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. 2022 Aug 4;32(5):1005-1014.
doi: 10.1007/s40670-022-01598-7. eCollection 2022 Oct.

Communication Skills Training Using Remote Augmented Reality Medical Simulation: a Feasibility and Acceptability Qualitative Study

Olivia Hess  1 , Jimmy Qian #  1 , Janine Bruce  1   2 , Ellen Wang  1 , Samuel Rodriguez  1 , Nick Haber #  1   3 , Thomas J Caruso  1
Affiliations

Communication Skills Training Using Remote Augmented Reality Medical Simulation: a Feasibility and Acceptability Qualitative Study

Olivia Hess et al. Med Sci Educ. .

Abstract

Introduction: Augmented reality (AR) has promise as a clinical teaching tool, particularly for remote learning. The Chariot Augmented Reality Medical (CHARM) simulator integrates real-time communication into a portable medical simulator with a holographic patient and monitor. The primary aim was to analyze feedback from medical and physician assistant students regarding acceptability and feasibility of the simulator.

Methods: Using the CHARM simulator, we created an advanced cardiovascular life support (ACLS) simulation scenario. After IRB approval, preclinical medical and physician assistant students volunteered to participate from August to September 2020. We delivered augmented reality headsets (Magic Leap One) to students before the study. Prior to the simulation, via video conference, we introduced students to effective communication skills during a cardiac arrest. Participants then, individually and remotely from their homes, synchronously completed an instructor-led ACLS AR simulation in groups of three. After the simulation, students participated in a structured focus group using a qualitative interview guide. Our study team coded their responses and interpreted them using team-based thematic analysis.

Results: Eighteen medical and physician assistant students participated. We identified four domains that reflected trainee experiences: experiential satisfaction, learning engagement, technology learning curve, and opportunities for improvement. Students reported that the simulator was acceptable and enjoyable for teaching trainees communication skills; however, there were some technical difficulties associated with initial use.

Conclusion: This study suggests that multiplayer AR is a promising and feasible approach for remote medical education of communication skills during medical crises.

Supplementary information: The online version contains supplementary material available at 10.1007/s40670-022-01598-7.

Keywords: Augmented reality; Medical education; Medical students; Qualitative; Simulation.

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Conflict of interest statement

Competing InterestsTJ Caruso, E Wang, and S Rodriguez are on the board of directors for Invincikids, a federal, tax exempt, non-profit organization that seeks to train providers how to use technologies in healthcare and distribute technologies to sick children. They receive no realized or potential financial benefit from their board positions or the results of this study. On behalf of all authors, the corresponding author states that there is no conflict of interest.

Figures

Fig. 1
Fig. 1
A The hologram of the hospital bed, patient, and monitor. B The holographic controller seen only by the simulation facilitator
Fig. 2
Fig. 2
Outline of methods used to conduct the simulation and focus groups
See this image and copyright information in PMC

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