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What is mixed reality?

Israeli Army Surgical Training
Glick, Y., Avital, B., Oppenheimer, J., Nahman, D., Wagnert-Avraham, L., Eisenkraft, A., Dym, L., Levi, D., Agur, A., Gustus, B., & Furer, A. (2021). Augmenting prehospital care. BMJ Military Health, 167(3), 158-162.

Training at Sea - Contextualisation - 4 min video Navy nurses, medics and doctors training on a LHD

Royal Australian Airforce Using AR
Airforce Technology. (2021). RAAF uses HoloLens mixed-reality device for C-17A maintenance.

Exploding market and opportunities for AR development
Insights, F. B. (2021). Virtual Reality Market to Exhibit a CAGR of 44.8% by 2028. Fortune Business Insights.

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TECHNOLOGY

Dependence liability
Regular updates for hardware, software potential to impact training and patient care.

Cyber threat
Security
Privacy concerns

Staff training
Skill maintenance and development training

Learners
Some people experience dizziness

BUDGET

Sustainability
No future procurement process in place
No sustainment projection

UNKNOWNS

1. Is MR comparative to traditional education models?

2. Does learner efficiency with task improvement translate to sustainable skill development?

3. Evidence of in some users of MR report dizziness.

4. How does this relate to exacerbating sea sickness?

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In 2021, the RAN Medical School received 15 HoloLens’s, despite no formal strategy as to how to integrate this learning modality into the current training curriculum. A common occurrence in simulation centres, technology before planning, technology before training staff.

The proposed three-phased mixed reality education program (MREP) plans to leverage this opportunity to the advantage of developing innovative synchronous and asynchronous learning program for nurses and medics which will assist clinicians in austere environments deliver patient care.

MREP's goal is to develop and enhance clinician knowledge and skills. MREP’s endstate is for this learning platform to be integrated into austere care by providing nurses and medics with a clinical pathway for telehealth through telemonitoring and telemedicine. This integration will support prolonged patient care by assisting nurses and medics to conduct lifesaving diagnoses and interventions in austere environments via expert guidance and ultimately, artificial intelligence.

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The future is here, inspired focused learning, from classroom to sea, from learner to a patient centred clinical pathway for austere environments.

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It can be predicted with certainty; only through dynamic collaborative action will this project be able to have the vision and scope it needs to expand learning and care for patients in austere environments.  Be part of the process of innovative change and develop and shape your learning future and future patient care.

Feel free to add to any section and share amongst colleagues.

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PROJECT MANAGEMENT

Analysis phase
Will ensure project scoping, planning, and development is undertaken and key stakeholders are engaged

Budgeting
Funding submission potential at the Defence strategic level

Potential

1. Integration with MR based projects Defence wide

2. Cost effectiveness compared to high fidelity mannequin sustainment.

CURRICULUM DEVELOPMENT

Analysis phase
Robust engagement of nurses and medics to ensure new program will meet their identified learning needs.

Application of Education Theory

Adopt a scaffolding approach of learning and skill integration to prepare for future application as a telemedicine clinical pathway.

FIDELITY

Can create multiple earning packages such as

1. Clinical based - anatomy, specific interventions

2. Equipment

3. Ship Orientation - specific health compartments

4. Emergency ship training prior to sailing

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STAFF

Technology barrier

Staff lack technical skill, and knowledge with new technology.

Creative barrier

Staff may not be able to apply and synthesize MR into curriculum.

TECHNOLOGY

5G bandwidth availability

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MREP ANALYSIS

Will engage key stakeholders, nurses, and medics, and will continue to engage learners of the projects life cycle to ensure the project meets their current and future learning and clinical needs.

CURRICULUM POTENTIAL

1. MREP curriculum will expand clinical capability through asynchronous learning, permitting continuous education anywhere, any time.

2. A learning modality that engages learners and directly develops and enhances clinician knowledge and skills.

3. Ability to expand simulations for orientation to sickbays on various classes of ships.

4. Phase One no need to apply for funding.

5. Prediction over the next 5 years AR/VR will explode, and students will expect this modality of learning.