Immersive collaborative virtual reality for case-based graduate student teaching in thoracic surgery: A piloting study

Background: In medical education various non-digital teaching methods are established. However, studies have proven that the immersive character of virtual reality (VR) applications positively impact the understanding of spatial relationships.This study outlines the development and pilot testing of...

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Main Authors: Philipp Feodorovici, Nils Sommer, Philipp Bergedieck, Philipp Lingohr, Jörg C. Kalff, Joachim Schmidt, Jan C. Arensmeyer
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Surgery Open Science
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Online Access:http://www.sciencedirect.com/science/article/pii/S2589845024001301
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author Philipp Feodorovici
Nils Sommer
Philipp Bergedieck
Philipp Lingohr
Jörg C. Kalff
Joachim Schmidt
Jan C. Arensmeyer
author_facet Philipp Feodorovici
Nils Sommer
Philipp Bergedieck
Philipp Lingohr
Jörg C. Kalff
Joachim Schmidt
Jan C. Arensmeyer
author_sort Philipp Feodorovici
collection DOAJ
description Background: In medical education various non-digital teaching methods are established. However, studies have proven that the immersive character of virtual reality (VR) applications positively impact the understanding of spatial relationships.This study outlines the development and pilot testing of a novel system for collaborative, case-based VR teaching, utilizing real-time volume rendered computed tomography (CT) data of thoracic cases among graduate students. Methods: A system was configured and deployed to provide real-time volume rendered CT data in a collaborative, multiuser VR environment. A thoracic surgery VR course was implemented into the surgical graduate curriculum, which has subsequently been evaluated with questionnaires. Results: Seventy students assessed the curriculum through a questionnaire. Usability was rated intuitive (77.14 %) while few students (5.71 %) reported cyber sickness.A vast majority (98.57 %) agreed VR improved their understanding of anatomy compared to traditional methods and most students found learning more effective. (88.57 %) and joy during participation was rated high (97,14 %). A majority of the students (61.43 %) believed VR could partly replace traditional methods. They supported integrating VR into preclinical (81.43 %) and clinical teaching (94.29 %) as well as taking VR courses from home (78.57 %). Most participants (90,72 %) encouraged the expansion of VR infrastructure. Conclusion: The concept of a collaborative real-time VR-based educational program in medical graduate teaching has proven its technical feasibility and positive acceptance with a desire for more VR integration in surgical curricula. A two-armed study will be conducted to evaluate the objective impact as the expansion of VR environments for teaching continues.
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spelling doaj-art-19c31e40f70347998030cc07d44ffa5f2025-08-20T02:39:15ZengElsevierSurgery Open Science2589-84502024-12-0122404510.1016/j.sopen.2024.10.008Immersive collaborative virtual reality for case-based graduate student teaching in thoracic surgery: A piloting studyPhilipp Feodorovici0Nils Sommer1Philipp Bergedieck2Philipp Lingohr3Jörg C. Kalff4Joachim Schmidt5Jan C. Arensmeyer6Division of Thoracic Surgery, Department of General, Visceral, Thoracic and Vascular Surgery, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, Germany; Bonn Surgical Technology Center (BOSTER), University Hospital Bonn, Joseph-Schumpeter-Allee 1, 53227 Bonn, Germany; Corresponding author at: Division of Thoracic Surgery, Department of General, Thoracic and Vascular Surgery, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, Germany.Department of General, Visceral, Thoracic and Vascular Surgery, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, GermanyDepartment of General, Visceral, Thoracic and Vascular Surgery, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, GermanyDepartment of General, Visceral, Thoracic and Vascular Surgery, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, GermanyDepartment of General, Visceral, Thoracic and Vascular Surgery, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, GermanyDivision of Thoracic Surgery, Department of General, Visceral, Thoracic and Vascular Surgery, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, Germany; Bonn Surgical Technology Center (BOSTER), University Hospital Bonn, Joseph-Schumpeter-Allee 1, 53227 Bonn, Germany; Department of Thoracic Surgery, Helios Hospital Bonn/Rhein-Sieg, Von-Hompesch-Strasse 1, 53123 Bonn, GermanyDivision of Thoracic Surgery, Department of General, Visceral, Thoracic and Vascular Surgery, University Hospital Bonn, Venusberg-Campus 1, 53127 Bonn, Germany; Bonn Surgical Technology Center (BOSTER), University Hospital Bonn, Joseph-Schumpeter-Allee 1, 53227 Bonn, GermanyBackground: In medical education various non-digital teaching methods are established. However, studies have proven that the immersive character of virtual reality (VR) applications positively impact the understanding of spatial relationships.This study outlines the development and pilot testing of a novel system for collaborative, case-based VR teaching, utilizing real-time volume rendered computed tomography (CT) data of thoracic cases among graduate students. Methods: A system was configured and deployed to provide real-time volume rendered CT data in a collaborative, multiuser VR environment. A thoracic surgery VR course was implemented into the surgical graduate curriculum, which has subsequently been evaluated with questionnaires. Results: Seventy students assessed the curriculum through a questionnaire. Usability was rated intuitive (77.14 %) while few students (5.71 %) reported cyber sickness.A vast majority (98.57 %) agreed VR improved their understanding of anatomy compared to traditional methods and most students found learning more effective. (88.57 %) and joy during participation was rated high (97,14 %). A majority of the students (61.43 %) believed VR could partly replace traditional methods. They supported integrating VR into preclinical (81.43 %) and clinical teaching (94.29 %) as well as taking VR courses from home (78.57 %). Most participants (90,72 %) encouraged the expansion of VR infrastructure. Conclusion: The concept of a collaborative real-time VR-based educational program in medical graduate teaching has proven its technical feasibility and positive acceptance with a desire for more VR integration in surgical curricula. A two-armed study will be conducted to evaluate the objective impact as the expansion of VR environments for teaching continues.http://www.sciencedirect.com/science/article/pii/S2589845024001301Virtual realityExtended realityCase-based teachingGraduate educationThoracic surgeryCollaborative virtual reality
spellingShingle Philipp Feodorovici
Nils Sommer
Philipp Bergedieck
Philipp Lingohr
Jörg C. Kalff
Joachim Schmidt
Jan C. Arensmeyer
Immersive collaborative virtual reality for case-based graduate student teaching in thoracic surgery: A piloting study
Surgery Open Science
Virtual reality
Extended reality
Case-based teaching
Graduate education
Thoracic surgery
Collaborative virtual reality
title Immersive collaborative virtual reality for case-based graduate student teaching in thoracic surgery: A piloting study
title_full Immersive collaborative virtual reality for case-based graduate student teaching in thoracic surgery: A piloting study
title_fullStr Immersive collaborative virtual reality for case-based graduate student teaching in thoracic surgery: A piloting study
title_full_unstemmed Immersive collaborative virtual reality for case-based graduate student teaching in thoracic surgery: A piloting study
title_short Immersive collaborative virtual reality for case-based graduate student teaching in thoracic surgery: A piloting study
title_sort immersive collaborative virtual reality for case based graduate student teaching in thoracic surgery a piloting study
topic Virtual reality
Extended reality
Case-based teaching
Graduate education
Thoracic surgery
Collaborative virtual reality
url http://www.sciencedirect.com/science/article/pii/S2589845024001301
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