Two-on-one versus one-on-one virtual reality training for hip fracture surgery skills
Dyad Versus Single Instruction for Simulation-based Training in Proximal Femoral Fracture Osteosynthesis: a Non-inferiority Randomized Controlled Trial
This project will test whether two junior doctors sharing one instructor in virtual reality hip-fracture simulation teach first- and second-year orthopedic doctors as well as traditional one-on-one instruction.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 62 (estimated) |
| Sex | All |
| Sponsor | Copenhagen Academy for Medical Education and Simulation Academic / other |
| Locations | 1 site (Copenhagen) |
| Trial ID | NCT06612619 on ClinicalTrials.gov |
What this trial studies
This trial compares dyad (two-on-one) instruction to one-on-one instruction using a virtual reality simulator for proximal femoral fracture osteosynthesis. Junior orthopedic doctors (PGY1-2) complete mastery-standard simulation training and their technical performance and learning curves are followed over a four-month period. Participants who do not achieve predefined mastery within the follow-up window are noted as not meeting the endpoint. The trial aims to determine whether dyad training can preserve skill acquisition while reducing instructor time.
Who should consider this trial
Good fit: Ideal participants are first- or second-year orthopedic residents who have performed fewer than ten proximal femoral fracture osteosyntheses as the primary surgeon and can attend in-person simulation sessions.
Not a fit: Surgeons with substantial prior operative experience in hip fracture fixation (more than ten primary-surgeon cases), those unable to attend sessions in Copenhagen, or those who fail to reach mastery within four months are unlikely to benefit.
Why it matters
Potential benefit: If successful, the approach could allow training programs to teach more junior surgeons with fewer instructors, speeding skill acquisition and potentially improving patient safety.
How similar studies have performed: Virtual reality simulation and mastery-based orthopedic training have previously improved technical skills, and dyad learning has shown promise in other procedural training contexts though it is less studied specifically for hip fracture osteosynthesis.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * PGY 1 and 2 doctors working in an orthopeadic department Exclusion Criteria: * More than 10 osteosynthesis of proximal femoral fractures performed as the primary surgeon. * Failure to achieve mastery within the 4-month follow-up window.s
Where this trial is running
Copenhagen
- Copenhagen Academy for Medical Education and Simulation — Copenhagen, Denmark (Recruiting)
Study contacts
- Study coordinator: Amandus Gustafsson, MD, PhD
- Email: amandus.gustafsson.02@regionh.dk
- Phone: 4526792011
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.