About this trial
The current pandemic has revealed in-person simulation training and evaluation is vulnerable to disruption, and alternatives are needed which allow remote evaluation. The recently developed Microsoft Hololens headset device allows interactable holograms to be inserted into a user's workspace (mixed reality) - permitting the augmentation of existing clinical and training spaces with holographic (i.e. virtual) patients via the prototype HoloSIM software. This study is the first known research initiative aiming to demonstrate the feasibility and effectiveness of mixed reality for acute medicine training and assessment at a distance.
Space, time, personnel, pandemic, and cost constraints limit opportunities for high-fidelity simulation exercises for post-graduate trainees at Sunnybrook. By developing and demonstrating the effectiveness of this new training modality, increased simulation exercises will lead to a higher quality education experience, better functioning teams, and better patient outcomes.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Resident or fellow level volunteers from acute care postgraduate training programs (Internal Medicine, Emergency Medicine, Anesthesiology, Critical Care Medicine at Sunnybrook Health Sciences Centre
Disqualifiers
Unwilling to enter the study
Previous experience with simulator based teaching on anaphylaxis
Trial design
Parallel
Treatments tested in this trial
HoloSIM Software via Hololens 2
DeviceParticipants will train via a mixed reality simulated crisis scenario using the HoloSIM software on the Microsoft Hololens 2
Training by Mannequin Based Simulation
Other interventionParticipants will train a via traditional mannequin based medical crisis scenario
Treatment groups
Trial outcomes
Primary outcomes
Anaphylaxis Checklist of Core Decision Making Steps
Expert consensus based checklists of critical scenario actions on a mannequin based crisis scenario. Student scenario performance graded from 0 to 45, with higher scores representing a better performance.
Secondary outcomes
System Usability Scale (SUS)
Likert scale (5 point) based assessment of software usability. Higher scores on a scale of 1 to 5 represent a better software system usability.
Modified Simulation Effectiveness Tool (SET-M)
likert scale (3 point) validated assessment of learning satisfaction tool
Time required to complete critical crisis related tasks
Measured time until critical scenario management events occur
anaphylaxis knowledge test
validated multiple choice quiz of anaphylaxis knowledge developed by allergists for use with the same curriculum included in our study
Sponsors and contacts
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