Novice learners' perspectives on obstetric airway crisis decision-making training using virtual reality simulation

Background: Current training on managing an obstetric difficult airway crisis is likely inadequate, as real -life opportunities to practice are rare. Frequent simulation training sessions could be helpful but are resource intensive. Virtual reality (VR) simulation training may be a potential tool to complement existing simulation curricula. Methods: In this pilot qualitative study, a VR simulation scenario of an obstetric airway crisis was designed to test the decision -making of novice learners rotating through obstetric anesthesia training. Individual interviews were conducted pre-VR to assess learning needs and post-VR to assess perspectives on utilizing the VR teaching tool. The interviews were transcribed and thematically analyzed. Results: Twenty-one residents were recruited and participated in the study. Analysis of pre-VR interviews identified three major themes, including gaps in the current curriculum, lack of confidence in managing obstetric difficult airway crises, and recognition that simulation is resource intensive. Post-VR interview themes revealed that VR could be helpful in learning decision -making under stress. Suggested improvements included better video and audio quality, and adding haptic feedback and potential multiplayer features in the future. Conclusion: We identified the advantages of VR simulation and its potential as an intervention to address gaps in our curriculum. Areas of improvement were identified for more effective future implementation.