Exporting simulation technology to the philippines: A comparative study of traditional versus simulation methods for teaching intravenous cannulation

Juan Alejandro R. Sotto, Eduardo C. Ayuste, Mark W. Bowyer, Josefina R. Almonte, Rodney B. Dofitas, Marie C.M. Lapitan, Elisabeth A. Pimentel, E. Matthew Ritter, David C. Wherry

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

17 Scopus citations

Abstract

This study examines effectiveness of a donated Laerdal Virtual I.V. TM simulator when compared with traditional methods of teaching intravenous (IV) cannulation to third year medical students in the Philippines. Forty novice Filipino medical students viewed an instructional video on how to start intravenous lines and were then randomly divided into two groups of twenty. The "Traditional" group observed an IV insertion on an actual patient performed by an experienced practitioner, and then subsequently performed an IV on an actual patient which was videotaped. The "Simulation" group practiced the Virtual I.V. TM simulator until they successfully completed level three using the "doctor" setting. These students then performed an IV on an actual patient which was videotaped. The videotapes for both groups were reviewed by two pre-trained (Inter-rater reliability of > 0.84) observers who were blinded to the group using a previously validated checklist for IV insertion. Students trained on the Virtual I.V. TM showed significantly greater success in successfully starting an IV on an actual patient (40% VS. 15%, p <0.05), decreased constrictive band time (p<.05), increased raw score on the check list (p<.03), and decreased overall time to start an IV (p<.05). The technology was well received but wider application in the non western world is limited by lack of in country company support and the relative expense.

Original languageEnglish
Title of host publicationMedicine Meets Virtual Reality 17 - NextMed
Subtitle of host publicationDesign for/the Well Being
PublisherIOS Press
Pages346-351
Number of pages6
ISBN (Print)9781586039646
DOIs
StatePublished - 2009
Event17th Annual MMVR Conference - NextMed: Design for/the Well Being, MMVR17 2009 - Long Beach, CA, United States
Duration: 19 Jan 200922 Jan 2009

Publication series

NameStudies in Health Technology and Informatics
Volume142
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Conference

Conference17th Annual MMVR Conference - NextMed: Design for/the Well Being, MMVR17 2009
Country/TerritoryUnited States
CityLong Beach, CA
Period19/01/0922/01/09

Keywords

  • Developing world medical training
  • Intravenous simulator
  • Virtual reality

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