Abstract
Enhanced reality for immersive simulation (e-REAL®) is the merging of real and virtual worlds: a mixed reality environment for hybrid simulation where physical and digital objects co-exist and interact in real time, in a real place and not within a headset. The first part of this chapter discusses e-REAL: an advanced simulation within a multisensory scenario, based on challenging situations developed by visual storytelling techniques. The e-REAL immersive setting is fully interactive with both 2D and 3D visualizations, avatars, electronically writable surfaces and more: people can take notes, cluster key-concepts or fill questionnaires directly on the projected surfaces. The second part of this chapter summarizes an experiential coursework focused on learning and improving teamwork and event management during simulated obstetrical cases. Effective team management during a crisis is a core element of expert practice: for this purpose, e-REAL reproduces a variety of different emergent situations, enabling learners to interact with multimedia scenarios and practice using a mnemonic called Name-Claim-Aim. Learners rapidly cycle between deliberate practice and direct feedback within a simulation scenario until mastery is achieved. Early findings show that interactive immersive visualization allows for better neural processes related to learning and behavior change.
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References
Arnheim, R.: Visual Thinking. University of California Press, Berkeley and Los Angeles, CA (1969)
Arnsten, A.F.: Catecholamine modulation of prefrontal cortical cognitive function. Trends Cogn. Sci. 2(11), 436–447 (1998)
Auer, M., Guralnick, D., Uhomoibhi, J. (eds.): Interactive collaborative learning. In: Proceedings of the 19th ICL Conference, vol. 1. Springer, Cham, CH (2017)
Aukstakalnis, S.: Practical Augmented Reality. A Guide to the Technologies, Applications, and Human Factors for AR and VR. Addison-Wesley, Boston (2017)
Bailenson, J.N., Blascovich, J., Beall, A.C., Noveck, B.: Courtroom applications of virtual environments, immersive virtual environments, and collaborative virtual environments. Law Policy 28(2), 249–270 (2006)
Batini, F., Fontana, A.: Storytelling kit. 99 esercizi per il pronto intervento narrative. Rizzoli, Milano (2010)
Bauman, Z.: Liquid Modernity. Polity Press, Cambridge, UK (2008)
Bergmann, J., Sams, A.: Flip Your Classroom. Reach Every Student in Every Class Every Day (2012)
Bergstrom, B.: Essentials of Visual Communication. King Publishing, London, UK (2008)
Bertagni, B., La Rosa, M., Salvetti, F. (eds.): Learn How to Learn! Knowledge Society, Education and Training. Franco Angeli, Milan (2010)
Blascovich, J., Loomis, J., Beall, A., Swinth, K., Hoyt, C., Bailenson, J.N.: Immersive virtual environment technology as a methodological tool for social psychology. Psychol. Inq. 13, 103–124 (2002)
Blazer, L.: Animated Storytelling. Simple Steps for Creating Animation and Motion Graphics. Pearson, London, UK (2016)
Bremond, C.: Logique du récit. Éditions du Seuil, Paris (1973)
Buttimer, M.: Name/Claim/Aim Around the World. https://harvardmedsim.org/blog/name-claim-aim-around-the-world/ (2020)
Calabi, D., Bisson, M., Venica, C.: Design and medical training experimental hypotheses for training in immersive environments. In: 3rd International Conference on Environmental Design, pp. 527–532. Polytechnic of Milan, Italy (2019)
Castells, M.: The Rise of the Networked Society. Wiley-Blackwell, Hoboken, NJ (2009)
Ciuccarelli, P., Valsecchi, R.: Ethnographic approach to design knowledge. Dialogue and participation as discovery tools within complex knowledge contexts. In: IASDR 2009—Rigor and Relevance in Design (2009)
Collins, S.: Neuroscience for Learning and Development. How to Apply Neuroscience & Psychology for Improved Learning & Training. Kogan Page, London (2015)
Coro, G.: Valutazione del software e-REAL Speech Analysis. ISTI-CNR, Pisa (2019)
Cruz-Neira, C., Sandin, D.J., De Fanti, T.A., Kenyon, R.V., Hart, J.C.: The CAVE: audio visual experience automatic virtual environment. Commun. ACM 35, 64–72 (1992)
