SlideShare a Scribd company logo
1 of 10
Download to read offline
10/11/17
1
The use of VR and AR in
surgical training
Steven A. W. Andersen, MD, PhD
Contact: stevenarild@gmail.com
Postdoc – the Simulation Centre, Copenhagen Academy for Medical Education and Simulation (CAMES)
Junior Resident – Department of Otorhinolaryngology—Head & Neck Surgery, Rigshospitalet.
Ian is 34 years old and married. His wife is pregnant but they just
discovered that the pregnancy is extra uterine (i.e. outside of the
uterus). They are at the hospital where the doctor has examined
her and she is going into surgery shortly.
Ian’s wife is now in the postoperative care unit and Ian has been
allowed to see her. She is feeling fine and the surgery was
without complications.
10/11/17
2
10/11/17
3
https://www.forbes.com/sites/charliefink/2017/09/28/how-vr-saves-lives-in-the-or
THE SIMULATION CENTRE at Rigshospitalet
Part of the Copenhagen Academy for Medical Education and Simulation (CAMES).
The largest center world-wide for surgical technical skills research.
Covers (potentially) all surgical specialties, invasive procedures and technical skills.
Emphasis on research-based training with a 4-step approach (introduction, (self)-training,
assessment, and certification).
>20 completed/on-going PhD studies
75 peer reviewed publications in 2016.
1000 certificates in 2016.
TYPES OF SIMULATORS
Physical (for example task trainer such as knot tying)
Virtual (including joystick or other interface) with or without
haptic (tactile or force) feedback
Manikins
Biologic tissue (including cadavers)
Live humans (such as standardized patient)
10/11/17
4
Curriculum	design	in	
simulation	based	training
Ebbe Thinggaard, MD, PhD
Contact: ebbe.thinggaard@gmail.com
Postdoc – the Simulation Centre, Copenhagen Academy for Medical Education and Simulation (CAMES)
Resident – Department of Obstetrics and Gynaecology, Hvidovre University Hospital
kern's	six	steps	of	curriculum	development
kern's	six	steps	of	curriculum	development
10/11/17
5
Directed	self-regulated	
learning	as	learning	theory	
Ebbe Thinggaard, MD, PhD
Postdoc – the Simulation Centre, Copenhagen Academy for Medical Education and
Simulation (CAMES)
Resident – Department of Obstetrics and Gynaecology, Hvidovre University Hospital
Evidence-based simulation
training of surgical skills
Steven A. W. Andersen, MD, PhD
Postdoc – the Simulation Centre, Copenhagen Academy for Medical Education and Simulation (CAMES)
Junior Resident – Department of Otorhinolaryngology—Head & Neck Surgery, Rigshospitalet.
10/11/17
6
PERFORMANCE
SIMULATION-
BASED
TRAINING
LEARNING	IN	THE	CLINIC
TRANSFER OF SKILLS
From VR to OR?
TRANSFER OF SKILLS
From VR to cadaver training
10/11/17
7
Tutoredsession
Non-tutoredsession
Non-tutoredsession
BLOCK 1
Tutoredsession
Non-tutoredsession
Non-tutoredsession
BLOCK 2
Tutoredsession
Non-tutoredsession
Non-tutoredsession
BLOCK 3
Tutoredsession
Non-tutoredsession
Non-tutoredsession
BLOCK 4
Tutoredsession
Non-tutoredsession
Non-tutoredsession
BLOCK 5
Tutoredsession
Non-tutoredsession
Non-tutoredsession
BLOCK 6
Tutoredsession
Non-tutoredsession
Non-tutoredsession
BLOCK 1
DISSECTIONDISSECTION
3 months before temporal bone course During temporal bone course
Distributed, repeated VR simulation practice group
Control group
10/11/17
8
TUTORING
SIMULATOR-INTEGRATEDTUTOR-FUNCTION
LEARNING	CURVES
Towards	mastery	learning
10/11/17
9
COMPETENCY BASED CURRICULUM
AMOUNT OF PRACTICE
Yperformancelevel
PROFICIENCY LEVEL
DELIBERATE PRACTICE
The role of cognitive engagement
10/11/17
10
SELF-ASSESSMENT
SIMULATION-BASED TRAINING
CAN BE PART OF THE SOLUTION
BUT NOT THE ONLY SOLUTION
STRATEGIES
Directed, self-regulated learning
Distributed practice
Deliberate practice
Training to mastery
Open access facilities
Assessment and certification

