scholarly journals Eye tracking metrics and leader’s behavioral performance during a post-partum hemorrhage high-fidelity simulated scenario

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Emanuele Capogna ◽  
Giorgio Capogna ◽  
Denise Raccis ◽  
Francesco Salvi ◽  
Matteo Velardo ◽  
...  
Keyword(s):  
Eye Tracking ◽  
Team Performance ◽  
Postpartum Hemorrhage ◽  
Post Partum ◽  
Eye Contact ◽  
Assessment Process ◽  
High Fidelity ◽  
Eye Tracker ◽  
Sources Of Information ◽  
Areas Of Interest

Abstract Background The use of eye tracking in the simulated setting can help improve our understanding of what sources of information clinicians are using as they deliver routine patient care. The aim of this simulation study was to observe the differences, if any, between the eye tracking patterns of leaders who performed best in a simulated postpartum hemorrhage (PPH) high-fidelity scenario, in comparison with those who performed worst. Methods Forty anesthesia trainees from the University of Catania Medical School were divided into eight teams, to enact four times the same scenario of a patient with postpartum hemorrhage following vaginal delivery. Trainees who were assigned the leader’s role wore the eye tracking glasses during the scenario, and their behavioral skills were evaluated by two observers, who reviewed the video recordings of the scenarios using a standardized checklist. The leader’s eye tracking metrics, extracted from 27 selected areas of interest (AOI), were recorded by a Tobii Pro Glasses 50 Hz wearable wireless eye tracker. Team performance was evaluated using a PPH checklist. After completion of the study, the leaders were divided into two groups, based on the scores they had received (High-Performance Leader group, HPL, and Low-Performance Leader group, LPL). Results In the HPL group, the duration and number of fixations were greater, and the distribution of gaze was uniformly distributed among the various members of the team as compared with the LPL group (with the exception of the participant who performed the role of the obstetrician). The HPL group also looked both at the patient’s face and established eye contact with their team members more often and for longer (P < .05). The team performance (PPH checklist) score was greater in the HPL group (P < .001). The LPL group had more and/or longer fixations of technical areas of interest (P < .05). Conclusions Our findings suggest that the leaders who perform the best distribute their gaze across all members of their team and establish direct eye contact. They also look longer at the patient’s face and dwell less on areas that are more relevant to technical skills. In addition, the teams led by these best performing leaders fulfilled their clinical task better. The information provided by the eye behaviors of “better-performing physicians” may lay the foundation for the future development of both the assessment process and the educational tools used in simulation. Trial Registration Clinical.Trial.Gov ID n. NCT04395963.

The Use of Eye Tracking to Discern the Threshold at Which Metopic Orbitofrontal Deformity Attracts Attention

2020 ◽  
Vol 57 (12) ◽  
pp. 1392-1401
Author(s):  
Mark P. Pressler ◽  
Emily L. Geisler ◽  
Rami R. Hallac ◽  
James R. Seaward ◽  
Alex A. Kane
Keyword(s):  
Surgical Treatment ◽  
Graduate Students ◽  
Eye Tracking ◽  
Dwell Time ◽  
Surgical Intervention ◽  
Three Dimensional ◽  
Average Dwell Time ◽  
Eye Tracker ◽  
Gaze Patterns ◽  
Areas Of Interest

Introduction and Objectives: Surgical treatment for trigonocephaly aims to eliminate a stigmatizing deformity, yet the severity that captures unwanted attention is unknown. Surgeons intervene at different points of severity, eliciting controversy. This study used eye tracking to investigate when deformity is perceived. Material and Methods: Three-dimensional photogrammetric images of a normal child and a child with trigonocephaly were mathematically deformed, in 10% increments, to create a spectrum of 11 images. These images were shown to participants using an eye tracker. Participants’ gaze patterns were analyzed, and participants were asked if each image looked “normal” or “abnormal.” Results: Sixty-six graduate students were recruited. Average dwell time toward pathologic areas of interest (AOIs) increased proportionally, from 0.77 ± 0.33 seconds at 0% deformity to 1.08 ± 0.75 seconds at 100% deformity ( P < .0001). A majority of participants did not agree an image looked “abnormal” until 90% deformity from any angle. Conclusion: Eye tracking can be used as a proxy for attention threshold toward orbitofrontal deformity. The amount of attention toward orbitofrontal AOIs increased proportionally with severity. Participants did not generally agree there was “abnormality” until deformity was severe. This study supports the assertion that surgical intervention may be best reserved for more severe deformity.

scholarly journals Use of Eye-Tracking Technology by Medical Students Taking the Objective Structured Clinical Examination: Descriptive Study

