Background/context With improving technology, virtual worlds (VWs) are increasingly playing a part in providing online simulation to supplement traditional teaching in medical education. Orthopaedics often receives little formal teaching. A novel VW training and assessment programme has been developed to cover the management of an open fracture of the lower limb according to the British Orthopaedic Association Standards for Trauma (BOAST) and Advanced Trauma Life support (ATLS). The primary outcome was to demonstrate construct validity of this novel educational programme.
Methodology 30 post-graduate (PG) doctors were recruited and divided into cohorts according to training level and years of post-graduate training; Foundation trainees (PG 1–2 yrs, n = 10), Core Surgical trainees (PG 3–4 yrs, n = 10) and Registrars (PG 5–10 yrs, n = 10). Each ran through the programme, which generated an objective performance score to assess construct validity. The median scores and ranges were calculated and a Mann-Whitney U test was used to calculated statistical significance between cohorts (p < 0.05).
Results/outcomes Objective scores between Foundation trainees and the other two cohorts were significant (p < 0.05). Participants who had either completed ATLS, or had familiarised themselves with BOAST guidelines scored significantly higher than those who had not (p < 0.05).
Conclusion This study demonstrated construct validity for Foundation trainees, and those ATLS trained or familiar with BOAST guidelines.
Department of Health. A Framework for Technology Enhanced Learning. [Online] Available from: https://www.gov.uk/government/publications/a-framework-for-technology-enhanced-learning
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Patel V, Aggarwal R, Cohen D, Taylor D, Darzi A. Implementation of an interactive virtual-world simulation for structured surgeon assessment of clinical scenarios. Journal of the American College of Surgeons 2013;217(2) 270–279
- Category: Course or curriculum evaluation/innovation/integration
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