Use of GoPro point-of-view camera in intubation simulation-A randomized controlled trial
Teaching endotracheal intubation is uniquely challenging due to its technical, high-stakes, and highly time-sensitive nature. The GoPro is a small, lightweight, high-resolution action camera with a wide-angle field of view that can encompass both the airway as well as the procedurist's hands an...
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| creator | Koh, Wenjun Khoo, Deborah Pan, Ling Te Terry Lean, Lyn Li Loh, May-Han Chua, Tze Yuh Vanessa Ti, Lian Kah |
| description | Teaching endotracheal intubation is uniquely challenging due to its technical, high-stakes, and highly time-sensitive nature. The GoPro is a small, lightweight, high-resolution action camera with a wide-angle field of view that can encompass both the airway as well as the procedurist's hands and positioning technique when worn with a head mount. We aimed to evaluate its effectiveness in improving intubation teaching for novice learners in a simulated setting, via a two-arm, parallel group, randomized controlled superiority trial with 1:1 allocation ratio.
We recruited Year 4 medical students at the start of their compulsory 2-week Anesthesia posting. Participants underwent a standardized intubation curriculum and a formative assessment, then randomized to receive GoPro or non-GoPro led feedback. After a span of three months, participants were re-assessed in a summative assessment by blinded accessors. Participants were also surveyed on their learning experience for a qualitative thematic perspective. The primary outcomes were successful intubation and successful first-pass intubation.
Seventy-one participants were recruited with no dropouts, and all were included in the analysis. 36 participants received GoPro led feedback, and 35 participants received non-GoPro led feedback. All participants successfully intubated the manikin. No statistically significant differences were found between the GoPro group and the non-GoPro group at summative assessment (85.3% vs 90.0%, p = 0.572). Almost all participants surveyed found the GoPro effective for their learning (98.5%). Common themes in the qualitative analysis were: the ability for an improved assessment, greater identification of small details that would otherwise be missed, and usefulness of the unique point-of-view footage in improving understanding.
The GoPro is a promising tool for simulation-based intubation teaching. There are considerations in its implementation to maximize the learning experience and yield from GoPro led feedback and training. |
| doi_str_mv | 10.1371/journal.pone.0243217 |
| format | Article |
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We recruited Year 4 medical students at the start of their compulsory 2-week Anesthesia posting. Participants underwent a standardized intubation curriculum and a formative assessment, then randomized to receive GoPro or non-GoPro led feedback. After a span of three months, participants were re-assessed in a summative assessment by blinded accessors. Participants were also surveyed on their learning experience for a qualitative thematic perspective. The primary outcomes were successful intubation and successful first-pass intubation.
Seventy-one participants were recruited with no dropouts, and all were included in the analysis. 36 participants received GoPro led feedback, and 35 participants received non-GoPro led feedback. All participants successfully intubated the manikin. No statistically significant differences were found between the GoPro group and the non-GoPro group at summative assessment (85.3% vs 90.0%, p = 0.572). Almost all participants surveyed found the GoPro effective for their learning (98.5%). Common themes in the qualitative analysis were: the ability for an improved assessment, greater identification of small details that would otherwise be missed, and usefulness of the unique point-of-view footage in improving understanding.
The GoPro is a promising tool for simulation-based intubation teaching. There are considerations in its implementation to maximize the learning experience and yield from GoPro led feedback and training.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0243217</identifier><identifier>PMID: 33259536</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Airway management ; Anesthesia ; Anesthesiology - education ; Biology and Life Sciences ; Cameras ; Clinical Competence ; Computer Simulation ; Computer-Assisted Instruction - methods ; Coronaviruses ; COVID-19 ; Curricula ; Curriculum ; Education, Medical, Undergraduate - methods ; Engineering and Technology ; Equipment and supplies ; Feedback ; Female ; Field of view ; Humans ; Intratracheal intubation ; Intubation ; Intubation, Intratracheal - methods ; Learning ; Male ; Medical cameras ; Medical students ; Medicine ; Medicine and Health Sciences ; Methods ; Patient simulation ; Performance evaluation ; Photography - instrumentation ; Problem-Based Learning - methods ; Qualitative analysis ; Research and Analysis Methods ; Simulation ; Singapore ; Social Sciences ; Statistical analysis ; Students, Medical ; Training ; Tutoring ; Young Adult</subject><ispartof>PloS one, 2020-12, Vol.15 (12), p.e0243217-e0243217</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Koh et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 Koh et al 2020 Koh et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c585t-f6fa19fee039c09a7771ac97fd5d3ea05adcb549b84240d0d6edf4bc010a728b3</citedby><cites>FETCH-LOGICAL-c585t-f6fa19fee039c09a7771ac97fd5d3ea05adcb549b84240d0d6edf4bc010a728b3</cites><orcidid>0000-0001-6689-7461 ; 0000-0003-2080-034X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7707475/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7707475/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79569,79570</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33259536$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Koh, Wenjun</creatorcontrib><creatorcontrib>Khoo, Deborah</creatorcontrib><creatorcontrib>Pan, Ling Te Terry</creatorcontrib><creatorcontrib>Lean, Lyn Li</creatorcontrib><creatorcontrib>Loh, May-Han</creatorcontrib><creatorcontrib>Chua, Tze Yuh Vanessa</creatorcontrib><creatorcontrib>Ti, Lian Kah</creatorcontrib><title>Use of GoPro point-of-view camera in intubation simulation-A randomized controlled trial</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Teaching endotracheal intubation is uniquely challenging due to its technical, high-stakes, and highly time-sensitive nature. The GoPro is a small, lightweight, high-resolution action camera with a wide-angle field of view that can encompass both the airway as well as the procedurist's hands and positioning technique when worn with a head mount. We aimed to evaluate its effectiveness in improving intubation teaching for novice learners in a simulated setting, via a two-arm, parallel group, randomized controlled superiority trial with 1:1 allocation ratio.