10.2196/17719 ◽  
2020 ◽  
Vol 22 (8) ◽  
pp. e17719
Author(s):  
M D Grima-Murcia ◽  
Francisco Sanchez-Ferrer ◽  
Jose Manuel Ramos-Rincón ◽  
Eduardo Fernández
Keyword(s):  
Medical Students ◽  
Eye Tracking ◽  
Clinical Examination ◽  
Objective Evaluation ◽  
Objective Structured Clinical Examination ◽  
Eye Tracker ◽  
Clinical Competencies ◽  
Self Evaluation ◽  
Areas Of Interest ◽  
Tracking Technology

Background The objective structured clinical examination (OSCE) is a test used throughout Spain to evaluate the clinical competencies, decision making, problem solving, and other skills of sixth-year medical students. Objective The main goal of this study is to explore the possible applications and utility of portable eye-tracking systems in the setting of the OSCE, particularly questions associated with attention and engagement. Methods We used a portable Tobii Glasses 2 eye tracker, which allows real-time monitoring of where the students were looking and records the voice and ambient sounds. We then performed a qualitative and a quantitative analysis of the fields of vision and gaze points attracting attention as well as the visual itinerary. Results Eye-tracking technology was used in the OSCE with no major issues. This portable system was of the greatest value in the patient simulators and mannequin stations, where interaction with the simulated patient or areas of interest in the mannequin can be quantified. This technology proved useful to better identify the areas of interest in the medical images provided. Conclusions Portable eye trackers offer the opportunity to improve the objective evaluation of candidates and the self-evaluation of the stations used as well as medical simulations by examiners. We suggest that this technology has enough resolution to identify where a student is looking at and could be useful for developing new approaches for evaluating specific aspects of clinical competencies.

scholarly journals Computer-generated facial areas of interest in eye tracking research: A simulation study

2021 ◽  
Author(s):  
Antonia Vehlen ◽  
William Standard ◽  
Gregor Domes
Keyword(s):  
Eye Tracking ◽  
Voronoi Tessellation ◽  
Data Accuracy ◽  
Type I ◽  
Type Ii ◽  
Eye Tracker ◽  
Type I Errors ◽  
Areas Of Interest ◽  
Type Ii Errors ◽  
The Impact

Advances in eye tracking technology have enabled the development of interactive experimental setups to study social attention. Since these setups differ substantially from the eye tracker manufacturer’s test conditions, validation is essential with regard to data quality and other factors potentially threatening data validity. In this study, we evaluated the impact of data accuracy and areas of interest (AOIs) size on the classification of simulated gaze data. We defined AOIs of different sizes using the Limited-Radius Voronoi-Tessellation (LRVT) method, and simulated gaze data for facial target points with varying data accuracy. As hypothesized, we found that data accuracy and AOI size had strong effects on gaze classification. In addition, these effects were not independent and differed for falsely classified gaze inside AOIs (Type I errors) and falsely classified gaze outside the predefined AOIs (Type II errors). The results indicate that smaller AOIs generally minimize false classifications as long as data accuracy is good enough. For studies with lower data accuracy, Type II errors can still be compensated to some extent by using larger AOIs, but at the cost of an increased probability of Type I errors. Proper estimation of data accuracy is therefore essential for making informed decisions regarding the size of AOIs.

scholarly journals Use of Eye-Tracking Technology by Medical Students Taking the Objective Structured Clinical Examination: Descriptive Study (Preprint)

2020 ◽  
Author(s):  
M D Grima-Murcia ◽  
Francisco Sanchez-Ferrer ◽  
Jose Manuel Ramos-Rincón ◽  
Eduardo Fernández
Keyword(s):  
Medical Students ◽  
Eye Tracking ◽  
Clinical Examination ◽  
Objective Evaluation ◽  
Objective Structured Clinical Examination ◽  
Eye Tracker ◽  
Clinical Competencies ◽  
Self Evaluation ◽  
Areas Of Interest ◽  
Tracking Technology

BACKGROUND The objective structured clinical examination (OSCE) is a test used throughout Spain to evaluate the clinical competencies, decision making, problem solving, and other skills of sixth-year medical students. OBJECTIVE The main goal of this study is to explore the possible applications and utility of portable eye-tracking systems in the setting of the OSCE, particularly questions associated with attention and engagement. METHODS We used a portable Tobii Glasses 2 eye tracker, which allows real-time monitoring of where the students were looking and records the voice and ambient sounds. We then performed a qualitative and a quantitative analysis of the fields of vision and gaze points attracting attention as well as the visual itinerary. RESULTS Eye-tracking technology was used in the OSCE with no major issues. This portable system was of the greatest value in the patient simulators and mannequin stations, where interaction with the simulated patient or areas of interest in the mannequin can be quantified. This technology proved useful to better identify the areas of interest in the medical images provided. CONCLUSIONS Portable eye trackers offer the opportunity to improve the objective evaluation of candidates and the self-evaluation of the stations used as well as medical simulations by examiners. We suggest that this technology has enough resolution to identify where a student is looking at and could be useful for developing new approaches for evaluating specific aspects of clinical competencies.

