A Rapid Review of Extended Reality Solutions for UK Undergraduate  Clinical Skills

Main Article Content

Toby Jackman

Abstract

Introduction: Extended Reality (XR) combines the physical world with a computer-generated one, across a reality-virtuality continuum. There is good evidence that XR can promote learning, with reasonable evidence for improving healthcare learner knowledge, moderate evidence for changing healthcare learner attitudes, and less good evidence for improving healthcare learner performance, including performance of clinical skills. The General Medical Council mandates competence in 23 procedural skills and additional wider clinical skills for UK medical undergraduates.
Methods: We undertook a rapid review to identify XR solutions which may improve clinical skills performance.
Results: Four databases were searched for relevant articles, yielding 7167 records, of which 41 studies were included in the review. Data were extracted on study population, intervention, comparator, and outcome. 22 studies were included in the narrative synthesis.
Conclusions: Recommendations were made for pilot implementation of XR solutions in UK undergraduate clinical skills curricula, and the next steps required to assess their impact.

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References

Aebersold, M., Tschannen, D. and Bathish, M. (2012) 'Innovative simulation strategies in education', 1, 765212.

Akgün, M. and Atici, B. (2022) 'The Effects of Immersive Virtual Reality Environments on Students' Academic Achievement: A Meta-analytical and Meta-thematic Study', Participatory Educational Research, 9(3), 111-131.

Aksoy, E. (2019) 'Comparing the Effects on Learning Outcomes of Tablet-Based and Virtual Reality-Based Serious Gaming Modules for Basic Life Support Training: Randomized Trial', 1(2), e13442.

Aksoy, M.E., Ozkan, A.E., Kitapcioglu, D. and Usseli, T. (2023) 'Comparing the Outcomes of Virtual Reality-Based Serious Gaming and Lecture-Based Training for Advanced Life Support Training: Randomized Controlled Trial', 1, e46964.

Albrecht, T., Nikendei, C. and Praetorius, M. (2022) 'Face, Content, and Construct Validity of a Virtual Reality Otoscopy Simulator and Applicability to Medical Training', 1(4), 753-759.

Albrecht, U.V., Folta-Schoofs, K., Behrends, M. and von Jan, U. (2013a) 'Effects of mobile augmented reality learning compared to textbook learning on medical students: randomized controlled pilot study', 1(8), e182.

Albrecht, U.V., Noll, C. and von Jan, U. (2013b) 'Explore and experience: mobile augmented reality for medical training', 1, 382-6.

Al-Mugheed, K., Bayraktar, N., Al-Bsheish, M., AlSyouf, A., Aldhmadi, B.K., Jarrar, M. and Alkhazali, M. 'Effectiveness of game-based virtual reality phone application and online education on knowledge, attitude and compliance of standard precautions among nursing students', (11 November), no pagination.

Alverson, D.C., Saiki, S.M., Jr., Kalishman, S., Lindberg, M., Mennin, S., Mines, J., Serna, L., Summers, K., Jacobs, J., Lozanoff, S., Lozanoff, B., Saland, L., Mitchell, S., Umland, B., Greene, G., Buchanan, H.S., Keep, M., Wilks, D., Wax, D.S., Coulter, R., Goldsmith, T.E. and Caudell, T.P. (2008) 'Medical students learn over distance using virtual reality simulation', 1(1), 10-5.

Alyu, F. and Ahmadi, S. 'Retrieving pharmacological knowledge through a modified version of mind palace technique', (3), 4-5.

Andersen, N.L., Jensen, R.O., Posth, S., Laursen, C.B., Jorgensen, R. and Graumann, O. (2021) 'Teaching ultrasound-guided peripheral venous catheter placement through immersive virtual reality: An explorative pilot study', 1(27), e26394.

Atthill, S., Witmer, D., Luctkar-Flude, M. and Tyerman, J. (2021) 'Exploring the Impact of a Virtual Asynchronous Debriefing Method after a Virtual Simulation Game to Support Clinical Decision-Making', Clinical Simulation in Nursing, 50, 10-18, available: http://dx.doi.org/https://doi.org/10.1016/j.ecns.2020.06.008.

Bala, L., Kinross, J., Martin, G., Koizia, L.J., Kooner, A.S., Shimshon, G.J., Hurkxkens, T.J., Pratt, P.J. and Sam, A.H. (2021) 'A remote access mixed reality teaching ward round', 1(4), 386-390.

Balian, S., McGovern, S.K., Abella, B.S., Blewer, A.L. and Leary, M. (2019) 'Feasibility of an augmented reality cardiopulmonary resuscitation training system for health care providers', 1(8), e02205.

Bartlett, R.D., Radenkovic, D., Mitrasinovic, S., Cole, A., Pavkovic, I., Denn, P.C.P., Hussain, M., Kogler, M., Koutsopodioti, N., Uddin, W., Beckley, I., Abubakar, H., Gill, D. and Smith, D. (2017) 'A pilot study to assess the utility of a freely downloadable mobile application simulator for undergraduate clinical skills training: a single-blinded, randomised controlled trial', 1(1), 247.

Berg, H. and Steinsbekk, A. (2020) 'Is individual practice in an immersive and interactive virtual reality application non-inferior to practicing with traditional equipment in learning systematic clinical observation? A randomized controlled trial', 1(1), 123.

Berger, J., Bawab, N., De Mooij, J., Sutter Widmer, D., Szilas, N., De Vriese, C. and Bugnon, O. 'An open randomized controlled study comparing an online text-based scenario and a serious game by Belgian and Swiss pharmacy students', (3), 267-276.

Berman, N.B. and Artino, A.R., Jr. (2018) 'Development and initial validation of an online engagement metric using virtual patients', 1(1), 213.

Bernaitis, N., Baumann-Birkbeck, L., Alcorn, S., Powell, M., Arora, D. and Anoopkumar-Dukie, S. (2018) 'Simulated patient cases using DecisionSim™ improves student performance and satisfaction in pharmacotherapeutics education', Curr Pharm Teach Learn, 10(6), 730-735, available: http://dx.doi.org/10.1016/j.cptl.2018.03.020.

Birt, J., Moore, E. and Cowling, M. (2017) 'Improving Paramedic Distance Education through Mobile Mixed Reality Simulation', Australasian Journal of Educational Technology, 33(6), 69-83.

Bjorklund, K. and Silen, C. (2021) 'Occupational therapy and physiotherapy students' communicative and collaborative learning in an interprofessional virtual setting', 1(4), 264-273.

Borg Sapiano, A., Sammut, R. and Trapani, J. (2018) 'The effectiveness of virtual simulation in improving student nurses' knowledge and performance during patient deterioration: A pre and post test design', Nurse Education Today, 62, 128-133, available: http://dx.doi.org/https://doi.org/10.1016/j.nedt.2017.12.025.

