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      Developing Virtual Reality Trauma Training Experiences Using 360-Degree Video: Tutorial

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          Abstract

          Historically, medical trainees were educated in the hospital on real patients. Over the last decade, there has been a shift to practicing skills through simulations with mannequins or patient actors. Virtual reality (VR), and in particular, the use of 360-degree video and audio (cineVR), is the next-generation advancement in medical simulation that has novel applications to augment clinical skill practice, empathy building, and team training. In this paper, we describe methods to design and develop a cineVR medical education curriculum for trauma care training using real patient care scenarios at an urban, safety-net hospital and Level 1 trauma center. The purpose of this publication is to detail the process of finding a cineVR production partner; choosing the camera perspectives; maintaining patient, provider, and staff privacy; ensuring data security; executing the cineVR production process; and building the curriculum.

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          Most cited references32

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          The role of deliberate practice in the acquisition of expert performance.

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            Cognitive Load Theory and the Format of Instruction

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              Simulation-based medical education: an ethical imperative.

              Medical training must at some point use live patients to hone the skills of health professionals. But there is also an obligation to provide optimal treatment and to ensure patients' safety and well-being. Balancing these two needs represents a fundamental ethical tension in medical education. Simulation-based learning can help mitigate this tension by developing health professionals' knowledge, skills, and attitudes while protecting patients from unnecessary risk. Simulation-based training has been institutionalized in other high-hazard professions, such as aviation, nuclear power, and the military, to maximize training safety and minimize risk. Health care has lagged behind in simulation applications for a number of reasons, including cost, lack of rigorous proof of effect, and resistance to change. Recently, the international patient safety movement and the U.S. federal policy agenda have created a receptive atmosphere for expanding the use of simulators in medical training, stressing the ethical imperative to "first do no harm" in the face of validated, large epidemiological studies describing unacceptable preventable injuries to patients as a result of medical management. Four themes provide a framework for an ethical analysis of simulation-based medical education: best standards of care and training, error management and patient safety, patient autonomy, and social justice and resource allocation. These themes are examined from the perspectives of patients, learners, educators, and society. The use of simulation wherever feasible conveys a critical educational and ethical message to all: patients are to be protected whenever possible and they are not commodities to be used as conveniences of training.
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                Author and article information

                Contributors
                Journal
                J Med Internet Res
                J Med Internet Res
                JMIR
                Journal of Medical Internet Research
                JMIR Publications (Toronto, Canada )
                1439-4456
                1438-8871
                December 2020
                16 December 2020
                : 22
                : 12
                : e22420
                Affiliations
                [1 ] Department of Surgery University of California, San Francisco San Francisco, CA United States
                [2 ] School of Medicine Stanford University Stanford, CA United States
                [3 ] School of Medicine University of California, San Francisco San Francisco, CA United States
                [4 ] Department of Neurosurgery Brown University Providence, RI United States
                [5 ] School of Medicine University of California, Davis Sacramento, CA United States
                [6 ] School of Engineering Stanford University Stanford, CA United States
                [7 ] School of Public Health University of California, Berkeley Berkeley, CA United States
                [8 ] Department of Emergency Medicine University of California, San Francisco San Francisco, CA United States
                [9 ] J. Warren McClure School of Emerging Communication Technologies Scripps College of Communication Ohio University Athens, OH United States
                Author notes
                Corresponding Author: Devika Patel devika.patel@ 123456ucsf.edu
                Author information
                https://orcid.org/0000-0002-1479-3588
                https://orcid.org/0000-0003-2473-356X
                https://orcid.org/0000-0001-6166-8432
                https://orcid.org/0000-0001-7772-9172
                https://orcid.org/0000-0002-9206-6394
                https://orcid.org/0000-0001-6029-3755
                https://orcid.org/0000-0003-3273-3324
                https://orcid.org/0000-0002-3546-2067
                https://orcid.org/0000-0003-2767-6177
                https://orcid.org/0000-0001-7737-7699
                https://orcid.org/0000-0002-4081-5058
                https://orcid.org/0000-0002-3887-8930
                https://orcid.org/0000-0003-3295-9921
                https://orcid.org/0000-0003-4540-2647
                https://orcid.org/0000-0002-8044-7165
                Article
                v22i12e22420
                10.2196/22420
                7773512
                33325836
                6e6aec80-5808-4c8b-a2b5-cd4f40db1401
                ©Devika Patel, Jessica Hawkins, Lara Zena Chehab, Patrick Martin-Tuite, Joshua Feler, Amy Tan, Benjamin S Alpers, Sophia Pink, Jerome Wang, Jonathan Freise, Phillip Kim, Christopher Peabody, John Bowditch, Eric R Williams, Amanda Sammann. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 16.12.2020.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.

                History
                : 10 July 2020
                : 28 July 2020
                : 30 October 2020
                : 3 November 2020
                Categories
                Tutorial
                Tutorial

                Medicine
                virtual reality,cinevr,360-degree video,trauma training,medical education
                Medicine
                virtual reality, cinevr, 360-degree video, trauma training, medical education

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