De Leeuw, K.E., Mayer, R.E.: A comparison of three measures of cognitive load: evidence for separable measures of intrinsic, extraneous, and germane load. J. Educ. Psychol. 100(1), 223–234 (2008)
De Rossi, M., Petrucco, C.: Le narrazioni digitali per l’educazione e la formazione. Carocci, Roma (2013)
De Souza e Silva, A., Sutko, D.M.: Digital Cityscapes: Merging Digital and Urban Playspaces. Peter Lang Publishing, Inc., New York, NY (2009)
Eppler, M., Burkhard, R.: Knowledge Visualization. Towards a New Discipline and Its Field of Application. Research Paper 07-02. University of the Italian Switzerland, Lugano (2004)
Ericcson, A., Krampe, R., Tesch-Romer, C.: The role of deliberate practice in the acquisition of expert performance. Psychol. Rev. 100(3), 363–340 (1993)
Fields, H.L., Hjelmstad, G.O., Margolis, E.B., Nicola, S.M.: Ventral tegmental area neurons in learned appetitive behavior and positive reinforcement. Annu. Rev. Neurosci. 30, 289–316 (2007)
Friedlander, M.J., Andrews, L., Armstrong, E.G., Aschenbrenner, C., Kass, J.S., Ogden, P., Schwartzstein, G., Viggiano, T.R.: What can medical education learn from the neurobiology of learning? Acad. Med. 86(04), 415–420 (2011)
Gaba, D.M., Fish, K.J., Howard, S.K.: Crisis Management in Anesthesiology. Churchill Livinstone, Philadelphia, PA (1994); Walker, J.D., Spencer, P.J., Walzer, T.B., Cooper, J.B.: Simulation in cardiac surgery. In: Cohn, L.H., Adams, D.H. (eds.) Cardiac Surgery in Adult. McGraw Hill, Columbus, OH (2018)
Gardner, R.: Medical Simulation Week 2018. Center for Medical Simulation. https://e-real.net/wp-content/uploads/videos/e-REAL@www.harvardmedsim.org.mp4 (2018) (ver. 15.04.2019)
Gardner, R., Salvetti, F.: Improving Teamwork and Crisis Resource Management for Labor and Delivery Clinicians: Educational Strategies Based on Dynamic Visualization to Enhance Situational Awareness, Contextual Intelligence and Cognitive Retention, Research Abstract. IMSH 2019, San Antonio, TX (2019)
Gazzaniga, M.S. (ed.): The Cognitive Neurosciences. MIT Press, Boston, MA (2009)
Genette, G.: Figures III. Éditions du Seuil, Paris (1972)
Guralnick, D.: Re-envisioning online learning. In: Salvetti, F., Bertagni, B. (eds.) Learning 4.0. Advanced Simulation, Immersive Experiences and Artificial Intelligence, Flipped Classrooms, Mentoring and Coaching. Franco Angeli, Milan (2018)
Kandel, E.R., Schwartz, J.H., Jessell, T.M., Siegelbaum, S.A., Hudspeth, A.J.: Principles of Neural Sciences. McGraw Hill, New York, NY (2013)
Kernbach, S., Eppler, M., Bresciani, S.: The use of visualization in the communication of business strategy: an experimental evaluation. Int. J. Bus. Commun. I-24 (2014)
Khanna, T.: Contextual intelligence. Harv. Bus. Rev. 9 (2014)
Knight, C., Glaser, J.: Diagrams. Innovative Solutions for Graphic Designers. Tables. Graphs. Charts. Forms. Maps. Signs. Instructions. RotoVision, Mies (2009)
Lamberti, F., Pratticò, G.: E-REAL Speech Analysis. User Manual V1.0.4. Polytechnic School of Turin, Turin (2018)
Lester, P.M.: Visual Communication: Images with Messages. Thomson Wadsworth, Belmont, CA (2006)
Lévy, P.: Qu’est-ce que le virtuel? La Découverte, Paris (1998)
Licci, G.: Immagini di conoscenza giuridica. Cedam, Padova (2011)
Lira, M., Gardner, S.M.: Leveraging multiple analytic frameworks to assess the stability of students’ knowledge in physiology. In: CBE Life Science Education, 1 Mar 2020, 19 (2020)
Lowe, R., Ploetzner, R. (eds.): Learning from Dynamic Visualization. Innovations in Research and Application. Springer, Berlin (2017)
Lyons, R., Lazzara, E., Benishek, L., Zajac, S., Gregory, M., Sonesh, S., Salas, E.: Enhancing the effectiveness of team debriefings in medical simulation: more best practices. Jt. Comm. J. Qual. Patient Saf. 41(3), 115–123 (2015)
Marchese, A.: L’officina del racconto. Mondadori, Milano (1983)
Markowitz, M., Bailenson, J.: Virtual Reality and Communication, Oxford Bibliographies. https://vhil.stanford.edu/mm/2019/02/markowitz-oxford-vr-communication.pdf (2019) (ver. 15.04.2019)
