12 Comments
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In response to Who does your project serve, and in what ways will the project improve their skills?


A critical component of this challenge is that your training module be accessible. Can you provide more detail about how you plan to make your tech/materials accessible to users?

Fabio Botelho

Our pediatric trauma course will be accessible and universal. Any user will be able to download the app and access the course from any mobile device or computer software with or without any VR device.
We have also digital designers in our team to develop a website for the project. All the information and software will be available on our website.

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In response to What is your surgical training module?


Could you explain and clarify how your module will allow users to self assess the psychomotor skill you are hoping to teach?

Fabio Botelho

Thank you Solve team; we really appreciate your comment. Actually, we are going to use several tools to provide a good self-assessment evaluation.
Users will be able to access their background knowledge before each section through two main tools: (a) a pre self-assessment questionnaire - where they will answer questions regarding their confidence regarding the proposed psychomotor skill and a (b) pre-test theoretical exam. During the practical sections, as the platform is a role-playing game, it will demand decision-making for each critical step. If students choose a wrong (or right) decision they will observe their decision/action outcomes, which provides them a direct visual feedback (impossible to have this training in real life!).
At the end of each practical section recorded debriefing videos will be displayed, as well a direct channel (email) to pediatric trauma experts. This will give students the opportunity to solve all their questions. Finally, students will realize a pos self-assessment questionnaire and a pos-test exam. Their scores will be displayed, and also the expected scores for that section. As users could repeat the practice as many times they want - deliberate practice - they can practice until they achieve the expected scores. In resume these are our package of surgical education tools to assure users self-assessment: (1) theoretical exams; (2) self-assessment questionnaires; (3) feedback during the scenario; and (4) comparisons of expected scores and users' scores - summative assessment. We modified the summary text to make it clearer.

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In response to What is your surgical training module?


The simulator tech you have chosen is clear, but can you consider and explain how an entirely VR model will successfully teach the psychomotor aspect of the skill?

Fabio Botelho

Throughout the VR course, the user will learn to recognize pediatric anatomical landmarks, select the age-appropriate medical material/equipment required for each skill, and understand the differences in techniques in children as compared to adults. VR is the only platform able to provide such a comprehensive immersive environment, with all necessary virtual materials, anatomically accurate pediatric patients of various ages, proper feedback, and deliberate practice.
We understand that some VR models have the disadvantage of not providing a haptic component, however our target user population already has good baseline psychomotor skills and are only missing the translation of these skills to the pediatric patient population. Our model will fill this knowledge gap, and after the course, users will be able to achieve mastery in the proposed psychomotor skills. Where resources are constrained, VR environments also offer the advantage of having no limit on the refills of disposable products which are necessary to practice sterile techniques.

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In response to What specific surgical skills are you teaching?


Could you provide more detail about how your module will help surgical practitioners to learn and practice the physical/psychomotor skills you are hoping to teach? This is a critical part of the challenge.

Fabio Botelho

The course will be accessible through a dashboard which organizes the module materials, to track progress and assessments. This will be subdivided into sections according to key concepts in pediatric trauma: (1) primary survey, (2) airway management, (3) shock, (4) thoracic trauma, (5) abdominal and pelvic trauma, (6) head and spinal cord injury, and (7) musculoskeletal trauma. In each section, surgeons will learn the corresponding practical psychomotor skills: (1) neck immobilization, (2) surgical cricothyroidotomy, (3) chest tube insertion, (4) central venous and intraosseous access, (5) pelvic stabilization, and (6) fracture alignment.

The practical skills will be taught in a role-play-game narrative. Users will have to identify anatomical landmarks, select the correct materials and instruments, and answer questions throughout each step of the procedure, before continuing through the narrative. At the end, the platform will measure and tabulate: the number of attempts to complete the scenario, time to completion, and the precision and accuracy of the anatomic landmarks and material chosen. Users will need to complete this summative assessment and obtain scores above a standardized average score in order to demonstrate mastery of the course content.

Solve

In response to Pitch your project.


The target clinical population your module is serving is clear. However, are you able to narrow it? This may allow your module to more specifically address the needs of these clinicians.

Fabio Botelho

General surgeons and trainees of one of the busiest Latin American trauma centers - Hospital Joao XXIII - will be the ones to first test our prototype/solution. We have been studying quality of pediatric care in this center for year in collaboration with their trauma team. Then, we have a clear understanding of what these surgeons needs and the challenges for delivering high-quality pediatric trauma care there.
Thank you for the comment, we edited our summary to make it clear.

 
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