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Behavioral Sciences
Volume 11
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10.3390/bs11030031
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Article

Comparing the Visual Perception According to the Performance Using the Eye-Tracking Technology in High-Fidelity Simulation Settings

by
Issam Tanoubi
1,*,
Mathieu Tourangeau
1,
Komi Sodoké
2,
Roger Perron
1,
Pierre Drolet
1,
Marie-Ève Bélanger
1,
Judy Morris
3,
Caroline Ranger
3,
Marie-Rose Paradis
3,
Arnaud Robitaille
1 and
Mihai Georgescu
1
1
Department of Anesthesiology, Faculty of Medicine, Montreal, Centre d’Apprentissage des Attitudes et Habiletés Cliniques (CAAHC), Université de Montréal, Montréal, QC H1T 2M4, Canada
2
Cognitive Computing Department, Faculty of Science, University of Quebec at Montreal, Montréal, QC H3C 3P8, Canada
3
Department of Emergency Medicine, Faculty of Medicine, Université de Montréal, Montréal, QC H1T 2M4, Canada
*
Author to whom correspondence should be addressed.
Behav. Sci. 2021, 11(3), 31; https://doi.org/10.3390/bs11030031
Submission received: 7 January 2021 / Revised: 26 February 2021 / Accepted: 1 March 2021 / Published: 5 March 2021
(This article belongs to the Section Cognition)
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Abstract

Introduction: We used eye-tracking technology to explore the visual perception of clinicians during a high-fidelity simulation scenario. We hypothesized that physicians who were able to successfully manage a critical situation would have a different visual focus compared to those who failed. Methods: A convenience sample of 18 first-year emergency medicine residents were enrolled voluntarily to participate in a high-fidelity scenario involving a patient in shock with a 3rd degree atrioventricular block. Their performance was rated as pass or fail and depended on the proper use of the pacing unit. Participants were wearing pre-calibrated eye-tracking glasses throughout the 9-min scenario and infrared (IR) markers installed in the simulator were used to define various Areas of Interest (AOI). Total View Duration (TVD) and Time to First Fixation (TFF) by the participants were recorded for each AOI and the results were used to produce heat maps. Results: Twelve residents succeeded while six failed the scenario. The TVD for the AOI containing the pacing unit was significantly shorter (median [quartile]) for those who succeeded compared to the ones who failed (42 [31–52] sec vs. 70 [61–90] sec, p = 0.0097). The TFF for the AOI containing the ECG and vital signs monitor was also shorter for the participants who succeeded than for those who failed (22 [6–28] sec vs. 30 [27–77] sec, p = 0.0182). Discussion: There seemed to be a connection between the gaze pattern of residents in a high-fidelity bradycardia simulation and their performance. The participants who succeeded looked at the monitor earlier (diagnosis). They also spent less time fixating the pacing unit, using it promptly to address the bradycardia. This study suggests that eye-tracking technology could be used to explore how visual perception, a key information-gathering element, is tied to decision-making and clinical performance.
Keywords: eye-tracking; performance; medical education eye-tracking; performance; medical education

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MDPI and ACS Style

Tanoubi, I.; Tourangeau, M.; Sodoké, K.; Perron, R.; Drolet, P.; Bélanger, M.-È.; Morris, J.; Ranger, C.; Paradis, M.-R.; Robitaille, A.; et al. Comparing the Visual Perception According to the Performance Using the Eye-Tracking Technology in High-Fidelity Simulation Settings. Behav. Sci. 2021, 11, 31. https://doi.org/10.3390/bs11030031

AMA Style

Tanoubi I, Tourangeau M, Sodoké K, Perron R, Drolet P, Bélanger M-È, Morris J, Ranger C, Paradis M-R, Robitaille A, et al. Comparing the Visual Perception According to the Performance Using the Eye-Tracking Technology in High-Fidelity Simulation Settings. Behavioral Sciences. 2021; 11(3):31. https://doi.org/10.3390/bs11030031

Chicago/Turabian Style

Tanoubi, Issam, Mathieu Tourangeau, Komi Sodoké, Roger Perron, Pierre Drolet, Marie-Ève Bélanger, Judy Morris, Caroline Ranger, Marie-Rose Paradis, Arnaud Robitaille, and et al. 2021. "Comparing the Visual Perception According to the Performance Using the Eye-Tracking Technology in High-Fidelity Simulation Settings" Behavioral Sciences 11, no. 3: 31. https://doi.org/10.3390/bs11030031

APA Style

Tanoubi, I., Tourangeau, M., Sodoké, K., Perron, R., Drolet, P., Bélanger, M.-È., Morris, J., Ranger, C., Paradis, M.-R., Robitaille, A., & Georgescu, M. (2021). Comparing the Visual Perception According to the Performance Using the Eye-Tracking Technology in High-Fidelity Simulation Settings. Behavioral Sciences, 11(3), 31. https://doi.org/10.3390/bs11030031

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