Can mobile application-augmented reality improve better skills and knowledge in interventional pain management of lumbar facet joint with fluoroscopic guidance? Comparison with traditional method

INTERVENTION: The study will use a single‐blind randomization controlled trial design to investigate the improvement of skill and knowledge of anesthesia residents after using the mobile application M‐eDU PAIN and augmented reality in lumbar facet joint intervention. All participants will be given informed consent before joining the research and randomization to get details of the learning methods and the intervention. The randomization will be done with computerized permutation block randomization. Instructors and examiners will be blinded to the learning methods assigned to each participant. There are two groups in this study. The intervention group is anesthesiology residents who will be given digital learning methods which is access to download and use the M‐eDU PAIN mobile application to get courses on pain intervention and management in 2 weeks. The control group is anesthesiology residents who will be given traditional learning methods by getting pain intervention and management lectures in class (face‐to‐face) two times from experts. After 2 weeks of courses, both groups will be given a simulation class, and the instructor will explain how to do selected pain interventions using phantoms that have been validated. Both groups will do a pre‐test before the course and a post‐test after the course to measure the improvement of knowledge. OSCE will be done to measure residents’ skills after taking the courses and simulation classes. The total duration of the intervention is 5 weeks. CONDITION: Residents of anesthesia department ; Not Applicable PRIMARY OUTCOME: Skills measured using Objective Structured Clinical Examination (OSCE), participants will be examined by given cases and asked to do a simulation of pain intervention or management. The examiner will have a checklist for OSCE scoring (the checklist was made by the investigator and validated by the anesthesiologist and pain management expert). Participants will be given 20 minutes for each case/station. SECONDARY OUTCOME: Knowledge measured using questions formulated by the investigators and validated by an anesthesiologist or pain management specialist/expert. The pre‐test will be done before all participants are exposed to the learning method (lecture or application). The post‐test will be given after all participants finish all the courses. INCLUSION CRITERIA: 1. Resident of anesthesia that had passed pain module 2. Willing to take part in research by signing informed consent