Borgersen, N.J., Skou Thomsen, A.S., Konge, L., Sorensen, T.L. and Subhi, Y. (2018) 'Virtual reality-based proficiency test in direct ophthalmoscopy', 1(2), e259-e261.

Borja-Hart, N.L., Spivey, C.A. and George, C.M. (2019) 'Use of virtual patient software to assess student confidence and ability in communication skills and virtual patient impression: A mixed-methods approach', 1(7), 710-718.

Botezatu, M., Hult, H., Tessma, M.K., Fors, U.G.H. and Mihaela Botezatu, H.H.M.K.T.a.U.G.H.F. (2010) 'Virtual patient simulation for learning and assessment: superior results in comparison with regular course exams', 32, 845-850.

Bouaoud, J., El Beheiry, M., Jablon, E., Schouman, T., Bertolus, C., Picard, A., Masson, J.B. and Khonsari, R.H. (2021) 'DIVA, a 3D virtual reality platform, improves undergraduate craniofacial trauma education', 1(4), 367-371.

Buitron de la Vega, P., Dimitri, N., Araujo Brinkerhoff, C., Stern, A., Damus, K., Miselis, H., Garg, P.S., Sarfaty, S. and Sprague Martinez, L. (2022) 'Virtual Reality Simulated Learning Environments: A Strategy to Teach Interprofessional Students About Social Determinants of Health', 1(12), 1799-1803.

Burg, G. and Finlay, A.Y. 'Web-based education', (12), e226-e227.

Bushell, M., Frost, J., Deeks, L., Kosari, S., Hussain, Z. and Naunton, M. 'Evaluation of vaccination training in pharmacy curriculum: Preparing students for workforce needs', (3), no pagination.

Car, L.T., Poon, S., Kyaw, B.M., Cook, D.A., Ward, V., Atun, R., Majeed, A., Johnston, J., Van der Kleij, R.M.J.J., Molokhia, M., Wangenheim, F.V., Lupton, M., Chavannes, N., Ajuebor, O., Prober, C.G. and Car, J. 'Digital Education for Health Professionals: An Evidence Map, Conceptual Framework, and Research Agenda', (3), no pagination.

Castillo, J., Rodriguez-Higueras, E., Belmonte, R., Rodriguez, C., Lopez, A. and Gallart, A. (2023) 'Efficacy of Virtual Reality Simulation in Teaching Basic Life Support and Its Retention at 6 Months', 1(5).

Caylor, S., Aebersold, M., Lapham, J. and Carlson, E. (2015) 'The Use of Virtual Simulation and a Modified TeamSTEPPS™ Training for Multiprofessional Education', Clinical Simulation in Nursing, 11(3), 163-171, available: http://dx.doi.org/10.1016/j.ecns.2014.12.003.

Chan, M.M.K., Shea, Y.F., Kwok, T.T.O. and Cheung, D.S.K. (2023) 'Cultivating clinical reasoning: A blended learning approach', Medical Education, 57(2), 192-193, available: http://dx.doi.org/10.1111/medu.14987.

Chang, C.-Y., Sung, H.-Y., Guo, J.-L., Chang, B.-Y. and Kuo, F.-R. (2022) 'Effects of spherical video-based virtual reality on nursing students' learning performance in childbirth education training', Interactive Learning Environments, 30(3), 400-416, available: http://dx.doi.org/10.1080/10494820.2019.1661854.

Chang, Y.T., Wu, K.C., Yang, H.W., Lin, C.Y., Huang, T.F., Yu, Y.C. and Hu, Y.J. 'Effects of different cardiopulmonary resuscitation education interventions among university students: A randomized controlled trial', (3 March), no pagination.

Chao, Y.C., Hu, S.H., Chiu, H.Y., Huang, P.H., Tsai, H.T. and Chuang, Y.H. (2021) 'The effects of an immersive 3d interactive video program on improving student nurses' nursing skill competence: A randomized controlled trial study', 1, 104979.

Chao, Y.P., Chuang, H.H., Hsin, L.J., Kang, C.J., Fang, T.J., Li, H.Y., Huang, C.G., Kuo, T.B.J., Yang, C.C.H., Shyu, H.Y., Wang, S.L., Shyu, L.Y. and Lee, L.A. (2021) 'Using a 360degree Virtual Reality or 2D Video to Learn History Taking and Physical Examination Skills for Undergraduate Medical Students: Pilot Randomized Controlled Trial', 1(4), e13124.

Chen, B., Chang, P., Parikh, M., Jones, C., Bunting, K., Chakraborti, C. and Kahn, M.J. 'Virtual reality supple-mental teaching at low-cost (VRSTL): Results of low-cost VR film as teaching adjunct for clinical teaching at the medical student level', (2 Supplement 1), S722-s723.

Chen, C.J., Chen, Y.C., Lee, M.Y., Wang, C.H. and Sung, H.C. (2021) 'Effects of three-dimensional holograms on the academic performance of nursing students in a health assessment and practice course: A pretest-intervention-posttest study', 1, 105081.

Cheung, V.Y.T., Tang, Y.M. and Chan, K.K.L. (2023) 'Medical students' perception of the application of a virtual reality training model to acquire vaginal examination skills', 1(3), 827-832.

Chircop, A. and Cobbett, S. (2020) 'Gett’n on the bus: evaluation of Sentinel City®3.0 virtual simulation in community/population health clinical placement', International Journal of Nursing Education Scholarship, 17(1), available: http://dx.doi.org/doi:10.1515/ijnes-2019-0109.

Chuah, J.H., Lok, B. and Black, E. (2013) 'Applying mixed reality to simulate vulnerable populations for practicing clinical communication skills', 1(4), 539-46.

Clabburn, O., Groves, K.E. and Jack, B. (2020) 'Virtual learning environment ('Ivy Street') for palliative medicine education: student and facilitator evaluation', 1(3), 318-323.

Clay, C.J., Schmitz, B.A., Balakrishnan, B., Hopfenblatt, J.P., Evans, A. and Kahng, S. (2021) 'Feasibility of Virtual Reality Behavior Skills Training for Preservice Clinicians', Journal of Applied Behavior Analysis, 54(2), 547-565, available: http://dx.doi.org/10.1002/jaba.809.

Collins, E. and Ditzel, L. (2021) 'Standardised Holographic Patients: An Evaluation of Their Role in Developing Clinical Reasoning Skills', 1, 148-152.

