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Table 1 Video and audio inputs for resident and faculty computers during telesimulation procedure

From: The sim must go on: adapting resident education to the COVID-19 pandemic using telesimulation

Characteristic

Description

Residents 1–8

 

 Zoom role

Participant

 Location

Home or office

 Video received

Figure 2a, b: Picture-in-picture

• Large: Spotlight video from confederate surgeon

• Small: Share screen from operator (Laerdal patient monitor) or director (PowerPoint)

Figure 2c, d: Side-by-side (If learner prefers to see video of peer learner participants)

• Large: Spotlight video of OR with video of participant learners (gallery view)

• Small: Share screen from operator (Laerdal patient monitor) or director (PowerPoint)

 Audio received

Laerdal patient monitor; audio from OR via confederate surgeon; non-muted participants

 Video output

Learner’s video

 Audio output

Learner’s audio

Simulation operator

 

 Zoom role

Host

 Location

Simulation control booth

 Video received

Figure 3a: LLEAP software—operator control

 Audio received

Figure 3a: LLEAP software on laptop; audio from OR to control booth via existing microphone system

 Video output

Figure 3b: Laerdal patient monitor application via share screen; coordinates share screen with director

 Audio output

Figure 3b: Laerdal patient monitor application via share screen; coordinates share screen with director

Simulation director

 

 Zoom role

Co-host

 Location

Remote office

 Video received

Figure 3c: Side-by-side

• Large: Video of participant learners (gallery view)

• Small: Share screen from operator (Laerdal patient monitor) or director (PowerPoint)

 Audio received

Figure 3c: Non-muted participants including confederate surgeon and anesthesiologist, Laerdal patient monitor

 Video output

Figure 3d: PowerPoint via share screen with scenario stem, QR codes for pre- and post-tests and evaluation; coordinates share screen with operator

 Audio output

Figure 3d: Microphone on during briefing/debriefing; MUTED during scenario action

Confederate surgeon

 

 Zoom role

Co-host

 Location

Simulated OR; head of OR table

 Video received

Figure 4a: Side-by-side view

• Large: Video of participant learners (gallery view)

• Small: Share screen from operator (Laerdal patient monitor) or director (PowerPoint)

 Audio received

Figure 4a: Non-muted participants; Laerdal patient monitor

 Video output

Figure 4b: Overview of OR via spotlight video

 Audio output

Figure 4b: Audio from OR confederates (surgeon, anesthesiologist)

Confederate anesthesiologist

 

 Zoom role

Participant

 Location

Simulated OR; foot of OR table

 Video received

Figure 4c: Side-by-side

• Large: Video of participant learners (gallery view)

• Small: Share screen from operator (Laerdal Patient Monitor) or director (PowerPoint)

 Audio received

Figure 4c: SOUND OFF to prevent feedback

 Video output

Figure 4d: 2nd view of OR from foot of the OR table

 Audio output

Figure 4d: MUTED to prevent feedback

  1. OR operating room, QR quick response