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Simulation is resource heavy in terms of time, space, equipment, and faculty, with limitations on the number of people you can deliver each session to During the COVID-19 pandemic, social distancing makes face to face simulation more challenging After working with a local healthcare VR team through a return to training project,1 we explored benefits and acceptability of remotely debriefing 360° videos of simulated paediatric emergencies Remote debrief has been used successfully in the past to train teams2 and faculty 3However, it’s use in the context of 360 content is still novel The theory being that because the participant is an ‘active observer’ this would bring a more immersive experience Using 360° content filmed at RD&E hospitals, we ran remote virtual simulation sessions over MS Teams video conferencing platform in local and regional paediatric teaching sessions We asked the learners to watch a scenario (eg;https://youtu be/KpQl0VUfERI), from which we guided them to interact with the video, directing their view in the 360° media to whatever interested them This was followed with a debrief following a standard structure We then collected feedback on its acceptability & similarity to face to face simulation Summary of ResultsApril 2020 – July 2020 6 Sessions at least 66 learners, 38 gave feedback 4 different 360 scenarios used Used for local, regional (South-West) and international (Wales) teaching Levels ranged from medical students to Paediatric consultants Most Common device used: computers or smartphone Location accessed: Work and Home Feedback was globally positive 100% ‘would use it again’, average rating of 8 3/10 (10= Loved it, 1=Hated) Feedback was rich and promising:‘more life-like than expected’‘safer than real sim as I didn’t feel judged’‘360 element meant you had a different perspective’ N B We had more senior grade learners than our usual simulation sessions – this directed debriefs towards the non-technical learning which was discussed more than the medical learning Additional positives include;- easy accessibility for anyone to view 360 video (no need beyond normal consumer technology)- no need for additional faculty- relatively quick and engaging to run remotely The experiences have established ‘best practises’ for this modality ConclusionWe recommend remote 360 sim with debrief as a fantastic adjunct to standard simulation The modality is well received and a safe method of providing people with an experience of emergency scenarios which is improved though debrief ReferencesMason T G627(P) Is virtual resus training the future? Can 360 degree ‘immersive video’ engage paediatric trainees safely in life support training? – A project as part of the south west return to paediatric training course (SWRPT) Archives of Disease in Childhood 2019;104:A254 Meaklim A Remote debriefing - A new paradigm for low resource and rural hospitals? 2016;31:59–62 Gross IT, Whitfill T, Auzina L, et al Telementoring for remote simulation instructor training and faculty development using telesimulation BMJ Simulation and Technology Enhanced LearningPublished Online First: 18 May 2020 doi: 10 1136/bmjstel-2019-000512
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