Conradi, E., Kavia, S., Burden, D., Rice, A., Woodham, L., Beaumont, C., Savin-Baden, M., Poulton, T. and Emily Conradi, S.K.D.B.A.R.L.W.C.B.M.S.-B.a.T.P. (2009) 'Virtual patients in a virtual world: training paramedic students for practice', 31, 713-720.

Council, G.M. (2018) 'Outcomes for graduates', General Medical Council.

Council, G.M. (2019) 'Practical Skills and Procedures'.

Creutzfeldt, J., Hedman, L., Medin, C., Heinrichs, W.L. and Felländer-Tsai, L. (2010) 'Exploring virtual worlds for scenario-based repeated team training of cardiopulmonary resuscitation in medical students', J Med Internet Res, 12(3), e38, available: http://dx.doi.org/10.2196/jmir.1426.

Curran, V., Xu, X., Simmons, K., Fleet, L., Coombs, H., Porter, R., White, S., Bessell, C., Deshpandey, A., Shah, A., Waheed, S. and Nuttall, R.M. 'A phenomenological study of the use of 360degree Virtual Reality (VR) video in pediatric and neonatal resuscitation training', (1), 151-159.

Dekhtyar, M., Park, Y.S., Kalinyak, J., Chudgar, S.M., Fedoriw, K.B., Johnson, K.J., Knoche, C.F., Martinez, L., Mingioni, N., Pincavage, A.T., Salas, R., Sanfilippo, F., Sozio, S.M., Weigle, N., Wood, S., Zavodnick, J. and Stern, S. (2022) 'Use of a structured approach and virtual simulation practice to improve diagnostic reasoning', Diagnosis, 9(1), 69-76, available: http://dx.doi.org/doi:10.1515/dx-2020-0160.

Deladisma, A.M., Gupta, M., Kotranza, A., Bittner, I.J.G., Imam, T., Swinson, D., Gucwa, A., Nesbit, R., Lok, B., Pugh, C. and Lind, D.S. 'A pilot study to integrate an immersive virtual patient with a breast complaint and breast examination simulator into a surgery clerkship', (1), 102-106.

Deuchler, S., Dail, Y.A., Koch, F., Buedel, C., Ackermann, H., Flockerzi, E. and Seitz, B. (2023) 'Efficacy of Simulator-Based Slit Lamp Training for Medical Students: A Prospective, Randomized Trial', 1(4), 2171-2186.

Deuchler, S., Scholtz, J., Ackermann, H. and Koch, F. 'Virtual reality microsurgery training during medical school: data from implementation of Eyesi Surgical in ophthalmology clerkship in Germany', (7), 3413-f0313.

Donovan, C.M. (2023) 'Augmented Reality Integration in Manikin-Based Simulations: Bringing Basic Science to the Critical Care Bedside with Limited Augmented Reality Resources', 1(4), 829-833.

Drapkin, Z.A., Lindgren, K.A., Lopez, M.J. and Stabio, M.E. (2015) 'Development and assessment of a new 3D neuroanatomy teaching tool for MRI training', Anatomical Sciences Education, 8(6), 502-509, available: http://dx.doi.org/https://doi.org/10.1002/ase.1509.

Drewett, O., Hann, G., Delacroix, S., Pan, X. and Fertleman, C.R. 'Can a virtual reality communication scenario be used to teach general practitioners and trainees how to recognise and manage safeguarding issues?', (Supplement 1), A60.

Drummond, D., Delval, P., Abdenouri, S., Truchot, J., Ceccaldi, P.F., Plaisance, P., Hadchouel, A. and Tesniere, A. (2017) 'Serious game versus online course for pretraining medical students before a simulation-based mastery learning course on cardiopulmonary resuscitation: A randomised controlled study', 1(12), 836-844.

Edwards, T., Gupta, S., Soussi, D., Patel, A., Khan, S., Liddle, A., Cobb, J. and Logishetty, K. 'Collaborative Surgical Team Training in Virtual Reality Is Superior to Individual Learning: A Randomised Controlled Trial', (Supplement 6), vi10.

Elzie, C.A. and Shaia, J. (2021) 'A Pilot Study of the Impact of Virtually Embodying a Patient with a Terminal Illness', Med Sci Educ, 31(2), 665-675, available: http://dx.doi.org/10.1007/s40670-021-01243-9.

England, N. (2023) 'NHS long term workforce plan', NHS England, London.[Google Scholar].

Engum, S.A., Jeffries, P. and Fisher, L. (2003) 'Intravenous catheter training system: computer-based education versus traditional learning methods', 1(1), 67-74.

Evans, K.H., Daines, W., Tsui, J., Strehlow, M., Maggio, P. and Shieh, L. (2015) 'Septris: a novel, mobile, online, simulation game that improves sepsis recognition and management', Acad Med, 90(2), 180-4, available: http://dx.doi.org/10.1097/acm.0000000000000611.

Fabio Buttussi and Tommaso Pellis and Alberto and Daniele Pausler and Elio Carchietti and Luca, C. (2013) 'Evaluation of a 3D serious game for advanced life support retraining', International Journal of Medical Informatics, 82(9), 798-809, available: http://dx.doi.org/https://doi.org/10.1016/j.ijmedinf.2013.05.007.

Farra, S., Miller, E., Timm, N. and Schafer, J. (2013) 'Improved training for disasters using 3-D virtual reality simulation', 1(5), 655-71.

Farshad-Amacker, N.A., Kubik-Huch, R.A., Kolling, C., Leo, C. and Goldhahn, J. (2023) 'Learning how to perform ultrasound-guided interventions with and without augmented reality visualization: a randomized study', 1(4), 2927-2934.

Figols Pedrosa, M., Barra Perez, A., Vidal-Alaball, J., Miro-Catalina, Q. and Forcada Arcarons, A. (2023) 'Use of virtual reality compared to the role-playing methodology in basic life support training: a two-arm pilot community-based randomised trial', 1(1), 50.

Foronda, C.L., Hudson, K.W. and Budhathoki, C. (2017) 'Use of Virtual Simulation to Impact Nursing Students’ Cognitive and Affective Knowledge of Evidence-Based Practice', Worldviews on Evidence-Based Nursing, 14(2), 168-170, available: http://dx.doi.org/https://doi.org/10.1111/wvn.12207.

Forsberg, E., Georg, C., Ziegert, K. and Fors, U. (2011) 'Virtual patients for assessment of clinical reasoning in nursing -- a pilot study', Nurse Educ Today, 31(8), 757-62, available: http://dx.doi.org/10.1016/j.nedt.2010.11.015.

