Home Research Estimation of translatability of Augmented and Virtual Reality Surgical Training: A systematic review

Estimation of translatability of Augmented and Virtual Reality Surgical Training: A systematic review

Authors: Ali Waleed Khalid, Zaina Aloul, Jada Saunders, Ahmed Swealem, Zoubaida Yahia, Priyanshu Saha, David Rawaf

Conference: ASiT 2024

Published by:

At ASIT 2024
8 March 2024

Article type:

Presentations

Keywords:
  • metrics
  • benchmarking
  • certification
  • remote
  • surgical skills
  • surgical training

Estimation of translatability of Augmented and Virtual Reality Surgical Training: A systematic review

Authors: Ali Waleed Khalid, Zaina Aloul, Jada Saunders, Ahmed Swealem, Zoubaida Yahia, Priyanshu Saha, David Rawaf

Conference: ASiT 2024

Abstract

Introduction:

Surgical training is undergoing a revolution with the arrival of Augmented Reality (AR) and Virtual Reality (VR) technologies. These innovative tools create immersive practice environments, but a key question remains unanswered: can surgeons use the skills they learn in AR/VR during actual surgery (Level 3 of Kirkpatrick's Pyramid)? This systematic review aims to bridge this knowledge gap by investigating the translatability of AR/VR training. By analysing translatability across diverse surgical specialties and skill sets, this study aims to estimate the translatability figures of these different skills using AR/VR-based training.

Methodology:

Systematic Review: Conducted following PRISMA guidelines to identify relevant studies.

Study Selection: Included studies published between 2010 and 2024 (RCTs, cohort studies, systematic reviews) that evaluated: Skill metrics pre- and post-AR/VR training in clinical settings (Level 3 of Kirkpatrick's Pyramid)

Operative assessment improvements (e.g., GOALS, OSTAS) Literature Search: Comprehensive search across PubMed, Embase, and Scopus using pre-defined search terms related to AR/VR and surgical education.


Data Analysis: Thematic analysis focused on:
-Common surgical skills
-Surgical specialty skill translatability
-calculating mean translatability per skill set (Level 3)

Kirkpatrick's Pyramid for training evaluation Metrics: Task completion time, error rate, accuracy, distance travelled, and operative assessment scores were used to assess surgical performance translatability.

Results:

There was notable improvements in operative assessment scores such as GOALS and OSATS post-training.

Conclusion:

Our ongoing systematic review suggests that AR/VR-based surgical training programs hold significant promise. By analysing skill metrics pre- and post-training,  as well as operative assessment improvements, this research indicates effective skill translation to real-world clinical practice (Level 3 of Kirkpatrick's Pyramid). These findings highlight the potential of AR/VR technology as a potential new gold standard in surgical education.