Digitised remote delivery of simulation in psychiatry during the pandemic and for the future

Abstract

IntroductionSurrey and Borders NHS Foundation Trust’s AVATr (Augmented Virtual-reality Avatar in Training) is a unique ground-breaking Virtual Patient simulation system, which uses the Xenodu platform to train learners in essential clinical and complex communication skills. Over 30 patient scenarios have been developed after identifying learner-specific development needs, including exploration of overt psychosis, assessment of capacity, sharing bad news, and neglect in care home residents.During the session, the trainee is projected on to a large screen, using a camera and video special effects, which results in a life-like interaction with the Virtual Patient. Trainees can view themselves interacting with the Virtual Patient in real-time, from a unique ’out-of-body’ perspective, immersed in a customdesigned interactive virtual environment. This is different to a first-person perspective used in virtual or augmented-reality systems in several clinical specialties. During the COVID-19 pandemic, we evolved the AVATr model to remote or hybrid sessions, where simulations were digitally enhanced, and have been run through Microsoft Teams. The simulation facilitator is connected to a multi-user video call, enabling the Virtual Patient to be projected as an attendee using Microsoft Teams.ObjectivesTo evaluate the feedback from Doctors in training taking part on the education sessions.MethodsWe collected qualitiative and quanttaive infromation from participants after the teaching session.ResultsWe received strongly positive reults in all parameters measured. the presenters will show a detailed breakdoen in the session.ConclusionsThe digitalised delivery of the virtual patient simulation, has been pivotal in limiting interruptions to communication skills training in mental health.DisclosureThe NHS trust has co produced the simulation platform with a private software firm Xenadu Virtual Environments