Francis, E.R., Bernard, S., Nowak, M.L., Daniel, S. and Bernard, J.A. (2020) 'Operating Room Virtual Reality Immersion Improves Self-Efficacy Amongst Preclinical Physician Assistant Students', J Surg Educ, 77(4), 947-952, available: http://dx.doi.org/10.1016/j.jsurg.2020.02.013.

Frohlich, L., Gorlach, J., Thormahlen, T. and Mahnken, A. 'Implementation of 3D-Virtual Reality Headsets in Interventional Radiology Education of Undergraduate Medical Students', (Supplement 1), S14.

Fuchs, T., Felinska, E.A., Felinska, E., Kogkas, A., Mylonas, G., Muller-Stich, B. and Nickel, F. 'ISurgeon: Augmented Reality Telestration for Improved Surgical Training', (Supplement 1), S18.

Fukuta, J., Gill, N., Rooney, R., Coombs, A. and Murphy, D. (2021) 'Use of 360degree Video for a Virtual Operating Theatre Orientation for Medical Students', 1(2), 391-393.

Gan, W., Mok, T.N., Chen, J., She, G., Zha, Z., Wang, H., Li, H., Li, J. and Zheng, X. (2023) 'Researching the application of virtual reality in medical education: one-year follow-up of a randomized trial', 1(1), 3.

García-Seoane, J.J., Ramos-Rincón, J.M. and Lara-Muñoz, J.P. (2021) 'Changes in the Objective Structured Clinical Examination (OSCE) of University Schools of Medicine during COVID-19. Experience with a computer-based case simulation OSCE (CCS-OSCE)', Rev Clin Esp (Barc), 221(8), 456-463, available: http://dx.doi.org/10.1016/j.rceng.2021.01.006.

Garg, A. 'Teaching dermatology using 3-dimensional virtual reality: Reply', (10), 1185-1186.

Giordano, N.A., Whitney, C.E., Axson, S.A., Cassidy, K., Rosado, E. and Hoyt-Brennan, A.M. (2020) 'A pilot study to compare virtual reality to hybrid simulation for opioid-related overdose and naloxone training', 1, 104365.

Glick, Y., Avital, B., Oppenheimer, J., Nahman, D., Wagnert-Avraham, L., Eisenkraft, A., Dym, L., Levi, D., Agur, A., Gustus, B. and Furer, A. (2021) 'Augmenting prehospital care', 1(3), 158-162.

Gout, L., Hart, A., Houze-Cerfon, C.H., Sarin, R., Ciottone, G.R. and Bounes, V. (2020) 'Creating a Novel Disaster Medicine Virtual Reality Training Environment', 1(2), 225-228.

Guetterman, T.C., Sakakibara, R., Baireddy, S., Kron, F.W., Scerbo, M.W., Cleary, J.F. and Fetters, M.D. (2019) 'Medical Students' Experiences and Outcomes Using a Virtual Human Simulation to Improve Communication Skills: Mixed Methods Study', 1(11), e15459.

Haddaway, N.R., Page, M.J., Pritchard, C.C. and McGuinness, L.A. (2022) 'PRISMA2020: An R package and Shiny app for producing PRISMA 2020-compliant flow diagrams, with interactivity for optimised digital transparency and Open Synthesis', Campbell Systematic Reviews, 18(2), e1230, available: http://dx.doi.org/https://doi.org/10.1002/cl2.1230.

Hainsworth, L., Kosti, A., Kiddle, A., Bamford, R. and Hunter, I. 'Teaching the management of trauma patients: the development of virtual reality fully immersive interactive videos', (Suppl, 6), 8.

Hale, A., Fischer, M., Schutz, L., Fuchs, H. and Leuze, C. (2022) 'Remote Training for Medical Staff in Low-Resource Environments Using Augmented Reality', 1(12).

Halfer, D. and Rosenheck, M. (2014) 'Virtual education: is it effective for preparing nurses for a hospital move?', J Nurs Adm, 44(10), 535-40, available: http://dx.doi.org/10.1097/nna.0000000000000112.

Han, S.G., Kim, Y.D., Kong, T.Y. and Cho, J. (2021) 'Virtual reality-based neurological examination teaching tool(VRNET) versus standardized patient in teaching neurological examinations for the medical students: a randomized, single-blind study', 1(1), 493.

Hannans, J. (2023) 'Integrating LGBTQI+ Content in Nursing Education Using Immersive Virtual Reality: Embodying Eden', 1(5), 321-322.

Hansen, M.M. (2008) 'Versatile, immersive, creative and dynamic virtual 3-D healthcare learning environments: a review of the literature', J Med Internet Res, 10(3), e26, available: http://dx.doi.org/10.2196/jmir.1051.

Hanson, J., Andersen, P. and Dunn, P.K. (2019) 'Effectiveness of three-dimensional visualisation on undergraduate nursing and midwifery students' knowledge and achievement in pharmacology: A mixed methods study', 1, 19-25.

Hanson, J., Andersen, P. and Dunn, P.K. (2020) 'The effects of a virtual learning environment compared with an individual handheld device on pharmacology knowledge acquisition, satisfaction and comfort ratings', 1, 104518.

Hardcastle, T. and Wood, A. (2018) 'The utility of virtual reality surgical simulation in the undergraduate otorhinolaryngology curriculum', 1(12), 1072-1076.

Harrison, B.a.O.R.a.R.A.a.R.B.a.D.C.P.a.K.R.a.F.D. (2017) 'Through the eye of the master: The use of Virtual Reality in the teaching of surgical hand preparation', in 1-6, available: http://dx.doi.org/10.1109/SeGAH.2017.7939269.

Hollister, B.M., Schopp, E.M., Telaak, S.H., Buscetta, A.J., Dolwick, A.P., Fortney, C.J., Bonham, V.L. and Persky, S. (2022) 'Educational considerations based on medical student use of polygenic risk information and apparent race in a simulated consultation', 1(11), 2389-2398.

Horstmann, M., Renninger, M., Hennenlotter, J., Horstmann, C., Stenzl, A. and M. Horstmann, M.R.J.H.C.C.H.a.A.S. (2009) 'Blended e-learning in a web-based virtual hospital: a useful tool for undergraduate education in urology', 22.

Imai, T., Tanaka, Y., Hatanaka, Y., Suetsugu, T., Sato, Y., Matsuhashi, N., Tsunekawa, K., Saiki, T. and Yoshida, K. (2022) 'Incorporation of virtual reality in the clinical training of medical students studying esophageal and mediastinal anatomy and surgery', 1(8), 1212-1217.

Imma Boada and Antonio Rodriguez-Benitez and Juan Manuel Garcia-Gonzalez and Josep Olivet and Vicenç Carreras and Mateu, S. (2015) 'Using a serious game to complement CPR instruction in a nurse faculty', Computer Methods and Programs in Biomedicine, 122(2), 282-291, available: http://dx.doi.org/https://doi.org/10.1016/j.cmpb.2015.08.006.