scholarly journals EVALUATION OF COLOR SETTINGS IN AERIAL IMAGES WITH THE USE OF EYE-TRACKING USER STUDY

2016 ◽  
Vol XLI-B3 ◽  
pp. 763-767
Author(s):  
J. Mirijovsky ◽  
S. Popelka
Keyword(s):  
Eye Tracking ◽  
User Study ◽  
Aerial Images ◽  
Eye Tracker ◽  
Lighting Conditions ◽  
Graphic Editor ◽  
Real Value ◽  
Crop Area ◽  
Different Color ◽  
Areas Of Interest

The main aim of presented paper is to find the most realistic and preferred color settings for four different types of surfaces on the aerial images. This will be achieved through user study with the use of eye-movement recording. Aerial images taken by the unmanned aerial system were used as stimuli. From each image, squared crop area containing one of the studied types of surfaces (asphalt, concrete, water, soil, and grass) was selected. For each type of surface, the real value of reflectance was found with the use of precise spectroradiometer ASD HandHeld 2 which measures the reflectance. The device was used at the same time as aerial images were captured, so lighting conditions and state of vegetation were equal. The spectral resolution of the ASD device is better than 3.0 nm. For defining the RGB values of selected type of surface, the spectral reflectance values recorded by the device were merged into wider groups. Finally, we get three groups corresponding to RGB color system. Captured images were edited with the graphic editor Photoshop CS6. Contrast, clarity, and brightness were edited for all surface types on images. Finally, we get a set of 12 images of the same area with different color settings. These images were put into the grid and used as stimuli for the eye-tracking experiment. Eye-tracking is one of the methods of usability studies and it is considered as relatively objective. Eye-tracker SMI RED 250 with the sampling frequency 250 Hz was used in the study. As respondents, a group of 24 students of Geoinformatics and Geography was used. Their task was to select which image in the grid has the best color settings. The next task was to select which color settings they prefer. Respondents’ answers were evaluated and the most realistic and most preferable color settings were found. The advantage of the eye-tracking evaluation was that also the process of the selection of the answers was analyzed. Areas of Interest were marked around each image in the grid and the sequences of gaze movements were analyzed. Sequence chart was used for visualization and eye-tracking metrics were statistically tested. The presented paper shows the differences in the perception and preferences of aerial images with different color settings.

scholarly journals Emotional Expression Processing and Depressive Symptomatology: Eye-Tracking Reveals Differential Importance of Lower and Middle Facial Areas of Interest

2020 ◽  
Vol 2020 ◽  
pp. 1-7 ◽  
Author(s):  
Laurie Hunter ◽  
Laralin Roland ◽  
Ayesha Ferozpuri
Keyword(s):  
Depressive Symptoms ◽  
Eye Tracking ◽  
Depressive Symptomatology ◽  
Emotional Expressions ◽  
Eye Tracker ◽  
Area Of Interest ◽  
Visit Duration ◽  
The Face ◽  
Areas Of Interest ◽  
Expression Processing

The current study explored the eye-tracking patterns of individuals with nonclinical levels of depressive symptomatology when processing emotional expressions. Fifty-three college undergraduates were asked to label 80 facial expressions of five emotions (anger, fear, happiness, neutral, and sadness) while an eye-tracker measured visit duration. We argue visit duration provides more detailed information for evaluating which features of the face are used more often for processing emotional faces. Our findings indicated individuals with nonclinical levels of depressive symptomatology process emotional expressions very similarly to individuals with little to no depressive symptoms, with one noteworthy exception. In general, individuals in our study visited the “T” region, lower and middle AOIs (Area of Interest), more often than upper and noncore areas, but the distinction between the lower and middle AOIs appears for happiness only when individuals are higher in depressive symptoms.

scholarly journals EVALUATION OF COLOR SETTINGS IN AERIAL IMAGES WITH THE USE OF EYE-TRACKING USER STUDY

2016 ◽  
Vol XLI-B3 ◽  
pp. 763-767 ◽  
Author(s):  
J. Mirijovsky ◽  
S. Popelka
Keyword(s):  
Eye Tracking ◽  
User Study ◽  
Aerial Images ◽  
Eye Tracker ◽  
Lighting Conditions ◽  
Graphic Editor ◽  
Real Value ◽  
Crop Area ◽  
Different Color ◽  
Areas Of Interest

