Background Lumbar puncture (LP) is a commonly performed medical procedure in a wide range of indications. Virtual reality (VR) provides a stimulating, safe and efficient learning environment. We report the design and the evaluation of a three dimensions (3D) video for LP training. Methods We recorded a stereoscopic 180-degrees 3D video from two LPs performed in clinical settings in Fernand Widal Lariboisière University Hospital, Paris, France. The video was administered to third-year medical students as well as to a residents and attendings group during LP simulation-based training sessions. Results On 168 participants (108 novice third-year medical students, and 60 residents and attendings with prior LP experience), satisfaction after video exposure was high (rated 4.7 ± 0.6 on a 5-point scale). No significant discomfort was reported (comfort score graded 4.5 ± 0.8 on 5). LP-naive students displayed higher satisfaction and perceived benefit than users with prior LP experience (overall, P < 0.05). Trainees evaluated favorably the 3D feature and supported the development of similar tutorials for other medical procedures (respectively, 3.9 ± 1.1 and 4.4 ± 0.9 on 5). Conclusion We report our experience with a 3D video for LP training. VR support could increase knowledge retention and skill acquisition in association to LP simulation training.

Feedback from participants reported that they felt more prepared and equipped to deliver safer care after the PESSI. Based on feedback, the process was adapted to include drills concentrating on fine-tuning sections staff felt most challenging. This changed our perspective, realising that PESSI was useful for broad systems integration but finetuning drills were essential for staff preparedness.In line with social constructivism, many valued the video-link to observe the respective teams, shared learning and collaborate best practice into one unified process.The simulation faculty reflected on the debrief. In future an allocated chairperson will support the facilitator by observing the room to ensure inclusivity and engagement. Similarly, a timekeeper and notetaker will keep the group united and ensure we are encompassing all safety threats.Although effects on patient safety have not yet been evaluated, PESSI can be used in the ioMRI setting to detect and mitigate risky situations prior to patient involvement. Through feedback, our process has improved staff preparedness when using new equipment in transition to new hospital sites.Our hope is this template will be adopted for other novel procedures and processes in which children and adults pose different physiological, behavioural and logistical challenges.

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Background Lumbar puncture (LP) is a commonly performed medical procedure in a wide range of indications. Virtual reality (VR) provides a stimulating, safe and efficient learning environment. We report the design and the evaluation of a three dimensions (3D) video training for LP procedure.MethodsWe recorded a stereoscopic 180-degrees 3D video from two LPs performed in clinical setting in Fernand Widal Lariboisière University Hospital, Paris, France. Video was administrated to third-year medical students as well as to a residents and attendings group during LP simulation-based training sessions. ResultsOn 168 participants (108 novice third-year medical students, and 60 residents and attendings with prior LP experience), satisfaction after video exposure was high (rated 4.7 ± 0.6 on a 5-point scale). No significant discomfort was reported (comfort score graded 4.5 ± 0.8 on 5). LP-naive students displayed higher satisfaction and perceived benefit than participants with prior LP experience (overall, P < 0.05). Trainees evaluated favorably the 3D feature and supported the development of similar supports for other medical procedures (respectively, 3.9 ± 1.1 and 4.4 ± 0.9 on 5).ConclusionWe report our experience with a 3D video for LP training. VR support could increase knowledge retention and skills acquisition in association to LP simulation training.