Isaranuwatchai, W., Brydges, R., Carnahan, H., Backstein, D. and Dubrowski, A. (2014) 'Comparing the cost-effectiveness of simulation modalities: a case study of peripheral intravenous catheterization training', Advances in Health Sciences Education, 19(2), 219-232, available: http://dx.doi.org/10.1007/s10459-013-9464-6.

Ismailoglu, E.G., Orkun, N., Eser, I. and Zaybak, A. (2020) 'Comparison of the effectiveness of the virtual simulator and video-assisted teaching on intravenous catheter insertion skills and self-confidence: A quasi-experimental study', 1, 104596.

Issleib, M., Kromer, A., Pinnschmidt, H.O., Suss-Havemann, C. and Kubitz, J.C. (2021) 'Virtual reality as a teaching method for resuscitation training in undergraduate first year medical students: a randomized controlled trial', 1(1), 27.

Jamison, R.J., Hovancsek, M.T. and Clochesy, J.M. (2006) 'A pilot study assessing simulation using two simulation methods for teaching intravenous cannulation', Clinical Simulation in Nursing, 2(1), e9-e12.

Jayasundera, M., Myers, M., Pandian, K. and Gingell, G. (2022) 'Virtual Reality Simulation: Evaluating an Experiential Tool for the Clinical Application of Pathophysiology', 1(6), 1575-1577.

Jones, V.F., Rowland, M.L., Brueckner-Collins, J., Mack, A., Gault, S., Richardson, A. and Hazard, M. 'Comparison of LGBT cultural sensitivity teaching methods using the virtual reality world of second life versus a traditional workshop format', (2), 533.

Jung, E.Y., Park, D.K., Lee, Y.H., Jo, H.S., Lim, Y.S. and Park, R.W. (2012) 'Evaluation of practical exercises using an intravenous simulator incorporating virtual reality and haptics device technologies', 1(4), 458-63.

Kang, K.A., Kim, S.J., Lee, M.N., Kim, M. and Kim, S. (2020) 'Comparison of Learning Effects of Virtual Reality Simulation on Nursing Students Caring for Children with Asthma', 1(22).

Kang, S.J., Hong, C.M. and Lee, H. (2020) 'The Impact of Virtual Simulation on Critical Thinking and Self-Directed Learning Ability of Nursing Students', Clinical Simulation in Nursing, 49, 66-72, available: http://dx.doi.org/https://doi.org/10.1016/j.ecns.2020.05.008.

Kazemi, H., Rappel, J.K., Poston, T., Lim, B.H., Burdet, E. and Teo, C.L. 'Assessing suturing techniques using a virtual reality surgical simulator', (6), 479-486.

Kennedy, G.A.L., Pedram, S. and Sanzone, S. 'Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training', no pagination.

Kidd, L.I., Knisley, S.J. and Morgan, K.I. (2012) 'Effectiveness of a second life( R) simulation as a teaching strategy for undergraduate mental health nursing students', 1(7), 28-37.

Kilteni, K., Groten, R. and Slater, M. (2012) 'The sense of embodiment in virtual reality', Presence: Teleoperators and Virtual Environments, 21(4), 373-387.

Kim, H.Y., Lee, J.H. and Lee, E.H. (2021) 'Virtual Experience of Perioperative Patients: Walking in the Patients' Shoes Using Virtual Reality and Blended Learning', 1(12).

Kim, K., Xie, N., Hammersmith, L., Berrocal, Y. and Roni, M.A. (2023) 'Impact of Virtual Reality on Pharmacology Education: A Pilot Study', 1(8), e43411.

Kiyozumi, T., Ishigami, N., Tatsushima, D., Araki, Y., Yoshimura, Y. and Saitoh, D. (2022) 'Instructor Development Workshops for Advanced Life Support Training Courses Held in a Fully Virtual Space: Observational Study', 1(2), e38952.

Kockro, R.A., Amaxopoulou, C., Killeen, T., Wagner, W., Reisch, R., Schwandt, E., Gutenberg, A., Giese, A., Stofft, E. and Stadie, A.T. (2015) 'Stereoscopic neuroanatomy lectures using a three-dimensional virtual reality environment', 1, 91-8.

Kolecki, R., Pregowska, A., Dabrowa, J., Skucinski, J., Pulanecki, T., Walecki, P., van Dam, P.M., Dudek, D., Richter, P. and Proniewska, K. 'Assessment of the utility of Mixed Reality in medical education', no pagination.

Kotcherlakota, S., Pelish, P., Hoffman, K., Kupzyk, K. and Rejda, P. (2020) 'Augmented Reality Technology as a Teaching Strategy for Learning Pediatric Asthma Management: Mixed Methods Study', 1(1), e23963.

Kravitz, M.B., Dadario, N.B., Arif, A., Bellido, S., Ahmed, O., Gibber, M. and Jafri, F.N. (2022) 'The Comparative Effectiveness of Virtual Reality Versus E-Module on the Training of Donning and Doffing Personal Protective Equipment: A Randomized, Simulation-Based Educational Study', 1(3), e23655.

Kron, F.W., Fetters, M.D., Scerbo, M.W., White, C.B., Lypson, M.L., Padilla, M.A., Gliva-McConvey, G.A., Belfore, L.A., West, T., Wallace, A.M., Guetterman, T.C., Schleicher, L.S., Kennedy, R.A., Mangrulkar, R.S., Cleary, J.F., Marsella, S.C. and Becker, D.M. 'Using a computer simulation for teaching communication skills: A blinded multisite mixed methods randomized controlled trial', (4), 748-759.

Kyaw, B.M., Posadzki, P., Paddock, S., Car, J., Campbell, J. and Tudor Car, L. (2019a) 'Effectiveness of Digital Education on Communication Skills Among Medical Students: Systematic Review and Meta-Analysis by the Digital Health Education Collaboration. [Review]', 1(8), e12967.

Kyaw, B.M., Saxena, N., Posadzki, P., Vseteckova, J., Nikolaou, C.K., George, P.P., Divakar, U., Masiello, I., Kononowicz, A.A., Zary, N. and Tudor Car, L. (2019b) 'Virtual Reality for Health Professions Education: Systematic Review and Meta-Analysis by the Digital Health Education Collaboration', 1(1), e12959.

Kyaw, B.M., Tudor Car, L., van Galen, L.S., van Agtmael, M.A., Costelloe, C.E., Ajuebor, O., Campbell, J. and Car, J. (2019c) 'Health Professions Digital Education on Antibiotic Management: Systematic Review and Meta-Analysis by the Digital Health Education Collaboration', 1(9), e14984.

