Bone Marrow Biopsy & Aspiration

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Bone marrow biopsy and aspiration procedures can prove to be helpful in detecting blood related problems and infections. Doctors can also request for these medical tests when a patient’s blood report occurs abnormal and lacks sufficient data to define symptoms of illnesses, including cancer. Apart from this, bone marrow samples can also be collected for medical procedures like stem cell transplant or chromosomal analysis. It is an invasive procedure and requires a great deal of care and caution.

Accreditation Statement:

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Eastern Virginia Medical School, Axon Park, MedVR Education and the Sentara Center for Simulation and Immersive Learning (SCSIL). Eastern Virginia Medical School is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation: Eastern Virginia Medical School designates this Other activity (virtual reality and simulation) for a maximum of 1.0 AMA PRA Category1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Developed in alignment with The New England Journal of Medicine (NEJM), Bone Marrow Aspiration and Biopsy by Suman Malempati, M.D., Sarita Joshi, M.D., Susanna Lai, M.P.H., Dana A.V. Braner, M.D., and Ken Tegtmeyer, M.D.

In a bone marrow aspiration procedure, a small portion of fluid is withdrawn from the marrow using a Jamshidi aspiration needle. The procedure involves locating and cleaning the insertion site, numbing the site, making an insertion and collecting the aspirate. As part of this VR simulation program, participants are provided with adequate affordances to perform every task in the procedure with ease and efficiency. The program has been designed to encourage learners to complete every step of the process in order to get thoroughly acquainted and experienced. Meaningful feedback is provided at regular intervals.

In a bone marrow biopsy procedure, a small section of the solid marrow is extracted for medical examination purposes. This aspirate is withdrawn using a Jamshidi needle and stylet. This VR simulation program is designed to enable participant practice the process of inserting the needle in to the insertion site and collecting the sample using a stylet. Affordances are provided to assist in skilled and efficient execution of tasks. Each learner is encouraged to perform every step of the procedure to enable thorough learning and practice. Relevant and apt feedback are provided at regular intervals.

Training

With prompts, guidance and affordances learners are hand-held through the process to practice the procedure in a virtual environment with a virtual patient.

Photorealistic Virtual Environment

Physics-based Interactions

Learn by Doing

Visual Affordances

Assessment

Test skills to perform the procedures from start to finish without prompts. An incorrect step will take the learner back to the start to start afresh.