We recruited Year 4 medical students at the start of their compulsory 2-week Anesthesia posting. Participants underwent a standardized intubation curriculum and a formative assessment, then randomized to receive GoPro or non-GoPro led feedback. After a span of three months, participants were re-assessed in a summative assessment by blinded accessors. Participants were also surveyed on their learning experience for a qualitative thematic perspective. The primary outcomes were successful intubation and successful first-pass intubation.
Seventy-one participants were recruited with no dropouts, and all were included in the analysis. 36 participants received GoPro led feedback, and 35 participants received non-GoPro led feedback. All participants successfully intubated the manikin. No statistically significant differences were found between the GoPro group and the non-GoPro group at summative assessment (85.3% vs 90.0%, p = 0.572). Almost all participants surveyed found the GoPro effective for their learning (98.5%). Common themes in the qualitative analysis were: the ability for an improved assessment, greater identification of small details that would otherwise be missed, and usefulness of the unique point-of-view footage in improving understanding.
The GoPro is a promising tool for simulation-based intubation teaching. There are considerations in its implementation to maximize the learning experience and yield from GoPro led feedback and training.</description><subject>Airway management</subject><subject>Anesthesia</subject><subject>Anesthesiology - education</subject><subject>Biology and Life Sciences</subject><subject>Cameras</subject><subject>Clinical Competence</subject><subject>Computer Simulation</subject><subject>Computer-Assisted Instruction - methods</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Curricula</subject><subject>Curriculum</subject><subject>Education, Medical, Undergraduate - methods</subject><subject>Engineering and Technology</subject><subject>Equipment and supplies</subject><subject>Feedback</subject><subject>Female</subject><subject>Field of view</subject><subject>Humans</subject><subject>Intratracheal intubation</subject><subject>Intubation</subject><subject>Intubation, Intratracheal - methods</subject><subject>Learning</subject><subject>Male</subject><subject>Medical cameras</subject><subject>Medical students</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Methods</subject><subject>Patient simulation</subject><subject>Performance evaluation</subject><subject>Photography - instrumentation</subject><subject>Problem-Based Learning - methods</subject><subject>Qualitative analysis</subject><subject>Research and Analysis Methods</subject><subject>Simulation</subject><subject>Singapore</subject><subject>Social Sciences</subject><subject>Statistical analysis</subject><subject>Students, Medical</subject><subject>Training</subject><subject>Tutoring</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNptkl1rFDEUhgdRbK3-A9EBQbyZNV-TTG4KS6m1UNALC96FM_nYzZKZrMlMRX99Z7vTsitCIIfkyXvOe3KK4i1GC0wF_ryJY-ohLLaxtwtEGCVYPCtOsaSk4gTR5wfxSfEq5w1CNW04f1mcUEpqWVN-Wvy8zbaMrryK31Mst9H3QxVddeft71JDZxOUvp_WMLYw-NiX2XdjeAirZZmgN7Hzf60pdeyHFEOYwiF5CK-LFw5Ctm_m_ay4_XL54-JrdfPt6vpieVPpuqmHynEHWDprEZUaSRBCYNBSOFMbagHVYHRbM9k2jDBkkOHWONZqhBEI0rT0rHi_192GmNXclKwI4xwRjASfiOs9YSJs1Db5DtIfFcGrh4OYVgrS4HWwihPTUtPi1mHGhMYSOEVON9TWBOsWT1rnc7ax7azRdjIN4Uj0-Kb3a7WKd0oIJJioJ4FPs0CKv0abB9X5rG0I0Ns47usmkki6y_XhH_T_7mZqBZMB37s45dU7UbXkjDJCuGwm6uMBtbYQhnWOYdz9Yz4G2R7UKeacrHvyhpHazd1jEWo3d2qeu-nZu8O-PD16HDR6D38T1aA</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Koh, Wenjun</creator><creator>Khoo, Deborah</creator><creator>Pan, Ling Te Terry</creator><creator>Lean, Lyn Li</creator><creator>Loh, May-Han</creator><creator>Chua, Tze Yuh Vanessa</creator><creator>Ti, Lian Kah</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>COVID</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PIMPY</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-6689-7461</orcidid><orcidid>https://orcid.org/0000-0003-2080-034X</orcidid></search><sort><creationdate>20201201</creationdate><title>Use of GoPro point-of-view camera in intubation simulation-A randomized controlled trial</title><author>Koh, Wenjun ; Khoo, Deborah ; Pan, Ling Te Terry ; Lean, Lyn Li ; Loh, May-Han ; Chua, Tze Yuh Vanessa ; Ti, Lian Kah</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c585t-f6fa19fee039c09a7771ac97fd5d3ea05adcb549b84240d0d6edf4bc010a728b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Airway management</topic><topic>Anesthesia</topic><topic>Anesthesiology - 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The GoPro is a small, lightweight, high-resolution action camera with a wide-angle field of view that can encompass both the airway as well as the procedurist's hands and positioning technique when worn with a head mount. We aimed to evaluate its effectiveness in improving intubation teaching for novice learners in a simulated setting, via a two-arm, parallel group, randomized controlled superiority trial with 1:1 allocation ratio.
We recruited Year 4 medical students at the start of their compulsory 2-week Anesthesia posting. Participants underwent a standardized intubation curriculum and a formative assessment, then randomized to receive GoPro or non-GoPro led feedback. After a span of three months, participants were re-assessed in a summative assessment by blinded accessors. Participants were also surveyed on their learning experience for a qualitative thematic perspective. The primary outcomes were successful intubation and successful first-pass intubation.
Seventy-one participants were recruited with no dropouts, and all were included in the analysis. 36 participants received GoPro led feedback, and 35 participants received non-GoPro led feedback. All participants successfully intubated the manikin. No statistically significant differences were found between the GoPro group and the non-GoPro group at summative assessment (85.3% vs 90.0%, p = 0.572). Almost all participants surveyed found the GoPro effective for their learning (98.5%). Common themes in the qualitative analysis were: the ability for an improved assessment, greater identification of small details that would otherwise be missed, and usefulness of the unique point-of-view footage in improving understanding.
The GoPro is a promising tool for simulation-based intubation teaching. There are considerations in its implementation to maximize the learning experience and yield from GoPro led feedback and training.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33259536</pmid><doi>10.1371/journal.pone.0243217</doi><orcidid>https://orcid.org/0000-0001-6689-7461</orcidid><orcidid>https://orcid.org/0000-0003-2080-034X</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2020-12, Vol.15 (12), p.e0243217-e0243217 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2466021076 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Airway management Anesthesia Anesthesiology - education Biology and Life Sciences Cameras Clinical Competence Computer Simulation Computer-Assisted Instruction - methods Coronaviruses COVID-19 Curricula Curriculum Education, Medical, Undergraduate - methods Engineering and Technology Equipment and supplies Feedback Female Field of view Humans Intratracheal intubation Intubation Intubation, Intratracheal - methods Learning Male Medical cameras Medical students Medicine Medicine and Health Sciences Methods Patient simulation Performance evaluation Photography - instrumentation Problem-Based Learning - methods Qualitative analysis Research and Analysis Methods Simulation Singapore Social Sciences Statistical analysis Students, Medical Training Tutoring Young Adult |
| title | Use of GoPro point-of-view camera in intubation simulation-A randomized controlled trial |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-19T20%3A58%3A26IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Use%20of%20GoPro%20point-of-view%20camera%20in%20intubation%20simulation-A%20randomized%20controlled%20trial&rft.jtitle=PloS%20one&rft.au=Koh,%20Wenjun&rft.date=2020-12-01&rft.volume=15&rft.issue=12&rft.spage=e0243217&rft.epage=e0243217&rft.pages=e0243217-e0243217&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0243217&rft_dat=%3Cgale_plos_%3EA643422698%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2466021076&rft_id=info:pmid/33259536&rft_galeid=A643422698&rft_doaj_id=oai_doaj_org_article_62db3db1bf1447c19a630fc83e521cb1&rfr_iscdi=true |