Feasibility study of a novel 5G-connected mobile video recording and review system for educational and research application in anaesthetic in-situ high-fidelity simulation training

Background and Goal of StudyWe aimed to develop, implement and evaluate a mobile system using off-the-shelf components, torecord and review simulations and debriefings in four separate rooms during standardized simulation courses at multiple centres in Sweden. Ourrequirements were: high quality sound and video; easy to install, use and demount; suitable for transport by courier; no requirement to use personal mobiledevices; not dependent on local intranet; GDPR compliant; automatic remote long-term storage.Materials and MethodsFour sets of the components shown in Table 1 were acquired to record simulations and debriefings, each with its own 5G internetconnection. The equipment fits in a standard transport case, total weight 25kg. Automatic storage is at a remote server (AXIS Camera Station S2208).Faculty access recordings during courses using the AXIS Camera Station® app on iPads.Table 1 Components of each recording set1-2 AXIS M3086-V stationary wide-angle (120°) dome cameras mounted on16x16cm electrical blanking platesAXIS T8355-A microphone; AXIS T6101 MkII interfaceAXIS S3008 Recording unitTeltonica RUTX50 5G Router providing ethernet connection for recordingunit and Wi-Fi for course facultyResults and DiscussionThe study ran during 7 courses at 5 centres in 2024 (1), comprising 100 full-scale simulations, both in-situ in the OR and ICU, andat simulation centres. Ease of installation, video-review, demounting and packing were acceptable, transport unproblematic. Sound and picture quality wasgenerally good and participants did not appear to be perturbed by the cameras. Towards the end of the study, faculty were encouraged to show recordingsof laudable debriefing techniques used by their peers, which resulted in lively and constructive discussion during faculty meetings.Video review of simulations in medical education is widespread even though evidence of its superiority to non-video-assisted debriefing is sparse. Videoreviewof debriefings in facilitator development programmes is less well described (2): our group believes it is useful and should be formally evaluated.Future developments may include AI analysis of both simulations and debriefings.Conclusion(s)A mobile recording system complying with our specifications is feasible.References1. https://en.taask.info2. Gardner AK, Rodgers DL, Steinert Y, Davis R, Condron C, Peterson DT, et al. Mapping the Terrain of Faculty Development for Simulation: A ScopingReview. Simulation in Healthcare. 2024 Jan;19(1S):S75.