More Related Content

Similar to Instructional design in Surgical Virtual Reality Simulation Training

Amr's CV updated 2015 final
Amr's CV updated 2015 finalAmr's CV updated 2015 final
Amr's CV updated 2015 final
amr fayez
 
Intracystic Carcinoma of the Breast - Tsvetanov S., Dimitrova A., Inkov I., B...
Intracystic Carcinoma of the Breast - Tsvetanov S., Dimitrova A., Inkov I., B...Intracystic Carcinoma of the Breast - Tsvetanov S., Dimitrova A., Inkov I., B...
Intracystic Carcinoma of the Breast - Tsvetanov S., Dimitrova A., Inkov I., B...
Медицински София
 
The international federation for cervical pathology and colposcopy course
The international federation for cervical pathology and colposcopy courseThe international federation for cervical pathology and colposcopy course
The international federation for cervical pathology and colposcopy course
Tariq Mohammed
 
The international federation for cervical pathology and colposcopy course
The international federation for cervical pathology and colposcopy courseThe international federation for cervical pathology and colposcopy course
The international federation for cervical pathology and colposcopy course
Tariq Mohammed
 
Rod Mountain CV Oct 2015 LI
Rod Mountain CV Oct 2015 LIRod Mountain CV Oct 2015 LI
Rod Mountain CV Oct 2015 LI
Rodney Mountain
 
Curriculum vitae English.doc
Curriculum vitae English.docCurriculum vitae English.doc
Curriculum vitae English.doc
alfred janssen
 

Similar to Instructional design in Surgical Virtual Reality Simulation Training (20)

Perineal trauma at childbirth
Perineal trauma at childbirthPerineal trauma at childbirth
Perineal trauma at childbirth
 
TransMedUMP2015
TransMedUMP2015TransMedUMP2015
TransMedUMP2015
 
Amr's CV updated 2015 final
Amr's CV updated 2015 finalAmr's CV updated 2015 final
Amr's CV updated 2015 final
 
Intracystic Carcinoma of the Breast - Tsvetanov S., Dimitrova A., Inkov I., B...
Intracystic Carcinoma of the Breast - Tsvetanov S., Dimitrova A., Inkov I., B...Intracystic Carcinoma of the Breast - Tsvetanov S., Dimitrova A., Inkov I., B...
Intracystic Carcinoma of the Breast - Tsvetanov S., Dimitrova A., Inkov I., B...
 
Neurodevelopmental risks of non syndromic craniosynostosis
Neurodevelopmental risks of non syndromic craniosynostosisNeurodevelopmental risks of non syndromic craniosynostosis
Neurodevelopmental risks of non syndromic craniosynostosis
 
KatrijnMichielsen_CV_jan2016
KatrijnMichielsen_CV_jan2016KatrijnMichielsen_CV_jan2016
KatrijnMichielsen_CV_jan2016
 
Fetal surgery is a clinical reality
Fetal surgery is a clinical realityFetal surgery is a clinical reality
Fetal surgery is a clinical reality
 
ELINA-CV-UK kainourio
ELINA-CV-UK kainourioELINA-CV-UK kainourio
ELINA-CV-UK kainourio
 
How to learn the catheter skill techniques
How to learn the catheter skill techniquesHow to learn the catheter skill techniques
How to learn the catheter skill techniques
 
Hysteroscopy newsletter vol 2 issue 3 english
Hysteroscopy newsletter vol 2 issue 3 englishHysteroscopy newsletter vol 2 issue 3 english
Hysteroscopy newsletter vol 2 issue 3 english
 
The international federation for cervical pathology and colposcopy course
The international federation for cervical pathology and colposcopy courseThe international federation for cervical pathology and colposcopy course
The international federation for cervical pathology and colposcopy course
 
The international federation for cervical pathology and colposcopy course
The international federation for cervical pathology and colposcopy courseThe international federation for cervical pathology and colposcopy course
The international federation for cervical pathology and colposcopy course
 
Building an online repository of teaching resources to facilitate consistent ...
Building an online repository of teaching resources to facilitate consistent ...Building an online repository of teaching resources to facilitate consistent ...
Building an online repository of teaching resources to facilitate consistent ...
 
