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      Virtual reality technology for teaching neurosurgery of skull base tumor

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          Abstract

          Background

          Neurosurgery represents one of the most challenging and delicate of any surgical procedure. Skull base tumors in particular oftentimes present as a very technically difficult procedures in the setting of neurosurgical teaching. Virtual reality technology is one of the most promising surgical planning tools. It can perform fast three-dimensional (3D) reconstruction of computed tomography (CT), magnetic resonance imaging (MRI) and other imaging data sets under conditions of virtual reality (VR). Surgical simulation can more intuitively understand the anatomical relationship of the surgical area in significantly greater detail.

          Methods

          Thirty clinical undergraduates from the class of 2016 were randomly divided into two groups: the traditional teaching group and the virtual reality teaching group. After the study concluded, the teaching effectiveness was evaluated by combining basic theoretical knowledge, case analysis and questionnaire survey methods.

          Results

          Comparative analysis between both groups showed the response effect of the virtual reality teaching group was better than that of the traditional teaching group ( P < 0.05). There was also no difference between both groups in terms of the design of the surgical approach and the listing of surgical matters that required attention ( P > 0.05).The results of theoretical knowledge assessment between both groups showed that the scores of basic theory, location, adjacent structure, clinical manifestation, diagnosis and analysis, surgical methods and total scores in the VR group exceeded those in the traditional teaching group ( P < 0.05).

          Conclusions

          This study showed that VR technology might improve neurosurgical skull base teaching quality, which should be promoted in the teaching of clinical subjects.

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          Most cited references12

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          Immersive virtual reality as a teaching tool for neuroanatomy: Immersive VR as a neuroanatomy teaching tool

          Three-dimensional (3D) computer modeling and interactive virtual reality (VR) simulation are validated teaching techniques used throughout medical disciplines. Little objective data exists supporting its use in teaching clinical anatomy. Learner motivation is thought to limit the rate of utilization of such novel technologies. The purpose of this study is to evaluate the effectiveness, satisfaction, and motivation associated with immersive VR simulation in teaching medical students neuroanatomy.
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            Virtual and stereoscopic anatomy: when virtual reality meets medical education.

            OBJECTIVE The authors sought to construct, implement, and evaluate an interactive and stereoscopic resource for teaching neuroanatomy, accessible from personal computers. METHODS Forty fresh brains (80 hemispheres) were dissected. Images of areas of interest were captured using a manual turntable and processed and stored in a 5337-image database. Pedagogic evaluation was performed in 84 graduate medical students, divided into 3 groups: 1 (conventional method), 2 (interactive nonstereoscopic), and 3 (interactive and stereoscopic). The method was evaluated through a written theory test and a lab practicum. RESULTS Groups 2 and 3 showed the highest mean scores in pedagogic evaluations and differed significantly from Group 1 (p 0.05). Size effects, measured as differences in scores before and after lectures, indicate the effectiveness of the method. ANOVA results showed significant difference (p < 0.05) between groups, and the Tukey test showed statistical differences between Group 1 and the other 2 groups (p < 0.05). No statistical differences between Groups 2 and 3 were found in the practicum. However, there were significant differences when Groups 2 and 3 were compared with Group 1 (p < 0.05). CONCLUSIONS The authors conclude that this method promoted further improvement in knowledge for students and fostered significantly higher learning when compared with traditional teaching resources.
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              See one, do one, teach one--is this still how it works? A comparison of the medical and nursing professions in the teaching of practical procedures.

              A survey of 80 junior doctors and nurses was performed to compare the methods of teaching medical and nursing students in eight common practical procedures. Nurses were more likely to have received formal teaching and to be supervised when first performing a procedure. Some 42% percent of doctors felt inadequately trained to carry out a practical procedure safely when performing it alone for the first time compared with 7% of nurses. This study confirms that much of the training of doctors in practical procedures is still received on an informal basis, compared with that of nurses. It also reveals that many doctors view this training as insufficient.
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                Author and article information

                Contributors
                jiangxiaochun2001@hotmail.com
                94017416@qq.com
                drqiangdi@163.com
                Journal
                BMC Med Educ
                BMC Med Educ
                BMC Medical Education
                BioMed Central (London )
                1472-6920
                3 January 2020
                3 January 2020
                2020
                : 20
                : 3
                Affiliations
                [1 ]GRID grid.443626.1, Department of Neurosurgery, Yi-Ji Shan Hospital, Wannan Medical College, ; Wuhu, China
                [2 ]GRID grid.443626.1, Department of Imaging, Yi-Ji Shan Hospital, Wannan Medical College, ; Wuhu, China
                [3 ]GRID grid.443626.1, Clinical Skills Training Center, Wannan Medical College, ; Wuhu, China
                [4 ]He Wang Lan digital ST CO.LTD, Hefei, China
                [5 ]GRID grid.443626.1, School of Public Health, Wannan Medical College, ; Wuhu, China
                [6 ]GRID grid.443626.1, Department of Dermatology and STD, Yi-Ji Shan Hospital, Wannan Medical College, ; No.2 West Road Zheshan, Jinghu district, Wuhu city, 241000 Anhui province China
                Article
                1911
                10.1186/s12909-019-1911-5
                6942358
                31900135
                3c5ad33e-4f7b-41cc-a9a6-3f1b80d26cf4
                © The Author(s). 2020

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 22 December 2018
                : 19 December 2019
                Funding
                Funded by: research funds of Wannan Medical College
                Award ID: WK2017ZF04
                Award Recipient :
                Funded by: Collegiate Major Natural Science Research Projects
                Award ID: KJ2018ZD027
                Award Recipient :
                Funded by: the teaching quality and teaching reform project of Wannan Medical College
                Award ID: Grant No. 2018jyxm58
                Award Recipient :
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2020

                Education
                virtual reality technology,neurosurgery,education
                Education
                virtual reality technology, neurosurgery, education

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