Virtual Reality vs Mannequin Simulation for Hip Fracture Procedure Training

This trial tests two methods for training medical staff to perform a nerve block, a procedure for managing pain in hip fracture patients. One group will use a self-guided immersive virtual reality (iVR) simulator that mimics real human anatomy, while the other will use traditional mannequin-based simulators. The researchers aim to determine which method enhances staff learning, thereby improving care for hip fracture patients requiring pain management. The trial seeks staff and trainees from anesthesiology, emergency medicine, and orthopedic surgery at The Ottawa Hospital. As an unphased trial, it offers a unique opportunity to advance medical training techniques, potentially improving patient outcomes.

The trial information does not specify whether participants need to stop taking their current medications.

Research has shown that immersive virtual reality (VR) in medical training is generally safe and well-received. Studies have found that VR enhances learning and reduces errors without causing major side effects. For instance, VR training in orthopedic surgery improved skills and sped up procedures compared to traditional methods. These findings suggest that VR is a safe training tool. While this trial will focus on using VR to teach a specific nerve block procedure, previous research in similar areas supports its safety and effectiveness.¹²³⁴⁵

Researchers are excited about this trial because it explores two innovative methods for training medical professionals in hip fracture procedures. The first method employs self-guided immersive virtual reality, which uses cognitive task analysis to simulate the mental processes of experts, offering a more interactive and engaging learning experience. The second method uses a hybrid simulator combining a 3G mannequin with a gel-based part-task trainer, providing hands-on practice that closely mimics real-life scenarios. By comparing these cutting-edge techniques to traditional training, this trial aims to discover which method better enhances the skills and knowledge of future practitioners, potentially revolutionizing medical training.

This trial will compare the effectiveness of two training methods for the ultrasound-guided supra-inguinal fascia iliaca (SIFI) block: immersive virtual reality (iVR) and mannequin-based simulation. Research has shown that iVR can be as effective as traditional methods for teaching medical procedures. One study found that iVR helped participants learn orthopedic surgery skills, similar to those needed for the SIFI block. Another study demonstrated that iVR training was more accurate and faster than conventional methods. Orthopedic surgeons have a positive view of iVR and recognize its training benefits. These findings suggest that iVR, which participants in this trial may experience, could be a strong alternative for teaching the SIFI block, potentially improving pain management for patients with hip fractures. Meanwhile, the mannequin-based simulation, another method under study in this trial, will serve as an active comparator to evaluate its effectiveness against iVR.¹²⁴⁶⁷