6 epiplating heidelberg_nov_web
6 epiplating heidelberg_nov_web6 epiplating heidelberg_nov_web
6 epiplating heidelberg_nov_web
 
Materi referat 15.jurnal 9
Materi referat 15.jurnal 9Materi referat 15.jurnal 9
Materi referat 15.jurnal 9
 
Rod Mountain CV Oct 2015 LI
Rod Mountain CV Oct 2015 LIRod Mountain CV Oct 2015 LI
Rod Mountain CV Oct 2015 LI
 
Hovsepian_CV 2016 26.06
Hovsepian_CV 2016 26.06Hovsepian_CV 2016 26.06
Hovsepian_CV 2016 26.06
 
Curriculum vitae English.doc
Curriculum vitae English.docCurriculum vitae English.doc
Curriculum vitae English.doc
 
Oct in clinical practice. Niels r. Holm
Oct in clinical practice. Niels r. HolmOct in clinical practice. Niels r. Holm
Oct in clinical practice. Niels r. Holm
 
CV_CARLE Olivier
CV_CARLE OlivierCV_CARLE Olivier
CV_CARLE Olivier
 

Recently uploaded

Spellings Wk 4 and Wk 5 for Grade 4 at CAPS
Spellings Wk 4 and Wk 5 for Grade 4 at CAPSSpellings Wk 4 and Wk 5 for Grade 4 at CAPS
Spellings Wk 4 and Wk 5 for Grade 4 at CAPS
AnaAcapella
 
Transparency, Recognition and the role of eSealing - Ildiko Mazar and Koen No...
Transparency, Recognition and the role of eSealing - Ildiko Mazar and Koen No...Transparency, Recognition and the role of eSealing - Ildiko Mazar and Koen No...
Transparency, Recognition and the role of eSealing - Ildiko Mazar and Koen No...
EADTU
 

Recently uploaded (20)

Model Attribute _rec_name in the Odoo 17
Model Attribute _rec_name in the Odoo 17Model Attribute _rec_name in the Odoo 17
Model Attribute _rec_name in the Odoo 17
 
How to setup Pycharm environment for Odoo 17.pptx
How to setup Pycharm environment for Odoo 17.pptxHow to setup Pycharm environment for Odoo 17.pptx
How to setup Pycharm environment for Odoo 17.pptx
 
How to Add New Custom Addons Path in Odoo 17
How to Add New Custom Addons Path in Odoo 17How to Add New Custom Addons Path in Odoo 17
How to Add New Custom Addons Path in Odoo 17
 
Details on CBSE Compartment Exam.pptx1111
Details on CBSE Compartment Exam.pptx1111Details on CBSE Compartment Exam.pptx1111
Details on CBSE Compartment Exam.pptx1111
 
Michaelis Menten Equation and Estimation Of Vmax and Tmax.pptx
Michaelis Menten Equation and Estimation Of Vmax and Tmax.pptxMichaelis Menten Equation and Estimation Of Vmax and Tmax.pptx
Michaelis Menten Equation and Estimation Of Vmax and Tmax.pptx
 
How to Manage Call for Tendor in Odoo 17
How to Manage Call for Tendor in Odoo 17How to Manage Call for Tendor in Odoo 17
How to Manage Call for Tendor in Odoo 17
 
Diuretic, Hypoglycemic and Limit test of Heavy metals and Arsenic.-1.pdf
Diuretic, Hypoglycemic and Limit test of Heavy metals and Arsenic.-1.pdfDiuretic, Hypoglycemic and Limit test of Heavy metals and Arsenic.-1.pdf
Diuretic, Hypoglycemic and Limit test of Heavy metals and Arsenic.-1.pdf
 
VAMOS CUIDAR DO NOSSO PLANETA! .
VAMOS CUIDAR DO NOSSO PLANETA!                    .VAMOS CUIDAR DO NOSSO PLANETA!                    .
VAMOS CUIDAR DO NOSSO PLANETA! .
 
