Evaluating virtual reality simulation for transvaginal scan training in gynaecology

Woodhead, Natalie Jane (2019). Evaluating virtual reality simulation for transvaginal scan training in gynaecology. University of Birmingham. M.D.

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Abstract

Ultrasound has a broad range of clinical applications and is increasingly being used at the point of care. Growth in use means an increasing need to train health professionals to perform ultrasound proficiently. This thesis appraises the evidence for the use of simulation in gynaecological ultrasound scan training. The thesis explores the role of simulation in training, the validity of a virtual reality simulator for transvaginal ultrasound, and its use in real clinical practice. As transvaginal ultrasound is an intimate examination the opinions of women on having a scan and training health professionals were sought.

A systematic review showed that use of simulation training in gynaecological ultrasound when compared with standard theoretical and clinical approaches is associated with significant improvements for both learners and patients. Outcomes such as acquisition of skill, confidence and competence favour incorporating simulation into training, as does reduction in patient discomfort. An attempted pilot feasibility study, challenged the notion that simulation using the Medaphor Transvaginal ScanTrainer® is effective as a self-directed tool. However, the simulator did demonstrate construct validity and was felt to be useful in teaching a systematic approach to performing gynaecological ultrasound. Women were supportive of simulation to reduce discomfort and increase trainees confidence in clinical practice.

Type of Work:

Thesis (Doctorates > M.D.)

Award Type:

Doctorates > M.D.

Supervisor(s):