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0203 Impact Of A Virtual Reality Haptic Dynamic Hip Screw Simulator On User Perception
  1. Kapil Sugand,
  2. Chetan Khatri,
  3. Kash Akhtar,
  4. Chinmay Gupte
  1. MSk Lab, Imperial College, London, UK


Introduction Current training in trauma and orthopaedics is facing challenges due to limited operating time, a rising trend in medical lawsuits and fierce promotion of patient safety.

Objectives To observe the perception of simulation in orthopaedic trauma training and whether there is a change in perception related to level of exposure to the VR simulator.

Methods 64 medical students were randomised to three groups: Group1 (control; n = 26) performed one attempt, Group 2 (attempt-dependent training; n = 26) performed five attempts whilst Group 3 (time-dependent training; n = 12) were allowed up to 45 min of practice (time-dependent). Participants completed a six-item questionnaire using a seven-point Likert scale. The pooled mean score and percentage change between first and last attempt were calculated.


  1. “Simulators are widely used in surgical/medical training”: pooled data had a 4.4% improvement in perception (4.4 to 4.6).

  2. “Simulators should be compulsory in surgical training”: pooled data had no change in perception (5.8 to 5.8).

  3. “I would feel safer having an operation by a surgeon who has trained with simulators”: pooled data had a 4.5% (5.8 to 6.0) perception improvement.

  4. “Surgeons trained on simulators are better surgeons”: pooled data improved perception by 8.2% (4.7 to 5.1).

  5. “I would want my operation to be performed by a surgeon who has trained with simulators”: pooled data had a positive perception change by 4.1% (5.4 to 5.6).

  6. “I think surgeons who play video games can develop their hand-eye coordination and improve their surgical skills”: pooled data had a negative perception change of 3.3% (5.1 to 4.9).

Conclusions There is an overall positive impact on perception of the role of simulation after using the VR haptic DHS simulator. Users had a high perception for the use of VR DHS simulation within formal orthopaedic training.


  1. Blyth P, Anderson IA, Stott NS. Virtual reality simulators in orthopedic surgery: what do the surgeons think? J Surg Res 2006;131(1):133–9; discussion 140–2

  2. Froelich JM, Milbrandt JC, Novicoff WM, et al. Surgical simulators and hip fractures: a role in residency training? J Surg Educ 2011;68(4):298–302

  • Category: Course or curriculum evaluation/innovation/integration

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