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Networked collaborative virtual reality systems have been proposed for surgical education. They allow an instructor to teach a student using a shared virtual model, even if separated by distance. For these systems to be accepted within the surgical community there must be a compelling body of evidence that demonstrates that learning occurs in the training environment, and is transferable to the operating theatre. We have developed a networked multisensory virtual reality system for teaching surgery of the temporal bone and conducted a training transfer trial. To augment the quantitative analysis of the results, we have performed a qualitative analysis of the transcripts of videotapes of the learning phase of the trial, using techniques from Conversation Analysis. In this short paper we present a single case study that convincingly demonstrates that learning occurred within the instruction phase of the trial.

"I think i can see it now!": evidence of learning in video transcripts of a collaborative virtual reality surgical training trial