한빛사논문
서울대학교 의과대학, 분당서울대학교병원
Kim, Hyeon Ji MDa; Lee, Hee Kyeong BSa; Jang, Ji Yeon MDa; Lee, Kyong-No MDb; Suh, Dong Hoon PhDa; Kong, Hyoun-Joong PhDc; Lee, Seung-Hee PhDd; Park, Jee Yoon PhDa
aDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
bDepartment of Obstetrics and Gynecology, Chungnam National University College of Medicine, Daejeon, Korea
cInstitute of Medical & Biological Engineering, Medical Research Center, Seoul National University College of Medicine, Seoul, Korea
dDepartment of Medical Education, Seoul National University College of Medicine, Seoul, Korea
Corresponding author : Park, Jee Yoon
Abstract
Background: Cesarean section (CS) is a complex surgical procedure that involves many steps and requires careful precision. Virtual reality (VR) simulation has emerged as a promising tool for medical education and training, providing a realistic and immersive environment for learners to practice clinical skills and decision-making. This study aimed to evaluate the educational effectiveness of a VR simulation program in training the management of patients with premature rupture of membranes (PROM) and CS.
Materials and methods: A two-arm parallel randomized controlled trial was conducted with 105 eligible participants randomly assigned to the VR group (n=53) or the control group (n=52) in a 1:1 ratio. The VR group received VR simulation training focused on PROM management and CS practice, while the control group watched a video presentation with narrative of clinical scenario and recording of CS. Both groups completed questionnaires assessing their prior experiences with VR, experience in managing patients with PROM and performing CS, as well as their confidence levels. These questionnaires were administered before and after the intervention, along with a mini-test quiz.
Results: Baseline characteristics and previous experiences were comparable between the two groups. After the intervention, the VR group had higher confidence scores in all four aspects, including managing patients with PROM, performing CS as an operator, and understanding the indications and complications of CS, compared to the control group. The VR group also achieved significantly higher scores on the mini-test quiz [median (interquartile range), 42 (37-48) in the VR group; 36 (32-40) in the control group, P<0.001].
Conclusion: VR simulation program can be an effective educational tool for improving participants' knowledge and confidence in managing patients with PROM and performing CS.
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