A pilot study to integrate an immersive virtual patient with a breast complaint and breast examination simulator into a surgery clerkship

BACKGROUND: We aimed to determine if an immersive virtual patient (VP) with abreast complaint and a breast mannequin could prepare third-year medical students for history-taking (HT) and clinical breast examination (CBE) on a real patient. METHODS: After standardized instruction in breast HT and CBE, students (n=21) were randomized to either an interaction with a VP (experimental) or to no VP interaction (control) before seeing C a real patient with a breast complaint. Participants completed baseline and exit surveys to assess confidence regarding their HT and CBE skills. RESULTS: Students reported greater confidence in their HT (Delta value = 1.05 +/- 1.28, P<.05) and CBE skills (Delta value = 1.14 +/- .91, P<.05) and less anxiety when performing a CBE (Delta value = -.76 +/- 1.10, P<.05). The VP intervention group had a significantly higher mean HT confidence than the control group at the conclusion of the study (4.27 +/- .47 vs 3.50 +/- .71, respectively, P<.05). CONCLUSIONS: A single interaction with a VP with a breast complaint and breast mannequin improves student confidence in breast HT during a surgery clerkship. (C) 2009 Elsevier Inc. All rights reserved.