A comparison between augmented reality and traditional in-person teaching for vascular anastomotic surgical skills training

Abstract

Background : Augmented Reality (AR) superimposes computer generated content to a real-world environment through multitudinous devices, and is used across multiple training fora. Its use in vascular surgery education is yet to be formally investigated. The aim is to assess feasibility and effectiveness of remote teaching of vascular anastomosis skills enhanced by AR in the form of the HoloLens2TM Head Mounted Display technology with traditional in-person skills teaching. A remote trainer used video, gestures and images superimposed over participants’ field of vision via the HoloLens2TM to teach the skills. Method: 28 participants underwent a pre-assessment performing an end-to-end vascular anastomosis on an artificial vessel. They were randomly allocated to an AR or in-person group, and underwent two teaching sessions. Individuals were asked to complete a post-session feedback form and assessment (video recorded and anonymised). The videos were marked by two blinded, independent assessors using the Objective Structured Assessment of Technique Skills (OSATS) scoring. Results: There was an overall improvement in both cohorts in OSATS score after the intervention by +7.083 in the in-person group and +8.275 in the AR. Independent T-test was performed and a p-value of 0.422 was obtained - no statistically significant difference in the change in OSATS scores when comparing the skills teaching received in-person with that through AR. Conclusion: Remote teaching enhanced by AR is feasible and effective for the teaching of vascular surgical anastomosis skills, and non-inferior to in-person teaching. There is scope for development of the use of AR in vascular surgical skills training.