Intervention / Treatment
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* Other: Virtual reality online world


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Postgraduate orthopaedic trainees and naïve to surgical simulation Exclusion Criteria: undergraduates and previous exposure to surgical simulation involving cognitive task analysis

Ages Eligible for Study
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Minimum Age: 24 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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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Novices<br>Junior doctors/interns | Other: Virtual reality online world<br>* Virtual patient with open fracture inside a virtual world<br>|
| Intermediates<br>Specialist trainees/Residents | Other: Virtual reality online world<br>* Virtual patient with open fracture inside a virtual world<br>|
| Experts<br>Consultants/Attendings | Other: Virtual reality online world<br>* Virtual patient with open fracture inside a virtual world<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Objective test score | Objective real-time performance test scores from 240 multiple choice questions (MCQs) on each step of managing virtual patient in virtual online world. The MCQs will either be true or false. Each correct answer will score one mark. There will be no negative marking. The scores will correlate with performance. | Immediately after the intervention/procedure/surgery - objective test scores collected immediately after a single attempt | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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virtual reality, simulation, resuscitation