Trainee Action Recognition through Interaction Analysis in CCATT Mixed-Reality Training
This work addresses the need for more objective and consistent assessment in high-stakes medical training, though it is incremental as it builds on existing multimodal analytics and domain-specific modeling.
The study tackled the problem of objectively evaluating trainee performance in mixed-reality simulations for Critical Care Air Transport Teams by developing a data-driven framework that combines Cognitive Task Analysis with a vision-based action recognition pipeline, resulting in automated performance indicators like reaction time and task duration.
This study examines how Critical Care Air Transport Team (CCATT) members are trained using mixed-reality simulations that replicate the high-pressure conditions of aeromedical evacuation. Each team - a physician, nurse, and respiratory therapist - must stabilize severely injured soldiers by managing ventilators, IV pumps, and suction devices during flight. Proficient performance requires clinical expertise and cognitive skills, such as situational awareness, rapid decision-making, effective communication, and coordinated task management, all of which must be maintained under stress. Recent advances in simulation and multimodal data analytics enable more objective and comprehensive performance evaluation. In contrast, traditional instructor-led assessments are subjective and may overlook critical events, thereby limiting generalizability and consistency. However, AI-based automated and more objective evaluation metrics still demand human input to train the AI algorithms to assess complex team dynamics in the presence of environmental noise and the need for accurate re-identification in multi-person tracking. To address these challenges, we introduce a systematic, data-driven assessment framework that combines Cognitive Task Analysis (CTA) with Multimodal Learning Analytics (MMLA). We have developed a domain-specific CTA model for CCATT training and a vision-based action recognition pipeline using a fine-tuned Human-Object Interaction model, the Cascade Disentangling Network (CDN), to detect and track trainee-equipment interactions over time. These interactions automatically yield performance indicators (e.g., reaction time, task duration), which are mapped onto a hierarchical CTA model tailored to CCATT operations, enabling interpretable, domain-relevant performance evaluations.