Patient experiences of the Microsoft HoloLens for livestreaming orthoptic consultations: a novel approach to clinical education

Purpose: The Microsoft HoloLens is a mixed-reality headset that enables clinicians to livestream real-time consultations, providing a novel approach to clinical education. Its use in healthcare education has expanded, particularly in response to placement shortages and workforce pressures. While evidence suggests livestreaming provides access to authentic patient cases and supports student learning, little is known about how patients themselves experience these encounters. The aim of this study was to evaluate patient experiences of consultations livestreamed via the Microsoft HoloLens as part of clinical education for pre-registration orthoptic students. Methods: Patients attending routine outpatient orthoptic appointments at a large NHS Trust in the North-West of England were invited to complete an anonymous exit survey. The questionnaire explored patient perceptions of a clinician wearing the HoloLens during their consultation, including perceived impact on care and willingness to support livestreaming for educational purposes. Results: Twenty-seven patients completed the questionnaire. All respondents (100%) reported they would recommend livestreaming to other patients. No patients felt that the HoloLens hindered their consultation. Five patients (42%) noted that the presence of the device prompted clearer explanations and improved understanding of their condition. Thematic analysis indicated that patients valued contributing to student learning and associated their participation with high-quality care. Conclusion: Patient experience of livestreaming in Orthoptic consultations was positive. Participation was perceived as non-disruptive and, in some cases, enhanced communication and understanding. This study provides initial evidence that patient involvement in HoloLens-enabled education is acceptable in orthoptics and may support the integration of mixed-reality tools into simulation-based training for pre-registration healthcare professionals.