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

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.

2020 ◽  
Author(s):  
M D Grima-Murcia ◽  
Francisco Sanchez-Ferrer ◽  
Jose Manuel Ramos-Rincón ◽  
Eduardo Fernández

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.


Author(s):  
Francisco Sánchez-Ferrer ◽  
J.M. Ramos-Rincón ◽  
M.D. Grima-Murcia ◽  
María Luisa Sánchez-Ferrer ◽  
Francisco Sánchez-del Campo ◽  
...  

2020 ◽  
Author(s):  
Mohammed Tahri Sqalli ◽  
Dena Al-Thani ◽  
Mohamed Badreldin Elshazly ◽  
‪Mohammed Al-Hijji

BACKGROUND It is common among healthcare practitioners that accurate interpretation of a 12-lead electrocardiogram demands high levels of skill and expertise. There is a variation amongst healthcare practitioners in their ability to read ECGs accurately and quickly. Moreover, guidelines or best-practices for a standard interpretation process are inexistant. This causes a chasm between skilled interpreters and medical students who are just beginning to develop this skill. OBJECTIVE This study aims to use the eye tracking methodology to research whether eye fixation can be used to gain a deeper understanding into how medical students acquire the ECG interpretation skill. METHODS Each one of the sixteen recruited medical students was asked to interpret ten different types of 12-lead ECGs, while their eye movements were recorded using a Tobii X60 eye tracker. The device uses corneal reflection technology to non-intrusively record the interpreter’s eye movements. The frequency of sampling is 60Hz. Fixations’ heatmaps of where medical students looked at were generated from the collected dataset. A statistical analysis was conducted on the fixations’ count and duration using the Mann Whitney U test, and the Kruskal Wallis test. RESULTS A total number of 16 medical students interpreting 10 ECGs each were recorded. Each interpretation lasted for a duration of 30 seconds. The mean accuracy of the interpretations was 55.63% with a standard deviation of 4.63 %. After analyzing the average fixation duration, we find that on average students study the three lower leads (rhythm strips) the most with a top-down approach (lead II has highest fixation time (mean = 2727 ms, SD = 456) followed by leads V1 (mean = 1476 fixations, SD = 320), V5 (mean = 1301 fixations, SD = 236). We also find a strong correlation between some of the eye tracking features like the time spent fixating and the fixation count (r = 0.87). Finally, by analyzing the time to the first fixation, we understand that medical students develop a personal system of interpretation that adapts and reacts to the nature and the complexity of the diagnosis. We also find that medical students consider some leads as their guiding point towards finding a hint leading to the correct interpretation. CONCLUSIONS The use of eye tracking methodology provided a more precise insight into how medical students learn how to interpret a 12-lead ECG. CLINICALTRIAL NA


2021 ◽  
pp. 1-11
Author(s):  
Keong Yap ◽  
Jade Sheen ◽  
Maja Nedeljkovic ◽  
Lisa Milne ◽  
Katherine Lawrence ◽  
...  

2020 ◽  
Vol 57 (12) ◽  
pp. 1392-1401
Author(s):  
Mark P. Pressler ◽  
Emily L. Geisler ◽  
Rami R. Hallac ◽  
James R. Seaward ◽  
Alex A. Kane

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.


2013 ◽  
Vol 04 (10) ◽  
pp. 48-53 ◽  
Author(s):  
Patricia Katowa-Mukwato ◽  
Lonia Mwape ◽  
Marjorie Kabinga-Makukula ◽  
Prudencia Mweemba ◽  
Margaret C. Maimbolwa

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