Latif, M.H., Ajmal, M., Ahmad, F., Alam, J. and Saleem, A. (2017) 'LA-VIE: A serious game for cardiopulmonary resuscitation', in 2017 IEEE 5th International Conference on Serious Games and Applications for Health (SeGAH), IEEE, 1-5.

Lau, S., Truong, T., Guzman, J., Carrasquillo, O., Akande, O., Gunasekeran, D., Agrawal, R.V. and Sandler, S.F. 'Augmented reality mobile application for glaucoma education in the south bronx', (8), no pagination.

Law, A.K.K., Hung, K.K.C., James, K.S., Kelly, A.M. and Graham, C.A. (2023) 'Virtual patient simulation in undergraduate emergency medicine education during COVID-19: Randomized controlled trial', no pagination.

Lebdai, S., Mauget, M., Cousseau, P., Granry, J.C. and Martin, L. 'Improving Academic Performance in Medical Students Using Immersive Virtual Patient Simulation: A Randomized Controlled Trial', (2), 478-484.

Lee, J., Kim, H. and Kron, F. (2023) 'Virtual education strategies in the context of sustainable health care and medical education: a topic modelling analysis of four decades of research', Medical Education.

Lee, Y., Kim, S.K. and Eom, M.R. (2020) 'Usability of mental illness simulation involving scenarios with patients with schizophrenia via immersive virtual reality: A mixed methods study', 1(9), e0238437.

LeFlore, J.L., Anderson, M., Zielke, M.A., Nelson, K.A., Thomas, P.E., Hardee, G. and John, L.D. (2012) 'Can a Virtual Patient Trainer Teach Student Nurses How to Save Lives—Teaching Nursing Students About Pediatric Respiratory Diseases', Simulation in Healthcare, 7(1), 10-17, available: http://dx.doi.org/10.1097/SIH.0b013e31823652de.

Lesch, H., Johnson, E., Peters, J. and Cendan, J.C. (2020) 'VR Simulation Leads to Enhanced Procedural Confidence for Surgical Trainees', 1(1), 213-218.

Liaw, S.Y., Tan, J.Z., Lim, S., Zhou, W., Yap, J., Ratan, R., Ooi, S.L., Wong, S.J., Seah, B. and Chua, W.L. (2023a) 'Artificial intelligence in virtual reality simulation for interprofessional communication training: Mixed method study', 1, 105718.

Liaw, S.Y., Tan, J.Z., Rusli, K.D.B., Ratan, R., Zhou, W., Lim, S., Lau, T.C., Seah, B. and Chua, W.L. (2023b) 'Artificial Intelligence Versus Human-Controlled Doctor in Virtual Reality Simulation for Sepsis Team Training: Randomized Controlled Study', no pagination.

Lorenzo-Alvarez, R., Rudolphi-Solero, T., Ruiz-Gomez, M.J. and Sendra-Portero, F. (2019) 'Medical Student Education for Abdominal Radiographs in a 3D Virtual Classroom Versus Traditional Classroom: A Randomized Controlled Trial', 1(3), 644-650.

Loukas, C., Nikiteas, N., Kanakis, M., Moutsatsos, A., Leandros, E. and Georgiou, E. (2010) 'A virtual reality simulation curriculum for intravenous cannulation training', 1(10), 1142-5.

Lowe, J., Peng, C., Winstead-Derlega, C. and Curtis, H. (2020) '360 virtual reality pediatric mass casualty incident: A cross sectional observational study of triage and out-of-hospital intervention accuracy at a national conference', J Am Coll Emerg Physicians Open, 1(5), 974-980, available: http://dx.doi.org/10.1002/emp2.12214.

Lund, S., Boas, I.M., Bedesa, T., Fekede, W., Nielsen, H.S. and Sørensen, B.L. (2016) 'Association Between the Safe Delivery App and Quality of Care and Perinatal Survival in Ethiopia: A Randomized Clinical Trial', JAMA Pediatr, 170(8), 765-71, available: http://dx.doi.org/10.1001/jamapediatrics.2016.0687.

Madan, A.K., Harper, J.L., Frantzides, C.T. and Tichansky, D.S. (2008) 'Nonsurgical skills do not predict baseline scores in inanimate box or virtual-reality trainers', 1(7), 1686-9.

Mansoory, M.S., Khazaei, M.R., Azizi, S.M. and Niromand, E. (2021) 'Comparison of the effectiveness of lecture instruction and virtual reality-based serious gaming instruction on the medical students' learning outcome about approach to coma', 1(1), 347.

Maryann Alexander and Carol, F.D.a.J.I.H.a.P.R.J.a.N.G.a.S.S.K.-E.a.K.S.K.a.N. (2015) 'NCSBN Simulation Guidelines for Prelicensure Nursing Programs', Journal of Nursing Regulation, 6(3), 39-42, available: http://dx.doi.org/https://doi.org/10.1016/S2155-8256(15)30783-3.

Mather, C. and McCarthy, R. (2021) 'Exploring the effects of a high-fidelity environment on nursing students' confidence and performance of CPR', 1(2), 76-82.

McCalla, M.M., Jones, D., Grice, R., Love, M., Love, C., Lammert, L. and Beverly, E.A. (2023) 'Feasibility of a Cinematic-Virtual Reality Training Program for Health Professional Students: A Single-Arm Pre-Post Study', 1(5), 1181-1189.

McClusky, D.A., 3rd, Ritter, E.M., Lederman, A.B., Gallagher, A.G. and Smith, C.D. (2005) 'Correlation between perceptual, visuo-spatial, and psychomotor aptitude to duration of training required to reach performance goals on the MIST-VR surgical simulator', 1(1), 13-20; discussion 20-1.

McGrath, J., Kman, N., Danforth, D., Bahner, D.P., Khandelwal, S., Martin, D.R., Nagel, R., Verbeck, N., Way, D.P. and Nelson, R. 'Virtual alternative to the oral examination for emergency medicine residents', (2), 336-343.

McLaughlin, N., Rogers, J., D'Arcy, J. and Gormley, G. (2021) 'Sorry doctor....I didn't hear that....': phenomenological analysis of medical students' experiences of simulated hearing impairment through virtual reality', 1(4), 207-215.

Menendez, E., Balisa-Rocha, B., Jabbur-Lopes, M., Costa, W., Nascimento, J.R., Dosea, M., Silva, L. and Lyra Junior, D. 'Using a virtual patient system for the teaching of pharmaceutical care', (9), 640-646.