Mayer, R.E., Moreno, R.: Nine ways to reduce cognitive load in multimedia learning. Educ. Psychol. 38(1), 43–52 (2003)
Mazur, E.: Peer Instruction, A User’s Manual. In: Prentice Hall Series in Educational Innovation. Upper Saddle River (1997)
Milgram, P., Kishino, A.F.: Taxonomy of mixed reality visual displays. IEICE Trans. Inf. Syst. 1321–1329 (1994)
Minehart, R., Pian-Smith, M., Walzer, T., Gardner, R., Rudolph, J., Simon, R., Raemer, D.: Speaking across the drapes. Communication strategies of anesthesiologists and obstetricians during a simulated maternal crisis. Simul. Healthc. 7, 166–170 (2012)
Minehart, R., Rudolph, J., Nadelberg, R., Clinton, E., Gardner, R.: Name/claim/aim for obstetric crises: a new paradigm in crisis resource management. In: Poster Communication: Phoenix, AZ: SOAP 51st Annual Meeting (2019)
Morin, E.: La connaissance de la connaissance. Le Seuil, Paris (1986)
Murray, S.: Interactive Data Visualization for the Web. O’Reilly Media, Sebastopol, CA (2013)
Parisi Presicce, P.: Impalcature. Teorie e pratiche della narratività. Mimesis, Milano (2017)
Popper, K.R.: Objective Knowledge: An Evolutionary Approach. Oxford University Press, Oxford (1972)
Potter, M.C., Wyble, B., Hagmann, C.E., McCourt, E.S.: Detecting meaning in RSVP at 13 ms per picture, in attention. Percept Psychophys. 76, 270–279 (2014)
Raemer, D.B., Kolbe, M., Minehart, R.D., Rudolph, J.W., Pian-Smith, M.C.: Improving anesthesiologists’ ability to speak up in the operating room: a randomized controlled experiment of a simulation-based intervention and a qualitative analysis of hurdles and enablers. Acad. Med. 91(4), 530–539 (2016)
Ridgway, J., Nicholson, J., Campos, P., Teixeira, S.: Dynamic Visualisation Tools: A Review. ProCivicStat Project: https://IASE-web.org/ISLP/PCS (2018)
Rizzolatti, G., Sinigaglia, C.: Mirrors in the Brain: How Our Minds Share Actions and Emotions. Oxford University Press, Oxford and New York, NY (2008)
Robilant, E.: Conoscenza: forme, prospettive e valutazioni. La traduzione della conoscenza nell’operatività. Lessons at the University of Turin 1990–1991, Turin: manuscript (1991)
Rosenberg, L.B.: The Use of Virtual Fixtures as Perceptual Overlays to Enhance Operator Performance in Remote Environments. Technical Report AL-TR-0089. USAF Armstrong Laboratory, Wright-Patterson AFB OH (1992)
Rudolph, J., Simon, R., Raemer, D., Eppich, W.: Debriefing as a formative assessment: closing performance gaps in medical education. Acad. Emerg. Med. 15, 1010–1016 (2008)
Salvetti, F.: Rethinking learning and people development in the 21st century: the enhanced reality lab—e-REAL—as a cornerstone in between employability and self-empowerment. In: Salvetti, F., La Rosa, M., Bertagni, B. (eds.) Employability: Knowledge, Skills and Abilities for the Glocal World. Franco Angeli, Milan (2015)
Salvetti, F., Bertagni, B.: Anthropology and epistemology for “glocal” managers: understanding the worlds in which we live and work. In: Bertagni, B., La Rosa, M., Salvetti, F. (eds.) “Glocal” Working. Living and Working Across the World with Cultural Intelligence. Franco Angeli, Milan (2010)
Salvetti, F., Bertagni, B.: e-REAL: enhanced reality lab. Int. J. Adv. Corp. Learn. 7–3, 41–49 (2014)
Salvetti, F., Bertagni, B.: Interactive tutorials and live holograms in continuing medical education: case studies from the e-REAL experience. In: Proceedings of the ICELW Conference, Columbia University, New York, NY, pp. 1–8 (2016)
Salvetti, F., Bertagni, B. (eds.): Learning 4.0. Advanced Simulation, Immersive Experiences and Artificial Intelligence, Flipped Classrooms, Mentoring and Coaching. Franco Angeli, Milan (2018a)
Salvetti, F., Bertagni, B.: Reimagining STEM education and training with e-REAL: 3D and holographic visualization, immersive and interactive learning for an effective flipped classroom. In: Salvetti, F., Bertagni, B. (eds.) Learning 4.0. Advanced Simulation, Immersive Experiences and Artificial Intelligence, Flipped Classrooms, Mentoring and Coaching. Franco Angeli, Milan (2018b)
