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Automated summative feedback improves performance and retention in simulation training of mastoidectomy: a randomised controlled trial

Published online by Cambridge University Press:  28 October 2021

A Frithioff ,
M Frendø ,
J Hastrup von Buchwald ,
P Trier Mikkelsen ,
M Sølvsten Sørensen  and
S Arild Wuyts Andersen
A Frithioff*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery and Audiology, Rigshospitalet, Copenhagen, Denmark Copenhagen Academy for Medical Education and Simulation, The Capital Region of Denmark, Aarhus, Denmark
M Frendø
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery and Audiology, Rigshospitalet, Copenhagen, Denmark Copenhagen Academy for Medical Education and Simulation, The Capital Region of Denmark, Aarhus, Denmark
J Hastrup von Buchwald
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery and Audiology, Rigshospitalet, Copenhagen, Denmark Copenhagen Academy for Medical Education and Simulation, The Capital Region of Denmark, Aarhus, Denmark
P Trier Mikkelsen
Affiliation:
The Alexandra Institute, Aarhus, Denmark
M Sølvsten Sørensen
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery and Audiology, Rigshospitalet, Copenhagen, Denmark
S Arild Wuyts Andersen
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery and Audiology, Rigshospitalet, Copenhagen, Denmark Copenhagen Academy for Medical Education and Simulation, The Capital Region of Denmark, Aarhus, Denmark
*
Author for correspondence: Dr A Frithioff, Department of Otorhinolaryngology – Head and Neck Surgery, Rigshospitalet, Blegdamsvej 9, Copenhagen Ø DK-2100, Denmark E-mail: andreasfrit@hotmail.com
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Abstract

Objective

This study aimed to investigate the effects of automated metrics-based summative feedback on performance, retention and cognitive load in distributed virtual reality simulation training of mastoidectomy.

Method

Twenty-four medical students were randomised in two groups and performed 15 mastoidectomies on a distributed virtual reality simulator as practice. The intervention group received additional summative metrics-based feedback; the control group followed standard instructions. Two to three months after training, participants performed a retention test without learning supports.

Results

The intervention group had a better final-product score (mean difference = 1.0 points; p = 0.001) and metrics-based score (mean difference = 12.7; p < 0.001). At retention, the metrics-based score for the intervention group remained superior (mean difference = 6.9 per cent; p = 0.02). Also at the retention, cognitive load was higher in the intervention group (mean difference = 10.0 per cent; p < 0.001).

Conclusion

Summative metrics-based feedback improved performance and lead to a safer and faster performance compared with standard instructions and seems a valuable educational tool in the early acquisition of temporal bone skills.

Keywords

Temporal BoneOtologic Surgical Procedures
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 1 , January 2022 , pp. 29 - 36
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr A Frithioff takes responsibility for the integrity of the content of the paper

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