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Virtual reality-based neurological examination teaching tool(VRNET) versus standardized patient in teaching neurological examinations for the medical students: a randomized, single-blind study

 Sang Gil Han  ;  Young Dae Kim  ;  Tae Young Kong  ;  Junho Cho 
 BMC MEDICAL EDUCATION, Vol.21(1) : 493, 2021-09 
Journal Title
Issue Date
Clinical Competence ; Education, Medical, Undergraduate* ; Humans ; Neurologic Examination ; Physical Examination ; Prospective Studies ; Single-Blind Method ; Students, Medical* ; Teaching ; Virtual Reality*
Medical education ; Neurological examination ; Standardized patient ; Virtual reality
Background: The conventional methods for teaching neurological examination with real patients to medical students have some limitations if the patient with the symptom or disease is not available. Therefore, we developed a Virtual Reality-based Neurological Examination Teaching Tool (VRNET) and evaluated its usefulness in in teaching neurological examinations for the medical students.

Methods: In this prospective, randomized, single-blind study, we recruited 98 medical students and divided them into two groups: 1) A standardized patient(SP) group that received the clinical performance examination utilizing standard patients complaining of dizziness was provided neurological findings using conventional method such as verbal description, photographs, and video clips; 2) A SP with VRNET group that was provided the neurological findings using the newly developed tool. Among the 98 students, 3 did not agree to participate, and 95 were enrolled in this study. The SP group comprised 39 students and the SP with VRNET group had 56 students.

Results: There were no statistical differences in VRNET's realness and student satisfaction between the SP and SP with VRNET groups. However, a statistically significant difference was found in the Neurologic Physical Exam (NPE) score (p = 0.043); the SP with VRNET group had higher NPE scores (3.81 ± 0.92) than the SP group (3.40 ± 1.01).

Conclusions: VRNET is useful in teaching senior (graduating) medical students with SP with a neurologic problem.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
Kong, Tae Young(공태영) ORCID logo https://orcid.org/0000-0002-4182-7245
Kim, Young Dae(김영대) ORCID logo https://orcid.org/0000-0001-5750-2616
Cho, Junho(조준호) ORCID logo https://orcid.org/0000-0003-2240-3989
Han, Sang Gil(한상길)
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