Mergen, M., Junga, A., Risse, B., Valkov, D., Graf, N. and Marschall, B. (2023) 'Immersive training of clinical decision making with AI driven virtual patients - a new VR platform called medical tr.AI.ning', 1(2), Doc18.

Metcalfe, S. (2016) 'Second Life Patient Scenarios: Enhancing the Diversity of the Nursing Profession', 1(3), 166-170.

Middeke, A., Anders, S., Schuelper, M., Raupach, T. and Schuelper, N. (2018) 'Training of clinical reasoning with a Serious Game versus small-group problem-based learning: A prospective study', 1(9), e0203851.

Milgram, P. and Kishino, F. (1994) 'A taxonomy of mixed reality visual displays', IEICE TRANSACTIONS on Information and Systems, 77(12), 1321-1329.

Mills, B., Dykstra, P., Hansen, S., Miles, A., Rankin, T., Hopper, L., Brook, L. and Bartlett, D. (2020) 'Virtual Reality Triage Training Can Provide Comparable Simulation Efficacy for Paramedicine Students Compared to Live Simulation-Based Scenarios', 1(4), 525-536.

Mills, B.W., Carter, O.B.-J., Rudd, C.J., Claxton, L.A., Ross, N.P. and Strobel, N.A. (2016) 'Effects of Low- Versus High-Fidelity Simulations on the Cognitive Burden and Performance of Entry-Level Paramedicine Students: A Mixed-Methods Comparison Trial Using Eye-Tracking, Continuous Heart Rate, Difficulty Rating Scales, Video Observation and Interviews', Simulation in Healthcare, 11(1), 10-18, available: http://dx.doi.org/10.1097/sih.0000000000000119.

Minukhin, D., Dyer, E., Swartzlander, B. and Gugliucci, M. 'End of life virtual reality training: Medical student increased empathic ability', (Supplement 1), S23-s24.

Mitchell, A.A. and Ivimey-Cook, E.R. (2023) 'Technology-enhanced simulation for healthcare professionals: A meta-analysis', 1, 1149048.

Monsieurs, K.G., Vogels, C., Bossaert, L.L., Meert, P., Manganas, A., Tsiknakis, M., Leisch, E., Calle, P.A. and Giorgini, F. (2004) 'Learning effect of a novel interactive basic life support CD: the JUST system', 1(2), 159-65.

Moro, C., Phelps, C., Redmond, P. and Stromberga, Z. (2021) 'HoloLens and mobile augmented reality in medical and health science education: A randomised controlled trial', British Journal of Educational Technology, 52(2), 680-694, available: http://dx.doi.org/10.1111/bjet.13049.

Moro, C., Štromberga, Z., Raikos, A. and Stirling, A. (2017) 'The effectiveness of virtual and augmented reality in health sciences and medical anatomy', Anatomical Sciences Education, 10(6), 549-559, available: http://dx.doi.org/https://doi.org/10.1002/ase.1696.

Nakazawa, A., Iwamoto, M., Kurazume, R., Nunoi, M., Kobayashi, M. and Honda, M. (2023) 'Augmented reality-based affective training for improving care communication skill and empathy', 1(7), e0288175.

Nakhoul, G., Mehdi, A., Crane, A.D., Schold, J.D., Arrigain, S., Wardrop, R.M., Nally, J.V., Bierer, S.B., Sedor, J.R., O'Toole, J.F. and Taliercio, J.J. (2022) 'Assessment of a 3-Dimensional (3D) Virtual Reality (VR) Educational Tool', 51.

Nas, J., Thannhauser, J., Konijnenberg, L.S.F., Van Geuns, R.J.M., Van Royen, N., Bonnes, J.L. and Brouwer, M.A. 'Long-term Effect of Face-to-Face vs Virtual Reality Cardiopulmonary Resuscitation (CPR) Training on Willingness to Perform CPR, Retention of Knowledge, and Dissemination of CPR Awareness: A Secondary Analysis of a Randomized Clinical Trial', (5), E2212964.

Nas, J., Thannhauser, J., Vart, P., Van Geuns, R.J., Muijsers, H.E.C., Mol, J.Q., Aarts, G.W.A., Konijnenberg, L.S.F., Gommans, D.H.F., Ahoud-Schoenmakers, S.G.A.M., Vos, J.L., Van Royen, N., Bonnes, J.L. and Brouwer, M.A. 'Effect of Face-to-Face vs Virtual Reality Training on Cardiopulmonary Resuscitation Quality: A Randomized Clinical Trial', (3), 328-335.

Navaratnam, A.V., Mistry, R., Khetani, A., Chandrasekharan, D., Singh, A., Tatla, T. and Ramdoo, K. 'Utilization of a smartphone-enabled video otoscope to train novices in otological examination and procedural skills', (1 suppl), P112.

Newman, K., Kahlon, P.K. and Li, S. (2021) 'Raising nursing student awareness of how it feels to have dementia with the use of 360º video', Journal of Nursing Education and Practice, 11(2), available: http://dx.doi.org/https://www.sciedupress.com/journal/index.php/jnep/article/view/18175.

Noll, C., von Jan, U., Raap, U. and Albrecht, U.V. (2017) 'Mobile Augmented Reality as a Feature for Self-Oriented, Blended Learning in Medicine: Randomized Controlled Trial', 1(9), e139.

Omori, K., Shigemoto, N., Kitagawa, H., Nomura, T., Kaiki, Y., Miyaji, K., Akita, T., Kobayashi, T., Hattori, M., Hasunuma, N., Tanaka, J. and Ohge, H. (2023) 'Virtual reality as a learning tool for improving infection control procedures', 1(2), 129-134.

Padilha, J.M., Machado, P.P., Ribeiro, A., Ramos, J. and Costa, P. (2019) 'Clinical Virtual Simulation in Nursing Education: Randomized Controlled Trial', J Med Internet Res, 21(3), e11529, available: http://dx.doi.org/10.2196/11529.

Patel, V., Aggarwal, R., Osinibi, E., Taylor, D., Arora, S. and Darzi, A. (2012) 'Operating room introduction for the novice', Am J Surg, 203(2), 266-75, available: http://dx.doi.org/10.1016/j.amjsurg.2011.03.003.

Peden, R.G., Mercer, R. and Tatham, A.J. (2016) 'The use of head-mounted display eyeglasses for teaching surgical skills: A prospective randomised study', International Journal of Surgery, 34, 169-173, available: http://dx.doi.org/https://doi.org/10.1016/j.ijsu.2016.09.002.

Peters, P., Lemos, M., Bonsch, A., Ooms, M., Ulbrich, M., Rashad, A., Krause, F., Lipprandt, M., Kuhlen, T.W., Rohrig, R., Holzle, F. and Puladi, B. (2023) 'Effect of head-mounted displays on students' acquisition of surgical suturing techniques compared to an e-learning and tutor-led course: a randomized controlled trial', 1(8), 2228-2240.

