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A feasibility trial of HoloLens 2™; Using mixed reality headsets to deliver remote bedside teaching during COVID-19

Title: A feasibility trial of HoloLens 2™; Using mixed reality headsets to deliver remote bedside teaching during COVID-19
Authors: Sivananthan, A
Gueroult, A
Zijlstra, G
Martin, G
Baheerathan, A
Pratt, P
Darzi, A
Patel, N
Kinross, J
Item Type: Journal Article
Abstract: Background COVID-19 has had a catastrophic impact measured in human lives. Medical education has also been impacted: appropriately stringent infection control policies have precluded medical trainees from attending clinical teaching. Lecture-based education has been easily transferred to a digital platform, but bedside teaching has not. This study aims to assess the feasibility of using a mixed reality (MR) headset to deliver remote bedside teaching. Methods Two MR sessions were led by senior doctors wearing the HoloLens™ headset. The trainers selected patients requiring their specialist input. The headset allowed bi-directional audio-visual communication between the trainer and trainee doctors. Trainee doctor conceptions of bedside teaching, impact of COVID-19 on bedside teaching and the MR sessions were evaluated using pre- and post-round questionnaires, using Likert scales. Data related to clinician exposure to at risk patients and use of PPE were collected. Results Pre-questionnaire respondents (n=24) strongly agreed that bedside teaching is key to educating clinicians (7, IQR 6-7). Post-session questionnaires showed that overall users subjectively agreed the MR session was helpful to their learning (6, IQR 5.25 – 7) and that it was worthwhile (6, IQR 5.25 – 7). Mixed-reality versus in-person teaching led to a 79.5% reduction in cumulative clinician exposure time and 83.3% reduction in PPE use. Conclusions This study is proof of principle that HoloLens™ can be used effectively to deliver clinical bedside teaching This novel format confers significant advantages in terms of: minimising exposure of trainees to COVID-19; saving PPE; enabling larger attendance; and convenient accessible real-time clinical training.
Issue Date: 17-May-2022
Date of Acceptance: 25-Mar-2022
URI: http://hdl.handle.net/10044/1/96124
DOI: 10.2196/35674
ISSN: 2561-326X
Publisher: JMIR Publications
Start Page: 1
End Page: 7
Journal / Book Title: JMIR Formative Research
Volume: 6
Issue: 5
Copyright Statement: ©Arun Sivananthan, Aurelien Gueroult, Geiske Zijlstra, Guy Martin, Aravindhan Baheerathan, Philip Pratt, Ara Darzi, Nisha Patel, James Kinross. Originally published in JMIR Formative Research (https://formative.jmir.org), 17.05.2022. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Formative Research, is properly cited. The complete bibliographic information, a link to the original publication on https://formative.jmir.org, as well as this copyright and license information must be included.
Keywords: COVID-19
HoloLens
bedside teaching
digital education
e-learning
feasibility
medical education
medical student
mixed reality
personal protective equipment
protection
remote learning
virtual reality
Publication Status: Published
Online Publication Date: 2022-05-17
Appears in Collections:Department of Surgery and Cancer
Faculty of Medicine
Institute of Global Health Innovation
Imperial College London COVID-19



This item is licensed under a Creative Commons License Creative Commons