Salvetti, F., Gardner, R., Minehart, R., Bertagni, B.: Teamwork and Crisis Resource Management for Labor and Delivery Clinicians: Interactive Visualization to Enhance Teamwork, Situational Awareness, Contextual Intelligence and Cognitive Retention in Medical Simulation. Research Paper. ICELW 2019 at Columbia University, New York, NY (2019a)
Salvetti, F., Bertagni, B.: Virtual worlds and augmented reality: the enhanced reality lab as a best practice for advanced simulation and immersive learning. Form@re 19(1) (2019b)
Shapiro, M., Gardner, R., Godwin, S., Jay, G., Lindquist, D., Salisbury, M., Salas, E.: Defining team performance for simulation-based training: methodology, metrics, and opportunities for emergency medicine. Acad. Emerg. Med. 15, 1088–1097 (2008)
Strayer, J.F.: The effects of the classroom flip on the learning environment: a comparison of learning activity in a traditional classroom and a flip classroom that used an intelligent tutoring system. Dissertation Abstracts International Section A, 68 (2008)
Sweller, J., Ayres, P., Kalyuga, S.: Cognitive Load Theory. Springer, New York, NY (2017)
Szparagowsk, R.: The Effectiveness of the Flipped Classroom (2014). Honors Projects. 127. https://scholarworks.bgsu.edu/honorsprojects/127 (2014)
Taras, J., Everett, T.: Rapid cycle deliberate practice in medical education—a systematic review. Cureus 9(4), 1180 (2017)
Toto, R., Nguyen, H.: Flipping the work design in an industrial engineering course. Paper presented at the ASEE/IEEE Frontiers in Education Conference, San Antonio, TX (2009)
Tucker, B.: The flipped classroom. Educ. Next 12(1) (2012)
Tufte, E.: Visual Explanations: Images and Quantities, Evidence and Narrative. Graphics Press, Cheshire, CT (1997)
Tufte, E.: The Visual Display of Quantitative Information. Graphics Press, Cheshire, CT (2001)
Vasconcelos, A. (ed.): Global Trends 2030. Citizens in an Interconnected and Polycentric World. European Institute for Security Studies, Brussels (2011)
Vogel, D., Dickson, G., Lehman, J.: Persuasion and the Role of Visual Presentation Support. Research Paper. Management Information Systems Research Center. University of Minnesota: School of Management, Minneapolis, MS (1986)
Wieman, C.: STEM education: active learning or traditional lecturing? In: Salvetti, F., Bertagni, B. (eds.) Learning 4.0. Advanced Simulation, Immersive Experiences and Artificial Intelligence, Flipped Classrooms, Mentoring and Coaching. Franco Angeli, Milan (2018)
Wirth, W., Hartmann, T., Bocking, S., Vorderer, P., Klimmt, C., Holger, S., Saari, T., Laarni, J., Ravaja, N., Gouveia, F., Biocca, F., Sacau, A., Jancke, L., Baumgartner, T., Jancke, P.: A process model for the formation of spatial presence experiences. Media Psychol. 9, 493–525 (2007)
Wissmath, B., Weibel, D., Groner, R.: Dubbing or subtitling? Effects on spatial presence, transportation, flow, and enjoyment. J. Media Psychol. 21(3), 114–125 (2009)
Yeo, J., Gilbert, J.K.: The role of representations in students’ explanations of four phenomena in physics: dynamics, thermal physics, electromagnetic induction and superposition. In: Treagust, D.F., Reinders, D., Fischer, H.E. (eds.) Multiple Representations in Physics Education. Springer, Cham (2017)
Acknowledgements
The authors wish to thank Ms. Starly Santos, Research Analyst at Logosnet (Switzerland and USA) and Student at the Columbia University in New York (NY–USA): Her cooperation was of the greatest value.
A great thank-you also to Prof. Bill Kapralos, Ontario Tech University (Oshawa, CA) and to Dr. Amy Nakajima, University of Ottawa (CA), who read the first release of this chapter and made a great number of valuable corrections and suggestions.
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Salvetti, F., Gardner, R., Minehart, R.D., Bertagni, B. (2021). Enhanced Reality for Healthcare Simulation. In: Brooks, A.L., Brahman, S., Kapralos, B., Nakajima, A., Tyerman, J., Jain, L.C. (eds) Recent Advances in Technologies for Inclusive Well-Being. Intelligent Systems Reference Library, vol 196. Springer, Cham. https://doi.org/10.1007/978-3-030-59608-8_7
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