Original Article

Real Time, Remote, and Recorded: Medical Student Experiences with Smart Glasses in Obstetrical Simulation

Authors: Aparna Sridhar, MD, MPH, Julia Burrows, MD, Catherine Nameth, PhD, Yue Ming Huang, EdD, MHS

Abstract

Objectives: The coronavirus disease 2019 pandemic generated the need for a teaching tool for enhancing remote education and evaluation of medical trainees. Smart glasses are being explored as a hands-free teaching tool for teleconferencing with hands-on demonstrations in addition to livestreaming capability. We wanted to understand the efficacy of such virtual teaching techniques in teaching procedural and surgical skills.

Methods: Medical students in their Obstetrics and Gynecology clerkship at our medical school were recruited to participate in a virtual demonstration of normal vaginal delivery. A birthing simulator and smart glasses were used to livestream the simulated delivery, and a previously published checklist was used to show the steps for conducting routine vaginal delivery. A follow-up electronic survey assessed the clarity of the video and audio feed, level of satisfaction, positive and constructive feedback, and an error-identification exercise with a smart glass−recorded video.

Results: A total of 62 students participated; 98% of them reported that the audio and video feeds were clear and 95% of the students reported being extremely satisfied or satisfied with the teaching tool. Students could identify on average three out of four errors. Students believed the streaming to be “interactive” and a “most effective remote learning” tool, but expressed that it did not “take the place of clinical skills learning.”

Conclusions: The combination of smart glass technology and simulation can be a useful new tool for clinical faculty who simultaneously deliver care to patients and teach. Continued research is needed to explore the use of smart glass technology into livestreaming or surgeries and examinations, with consideration for patient privacy concerns and remote assessment of students.
Posted in: Obstetrics and Gynecology77

This content is limited to qualifying members.

Existing members, please login first

If you have an existing account please login now to access this article or view purchase options.

Purchase only this article ($25)

Create a free account, then purchase this article to download or access it online for 24 hours.

Purchase an SMJ online subscription ($75)

Create a free account, then purchase a subscription to get complete access to all articles for a full year.

Purchase a membership plan (fees vary)

Premium members can access all articles plus recieve many more benefits. View all membership plans and benefit packages.

References

1. Rose S. Medical student education in the time of COVID-19. JAMA 2020;323:2131.
 
2. Kempner S, Zaidi N, Skinner B, et al. The effect of a shortened OB/GYN clerkship on student performance and perception of quality. Obstet Gynecol 2018;132:44S.
 
3. Cook DA, Hatala R, Brydges R, et al. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. JAMA 2011;306:978-988.
 
4. Bhutta SZ, Yasmin H. Comparative effectiveness of teaching obstetrics and gynaecological procedural skills on patients versus models: a randomized trial. Pak J Med Sci 2018;34:794-798.
 
5. Carrera JF, Wang CC, Clark W, et al. A systematic review of the use of Google Glass in graduate medical education. J Grad Med Educ 2019;11: 637-648.
 
6. Nitsche JF, Butler TR, Shew AW, et al. Optimizing the amount of simulation training used to teach vaginal delivery skills to medical students. Int J Gynecol Obstet 2018;140:123-127.
 
7. Association of American Medical Colleges. Graduation questionnaire (GQ). https://www.aamc.org/data-reports/students-residents/report/graduation-questionnaire-gq. Accessed April 12, 2021.
 
8. Craig LB, Buery-Joyner SD, Bliss S, et al. To the point: gender differences in the obstetrics and gynecology clerkship. Am J Obstet Gynecol 2018;219:430-435.
 
9. Kirkpatrick DL. Evaluating Training Programs: The Four Levels. San Francisco: Berrett-Koehler; 1994.
 
10. Tehrani R. Vuzix AR glasses help hospital doctors deal with Covid-19. https://www.pandemictechnews.com/2020/05/08/vuzix-ar-glasses-help-hospital-doctors-deal-with-covid-19/. Published May 8, 2020. Accessed September 7, 2021.