Comparison of the effect of 360�� versus two-dimensional virtual reality video on history taking and physical examination skills learning among undergraduate medical students: a randomized controlled trial.
Yi-Ping Chao, Chung-Jan Kang, Hai-Hua Chuang, Ming-Ju Hsieh, Yu-Che Chang, Terry B J Kuo, Cheryl C H Yang, Chung-Guei Huang, Tuan-Jen Fang, Hsueh-Yu Li, Li-Ang Lee
Author Information
Yi-Ping Chao: Department of Computer Science and Information Engineering, Graduate Institute of Medical Mechatronics, Chang Gung University, 33302 Taoyuan, Taiwan. ORCID
Chung-Jan Kang: Faculty of Medicine, Graduate Institute of Clinical Medicine Sciences, College of Medicine, Chang Gung University, 33302 Taoyuan, Taiwan. ORCID
Hai-Hua Chuang: Faculty of Medicine, Graduate Institute of Clinical Medicine Sciences, College of Medicine, Chang Gung University, 33302 Taoyuan, Taiwan. ORCID
Ming-Ju Hsieh: Faculty of Medicine, Graduate Institute of Clinical Medicine Sciences, College of Medicine, Chang Gung University, 33302 Taoyuan, Taiwan. ORCID
Yu-Che Chang: Faculty of Medicine, Graduate Institute of Clinical Medicine Sciences, College of Medicine, Chang Gung University, 33302 Taoyuan, Taiwan. ORCID
Terry B J Kuo: Institute of Brain Science, National Yang Ming Chiao Tung University, 11221 Taipei, Taiwan. ORCID
Cheryl C H Yang: Institute of Brain Science, National Yang Ming Chiao Tung University, 11221 Taipei, Taiwan. ORCID
Chung-Guei Huang: Department of Laboratory Medicine, Chang Gung Memorial Hospital, Linkou Main Branch, 33305 Taoyuan, Taiwan. ORCID
Tuan-Jen Fang: Faculty of Medicine, Graduate Institute of Clinical Medicine Sciences, College of Medicine, Chang Gung University, 33302 Taoyuan, Taiwan. ORCID
Hsueh-Yu Li: Faculty of Medicine, Graduate Institute of Clinical Medicine Sciences, College of Medicine, Chang Gung University, 33302 Taoyuan, Taiwan. ORCID
Li-Ang Lee: Faculty of Medicine, Graduate Institute of Clinical Medicine Sciences, College of Medicine, Chang Gung University, 33302 Taoyuan, Taiwan. ORCID
Before caring for patients, video instruction is commonly used for undergraduate medical students, and 360�� virtual reality (VR) videos have gained increasing interest in clinical medical education. Therefore, the effect of immersive 360�� VR video learning compared with two-dimensional (2D) VR video learning in clinical skills acquisition should be evaluated. This randomized, intervention-controlled clinical trial was aimed to assess whether immersive 360�� VR video improves undergraduate medical students' learning effectiveness and reduces the cognitive load in history taking and physical examination (H&P) training. From May 1 2018 to October 30 2018, 64 senior undergraduate medical students in a tertiary academic hospital were randomized to receive a 10-min immersive 360�� (360�� VR video group; ���=���32) or 2D VR instructional video (2D VR video group; ���=���32), including essential knowledge and competency of H&P. The demographic characteristics of the two groups were comparable for age, sex, and cognitive style. The total procedure skill score, physical examination score, learner's satisfaction score, and total cognitive load in the 360�� VR video group were significantly higher than those in the 2D VR video group (effect sizes [95% confidence interval]: 0.72 [0.21-1.22], 0.63 [0.12-1.13], 0.56 [0.06-1.06], and 0.53 [0.03-1.03], respectively). This study suggested that a10-minute 360�� VR video instruction helped undergraduate medical students perform fundamental H&P skills as effectively as 2D VR video. Furthermore, the 360�� VR video might result in significantly better procedural metrics of physical examinations with higher learner satisfaction despite the higher cognitive load. Supplementary Information: The online version contains supplementary material available at 10.1007/s10055-022-00664-0.