80 ĐỀ THI THỬ TUYỂN SINH TIẾNG ANH VÀO 10 SỞ GD – ĐT THÀNH PHỐ HỒ CHÍ MINH NĂ...
80 ĐỀ THI THỬ TUYỂN SINH TIẾNG ANH VÀO 10 SỞ GD – ĐT THÀNH PHỐ HỒ CHÍ MINH NĂ...80 ĐỀ THI THỬ TUYỂN SINH TIẾNG ANH VÀO 10 SỞ GD – ĐT THÀNH PHỐ HỒ CHÍ MINH NĂ...
80 ĐỀ THI THỬ TUYỂN SINH TIẾNG ANH VÀO 10 SỞ GD – ĐT THÀNH PHỐ HỒ CHÍ MINH NĂ...
 
Graduate Outcomes Presentation Slides - English
Graduate Outcomes Presentation Slides - EnglishGraduate Outcomes Presentation Slides - English
Graduate Outcomes Presentation Slides - English
 
Understanding Accommodations and Modifications
Understanding  Accommodations and ModificationsUnderstanding  Accommodations and Modifications
Understanding Accommodations and Modifications
 
HMCS Max Bernays Pre-Deployment Brief (May 2024).pptx
HMCS Max Bernays Pre-Deployment Brief (May 2024).pptxHMCS Max Bernays Pre-Deployment Brief (May 2024).pptx
HMCS Max Bernays Pre-Deployment Brief (May 2024).pptx
 
dusjagr & nano talk on open tools for agriculture research and learning
dusjagr & nano talk on open tools for agriculture research and learningdusjagr & nano talk on open tools for agriculture research and learning
dusjagr & nano talk on open tools for agriculture research and learning
 
21st_Century_Skills_Framework_Final_Presentation_2.pptx
21st_Century_Skills_Framework_Final_Presentation_2.pptx21st_Century_Skills_Framework_Final_Presentation_2.pptx
21st_Century_Skills_Framework_Final_Presentation_2.pptx
 
diagnosting testing bsc 2nd sem.pptx....
diagnosting testing bsc 2nd sem.pptx....diagnosting testing bsc 2nd sem.pptx....
diagnosting testing bsc 2nd sem.pptx....
 
Spellings Wk 4 and Wk 5 for Grade 4 at CAPS
Spellings Wk 4 and Wk 5 for Grade 4 at CAPSSpellings Wk 4 and Wk 5 for Grade 4 at CAPS
Spellings Wk 4 and Wk 5 for Grade 4 at CAPS
 
Ernest Hemingway's For Whom the Bell Tolls
Ernest Hemingway's For Whom the Bell TollsErnest Hemingway's For Whom the Bell Tolls
Ernest Hemingway's For Whom the Bell Tolls
 
Transparency, Recognition and the role of eSealing - Ildiko Mazar and Koen No...
Transparency, Recognition and the role of eSealing - Ildiko Mazar and Koen No...Transparency, Recognition and the role of eSealing - Ildiko Mazar and Koen No...
Transparency, Recognition and the role of eSealing - Ildiko Mazar and Koen No...
 
When Quality Assurance Meets Innovation in Higher Education - Report launch w...
When Quality Assurance Meets Innovation in Higher Education - Report launch w...When Quality Assurance Meets Innovation in Higher Education - Report launch w...
When Quality Assurance Meets Innovation in Higher Education - Report launch w...
 
How to Add a Tool Tip to a Field in Odoo 17
How to Add a Tool Tip to a Field in Odoo 17How to Add a Tool Tip to a Field in Odoo 17
How to Add a Tool Tip to a Field in Odoo 17
 

Instructional design in Surgical Virtual Reality Simulation Training