The main aim of presented paper is to find the most realistic and preferred color settings for four different types of surfaces on the aerial images. This will be achieved through user study with the use of eye-movement recording. Aerial images taken by the unmanned aerial system were used as stimuli. From each image, squared crop area containing one of the studied types of surfaces (asphalt, concrete, water, soil, and grass) was selected. For each type of surface, the real value of reflectance was found with the use of precise spectroradiometer ASD HandHeld 2 which measures the reflectance. The device was used at the same time as aerial images were captured, so lighting conditions and state of vegetation were equal. The spectral resolution of the ASD device is better than 3.0 nm. For defining the RGB values of selected type of surface, the spectral reflectance values recorded by the device were merged into wider groups. Finally, we get three groups corresponding to RGB color system. Captured images were edited with the graphic editor Photoshop CS6. Contrast, clarity, and brightness were edited for all surface types on images. Finally, we get a set of 12 images of the same area with different color settings. These images were put into the grid and used as stimuli for the eye-tracking experiment. Eye-tracking is one of the methods of usability studies and it is considered as relatively objective. Eye-tracker SMI RED 250 with the sampling frequency 250 Hz was used in the study. As respondents, a group of 24 students of Geoinformatics and Geography was used. Their task was to select which image in the grid has the best color settings. The next task was to select which color settings they prefer. Respondents’ answers were evaluated and the most realistic and most preferable color settings were found. The advantage of the eye-tracking evaluation was that also the process of the selection of the answers was analyzed. Areas of Interest were marked around each image in the grid and the sequences of gaze movements were analyzed. Sequence chart was used for visualization and eye-tracking metrics were statistically tested. The presented paper shows the differences in the perception and preferences of aerial images with different color settings.

scholarly journals GazeR: A Package for Processing Gaze Position and Pupil Size Data

2019 ◽  
Author(s):  
Jason Geller ◽  
Matthew Winn ◽  
Tristan Mahr ◽  
Daniel Mirman
Keyword(s):  
Eye Tracking ◽  
Pupil Size ◽  
Programming Environment ◽  
Eye Tracker ◽  
Vision Science ◽  
Position Data ◽  
Statistical Programming ◽  
Data Files ◽  
Areas Of Interest ◽  
Gaze Position

Eye-tracking is widely used throughout the scientific community, from vision science and psycholinguistics, to marketing and human-computer interaction. Surprisingly, there is little consistency and transparency in preprocessing steps, making replicability difficult. To increase replicability and transparency, a package in R (a free and widely used statistical programming environment) called gazeR was created to read in and preprocess two types of data from the SR EyeLink eye tracker: gaze position and pupil size. For gaze position data, gazeR has functions for: reading in raw eye-tracking data, formatting it for analysis, converting from gaze coordinates to areas of interest, and binning and aggregating data. For data from pupillometry studies, the gazeR package has functions for: reading in and merging multiple raw pupil data files, removing observations with too much missing data, eliminating artifacts, blink identification and interpolation, subtractive baseline correction, and binning and aggregating data. The package is open-source and freely available for download and installation: https://github.com/dmirman/gazer. We provide step

Supporting the Development of Clinical Reasoning of Preprofessional Novices in Dysphagia Management

2019 ◽  
Vol 40 (03) ◽  
pp. 151-161 ◽  
Author(s):  
Sebastian Doeltgen ◽  
Stacie Attrill ◽  
Joanne Murray
Keyword(s):  
Clinical Reasoning ◽  
Clinical Decision Making ◽  
Management Practice ◽  
Clinical Decision ◽  
Assessment Process ◽  
Evidence Based ◽  
Sources Of Information ◽  
Multiple Sources ◽  
Implicit Processing ◽  
Reasoning Skills

AbstractProficient clinical reasoning is a critical skill in high-quality, evidence-based management of swallowing impairment (dysphagia). Clinical reasoning in this area of practice is a cognitively complex process, as it requires synthesis of multiple sources of information that are generated during a thorough, evidence-based assessment process and which are moderated by the patient's individual situations, including their social and demographic circumstances, comorbidities, or other health concerns. A growing body of health and medical literature demonstrates that clinical reasoning skills develop with increasing exposure to clinical cases and that the approaches to clinical reasoning differ between novices and experts. It appears that it is not the amount of knowledge held, but the way it is used, that distinguishes a novice from an experienced clinician. In this article, we review the roles of explicit and implicit processing as well as illness scripts in clinical decision making across the continuum of medical expertise and discuss how they relate to the clinical management of swallowing impairment. We also reflect on how this literature may inform educational curricula that support SLP students in developing preclinical reasoning skills that facilitate their transition to early clinical practice. Specifically, we discuss the role of case-based curricula to assist students to develop a meta-cognitive awareness of the different approaches to clinical reasoning, their own capabilities and preferences, and how and when to apply these in dysphagia management practice.

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