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      Immersive and interactive virtual reality to improve learning and retention of neuroanatomy in medical students: a randomized controlled study

      research-article
      , MA, , BSc, , , BSc, , BSc, , MD, PhD
      CMAJ Open
      Joule Inc. or its licensors

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          Abstract

          Background:

          Spatial 3-dimensional understanding of the brain is essential to learning neuroanatomy, and 3-dimensional learning techniques have been proposed as tools to enhance neuroanatomy training. The aim of this study was to examine the impact of immersive virtual-reality neuroanatomy training and compare it to traditional paper-based methods.

          Methods:

          In this randomized controlled study, participants consisted of first- or second-year medical students from the University of Saskatchewan recruited via email and posters displayed throughout the medical school. Participants were randomly assigned to the virtual-reality group or the paper-based group and studied the spatial relations between neural structures for 12 minutes after performing a neuroanatomy baseline test, with both test and control questions. A postintervention test was administered immediately after the study period and 5-9 days later. Satisfaction measures were obtained.

          Results:

          Of the 66 participants randomly assigned to the study groups, 64 were included in the final analysis, 31 in the virtual-reality group and 33 in the paper-based group. The 2 groups performed comparably on the baseline questions and showed significant performance improvement on the test questions following study. There were no significant differences between groups for the control questions, the postintervention test questions or the 7-day postintervention test questions. Satisfaction survey results indicated that neurophobia was decreased.

          Interpretation:

          Results from this study provide evidence that training in neuroanatomy in an immersive and interactive virtual-reality environment may be an effective neuroanatomy learning tool that warrants further study. They also suggest that integration of virtual-reality into neuroanatomy training may improve knowledge retention, increase study motivation and decrease neurophobia.

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          Author and article information

          Journal
          CMAJ Open
          CMAJ Open
          cmajo
          cmajo
          CMAJ Open
          Joule Inc. or its licensors
          2291-0026
          23 February 2018
          Jan-Mar 2018
          : 6
          : 1
          : E103-E109
          Affiliations
          Affiliations: Department of Psychology (Ekstrand); College of Medicine (Jamal, Nguyen, Kudryk, Mann, Mendez); Department of Neurosurgery (Mendez), University of Saskatchewan, Saskatoon, Sask.
          Author notes
          Correspondence to: Chelsea Ekstrand, chelsea.ekstrand@ 123456usask.ca

          Competing interests: None declared.

          Contributors: Ali Jamal, Ron Nguyen, Annalise Kudryk and Jennifer Mann acquired the data, and Chelsea Ekstrand analyzed and interpreted the data. Chelsea Ekstrand, Ali Jamal and Ron Nguyen drafted the manuscript. Ivar Mendez was the senior investigator for this study. All of the authors contributed to the study conception and design, critically revised the manuscript for important intellectual content, gave final approval of the version to be published and agreed to be accountable for all aspects of the work.

          Article
          PMC5878950 PMC5878950 5878950 20170110
          10.9778/cmajo.20170110
          5878950
          29510979
          b938e2d0-833a-4f58-96f7-f0a710123ad4
          Copyright 2018, Joule Inc. or its licensors
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          Research
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