Application value of virtual reality simulation training combined with problem-based learning in arthroscopy teaching_West China Medical Journal

Authors：

WANG Mojin ¹ , LI Wei ² ,  WANG Rui ³

1. Gastric Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Spinal Orthopedics Department, Sichuan Provincial Orthopedic Hospital, Chengdu, Sichuan 610041, P. R. China;
3. Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

WANG Rui, Email: wangruifisher@163.com

Keywords：

Virtual reality simulation technology; problem-based learning; teaching mode; arthroscopy; training

DOI：

10.7507/1002-0179.202403159

Video：

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Objective To explore the application effect of virtual reality simulation technology (VRST) combined with problem-based learning (PBL) mode in knee arthroscopy teaching in sports medicine department. Methods A total of 76 trainees in sports medicine at Sichuan Provincial Orthopedic Hospital from June 2021 to June 2022 were retrospectively selected. According to the different teaching modes, they were divided into the research group and the control group with 38 trainees in each group. The traditional teaching mode was implemented in the control group, while VRST and PBL mode were implemented in the research group. The objective assessment results and teaching effect feedback of the two groups were compared. Results There was no statistical difference between the two groups in the average theoretical score of the trainees (91.35±1.05 vs. 90.94±1.12, P>0.05). The scores of the three manipulating parts of the research group (9.03±0.24, 9.12±0.31, and 9.24±0.27, respectively) were higher than those of the control group (8.76±0.36, 8.44±0.57, and 8.35±0.51, respectively), moreover, trainees in the research group had higher scores for study enthusiasm, teaching satisfaction, three-dimensional space sense, and virtual reality conversion degree (9.12±0.16, 9.67±0.11, 9.34±0.22, and 9.56±0.18, respectively) than those of the control group (8.89±0.27, 9.16±0.34, 8.67±0.37, and 8.42±0.23, respectively), and the differences were all statistically significant (P<0.05). Conclusion VRST combined with PBL mode could improve trainees’ ability to operate arthroscopy significantly, and stimulate trainees’ subjective learning ability to improve teaching effect.

Citation： WANG Mojin, LI Wei, WANG Rui. Application value of virtual reality simulation training combined with problem-based learning in arthroscopy teaching. West China Medical Journal, 2024, 39(9): 1474-1477. doi: 10.7507/1002-0179.202403159 Copy

1.	邹昆, 黄诚, 丁冉, 等. 虚拟现实技术在膝关节镜手术教学中的应用. 生物骨科材料与临床研究, 2022, 19(2): 46-50.
2.	张天伦, 蒋佳, 黄栋成, 等. 基于关节镜手术全真模拟系统结合以问题为基础的学习教学模式的价值. 中国研究型医院, 2021, 8(5): 19-22.
3.	翟吉良, 金迪, 杨波. 虚拟现实技术在膝关节镜手术教学中的应用探索. 中华骨与关节外科杂志, 2020, 13(10): 840-843.
4.	李春宝, 张柏青, 刘洋, 等. 骨科关节镜影像临床教学系统在住院医师规范化培训中的应用. 中国医学教育技术, 2018, 32(6): 638-641.
5.	戴海东, 张颖, 傅国海. 关节镜手术视频+TBL 教学在运动医学临床实习带教中的应用. 中国高等医学教育, 2020(8): 96, 143.
6.	刘书中, 姚思远, 杨波. 增强现实技术在关节外科手术规划及教学培训中的应用. 基础医学与临床, 2020, 40(11): 1574-1578.
7.	Hauschild J, Rivera JC, Johnson AE, et al. Shoulder arthroscopy simulator training improves surgical procedure performance: a controlled laboratory study. Orthop J Sports Med, 2021, 9(5): 23259671211003873.
8.	冯敏, 姬乐, 段大鹏, 等. 基于模拟体验系统的 VAD 教学法在关节镜手术教学中的应用评价. 中国医学教育技术, 2022, 36(4): 449-453.
9.	Harris JD. Editorial commentary: Virtual reality simulation can help arthroscopic hip preservation surgeons at all levels of training and practice-this is how. Arthroscopy, 2021, 37(6): 1867-1871.
10.	唐昊, 赵瑞, 沈洪兴, 等. 规范化关节镜微创技术临床教学模式的应用与研究. 中国医学教育技术, 2013, 27(4): 435-437.
11.	徐鸿尧, 明霞, 潘竹. 维萨里 3D 解剖 APP 集合手术录像在运动医学进修医生教学中的应用. 科技视界, 2021(32): 94-95.
12.	蒋仕林, 赵金忠, 蒋佳, 等. 关节镜虚拟模拟技术在关节镜技能教学中的价值. 中国研究型医院, 2022, 9(1): 40-42.
13.	王欢. 对循证骨科学在骨科关节镜手术教学中的应用效果进行分析和探讨. 临床医药文献电子杂志, 2019, 6(78): 184.

1. 邹昆, 黄诚, 丁冉, 等. 虚拟现实技术在膝关节镜手术教学中的应用. 生物骨科材料与临床研究, 2022, 19(2): 46-50.
2. 张天伦, 蒋佳, 黄栋成, 等. 基于关节镜手术全真模拟系统结合以问题为基础的学习教学模式的价值. 中国研究型医院, 2021, 8(5): 19-22.
3. 翟吉良, 金迪, 杨波. 虚拟现实技术在膝关节镜手术教学中的应用探索. 中华骨与关节外科杂志, 2020, 13(10): 840-843.
4. 李春宝, 张柏青, 刘洋, 等. 骨科关节镜影像临床教学系统在住院医师规范化培训中的应用. 中国医学教育技术, 2018, 32(6): 638-641.
5. 戴海东, 张颖, 傅国海. 关节镜手术视频+TBL 教学在运动医学临床实习带教中的应用. 中国高等医学教育, 2020(8): 96, 143.
6. 刘书中, 姚思远, 杨波. 增强现实技术在关节外科手术规划及教学培训中的应用. 基础医学与临床, 2020, 40(11): 1574-1578.
7. Hauschild J, Rivera JC, Johnson AE, et al. Shoulder arthroscopy simulator training improves surgical procedure performance: a controlled laboratory study. Orthop J Sports Med, 2021, 9(5): 23259671211003873.
8. 冯敏, 姬乐, 段大鹏, 等. 基于模拟体验系统的 VAD 教学法在关节镜手术教学中的应用评价. 中国医学教育技术, 2022, 36(4): 449-453.
9. Harris JD. Editorial commentary: Virtual reality simulation can help arthroscopic hip preservation surgeons at all levels of training and practice-this is how. Arthroscopy, 2021, 37(6): 1867-1871.
10. 唐昊, 赵瑞, 沈洪兴, 等. 规范化关节镜微创技术临床教学模式的应用与研究. 中国医学教育技术, 2013, 27(4): 435-437.
11. 徐鸿尧, 明霞, 潘竹. 维萨里 3D 解剖 APP 集合手术录像在运动医学进修医生教学中的应用. 科技视界, 2021(32): 94-95.
12. 蒋仕林, 赵金忠, 蒋佳, 等. 关节镜虚拟模拟技术在关节镜技能教学中的价值. 中国研究型医院, 2022, 9(1): 40-42.
13. 王欢. 对循证骨科学在骨科关节镜手术教学中的应用效果进行分析和探讨. 临床医药文献电子杂志, 2019, 6(78): 184.

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Application value of virtual reality simulation training combined with problem-based learning in arthroscopy teaching

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