Petrica, A., Lungeanu, D., Ciuta, A., Marza, A.M., Botea, M.O. and Mederle, O.A. (2021) 'Using 360-degree video for teaching emergency medicine during and beyond the COVID-19 pandemic', 1(1), 1520-1530.

Pfeil, A., Klemm, P., Hueber, A.J., Hoffmann, T., Weise, T., Oelzner, P., Knop, S., Muller-Ladner, U., Lange, U., Wolf, G., Schett, G., Simon, D. and Kleyer, A. (2023) 'Enhancing student understanding of rheumatic disease pathologies through augmented reality: findings from a multicentre trial', 1.

'PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation', (2018) Annals of Internal Medicine, 169(7), 467-473, available: http://dx.doi.org/10.7326/m18-0850 %m 30178033.

Rai, A.S., Mavrikakis, E. and Lam, W.C. (2017) 'Teaching binocular indirect ophthalmoscopy to novice residents using an augmented reality simulator', 1(5), 430-434.

Rainford, L., Tcacenco, A., Potocnik, J., Brophy, C., Lunney, A., Kearney, D. and O'Connor, M. (2023) 'Student perceptions of the use of three-dimensional (3-D) virtual reality (VR) simulation in the delivery of radiation protection training for radiography and medical students', 1(4), 777-785.

Rakofsky, J.J., Talbot, T.B. and Dunlop, B.W. (2020) 'A Virtual Standardized Patient-Based Assessment Tool to Evaluate Psychiatric Residents' Psychopharmacology Proficiency', Acad Psychiatry, 44(6), 693-700, available: http://dx.doi.org/10.1007/s40596-020-01286-x.

Ramesh, P.V., Devadas, A.K., Joshua, T., Ray, P., Ramesh, S.V., Ramesh, M.K. and Rajasekaran, R. (2022) '3D printing ophthalmology related models for enhancing learning through the concept of puzzle assembly - A comprehensive self-learning tactile tool kit', 1(4), 1384-1386.

Ranpariya, V.K., Huang, W.W. and Feldman, S.R. (2022) 'Virtual reality memory palace: An innovative dermatology education modality', Journal of the American Academy of Dermatology, 86(6), 1435-1437.

Rauschnabel, P.A., Felix, R., Hinsch, C., Shahab, H. and Alt, F. (2022) 'What is XR? Towards a Framework for Augmented and Virtual Reality', Computers in Human Behavior, 133, 107289, available: http://dx.doi.org/https://doi.org/10.1016/j.chb.2022.107289.

Real, F.J., DeBlasio, D., Beck, A.F., Ollberding, N.J., Davis, D., Cruse, B., Samaan, Z., McLinden, D. and Klein, M.D. (2017) 'A Virtual Reality Curriculum for Pediatric Residents Decreases Rates of Influenza Vaccine Refusal', 1(4), 431-435.

Reinhardt, A.C., Mullins, I.L., De Blieck, C. and Schultz, P. (2012) 'IV Insertion Simulation: Confidence, Skill, and Performance', Clinical Simulation in Nursing, 8(5), e157-e167, available: http://dx.doi.org/https://doi.org/10.1016/j.ecns.2010.09.001.

Reppou, S., Kiosses, V., Ntakakis, G., Plomariti, C. and Bamidis, P.D. 'Enhancing Palliative Care Related Empathy and Communications Skills of Medical Students and Health Professionals by Means of Virtual Reality', (1 Supplement), 141.

Richardson, A., Bracegirdle, L., McLachlan, S.I. and Chapman, S.R. (2013) 'Use of a three-dimensional virtual environment to teach drug-receptor interactions', Am J Pharm Educ, 77(1), 11, available: http://dx.doi.org/10.5688/ajpe77111.

Robb, A., Kopper, R., Ambani, R., Qayyum, F., Lind, D., Su, L.M. and Lok, B. (2013) 'Leveraging virtual humans to effectively prepare learners for stressful interpersonal experiences', 1(4), 662-70.

Rodriguez-Abad, C., Martinez-Santos, A.E., Fernandez-de-la-Iglesia, J.D. and Rodriguez-Gonzalez, R. (2023) 'Online (versus face-to-face) augmented reality experience on nursing students' leg ulcer competency: Two quasi-experimental studies', 1, 103715.

Rodriguez-Abad, C., Rodriguez-Gonzalez, R., Martinez-Santos, A.E. and Fernandez-de-la-Iglesia, J.D. (2022) 'Effectiveness of augmented reality in learning about leg ulcer care: A quasi-experimental study in nursing students', 1, 105565.

Rodriguez-Rivas, M.E., Cangas, A.J., Martin, A., Romo, J., Perez, J.C., Valdebenito, S., Cariola, L., Onetto, J., Hernandez, B., Ceric, F., Cea, P. and Corrigan, P. (2023) 'Reducing Stigma Toward People with Serious Mental Illness Through a Virtual Reality Intervention: A Randomized Controlled Trial', 1.

Roswell, R.O., Cogburn, C.D., Tocco, J., Martinez, J., Bangeranye, C., Bailenson, J.N., Wright, M., Mieres, J.H. and Smith, L. (2020) 'Cultivating Empathy Through Virtual Reality: Advancing Conversations About Racism, Inequity, and Climate in Medicine', 1(12), 1882-1886.

Rothlind, E., Fors, U., Salminen, H., Wändell, P. and Ekblad, S. (2021) 'Virtual patients reflecting the clinical reality of primary care - a useful tool to improve cultural competence', BMC Med Educ, 21(1), 270, available: http://dx.doi.org/10.1186/s12909-021-02701-z.

Rudolphi-Solero, T., Jimenez-Zayas, A., Lorenzo-Alvarez, R., Domínguez-Pinos, D., Ruiz-Gomez, M.J. and Sendra-Portero, F. (2021) 'A team-based competition for undergraduate medical students to learn radiology within the virtual world Second Life', Insights Imaging, 12(1), 89, available: http://dx.doi.org/10.1186/s13244-021-01032-3.

Rudolphi-Solero, T., Lorenzo-Alvarez, R., Ruiz-Gomez, M.J. and Sendra-Portero, F. (2022) 'Impact of compulsory participation of medical students in a multiuser online game to learn radiological anatomy and radiological signs within the virtual world Second Life', Anatomical Sciences Education, 15(5), 863-876, available: http://dx.doi.org/https://doi.org/10.1002/ase.2134.

Ryan, G., Rafferty, A., Murphy, J., Higgins, M.F., Mangina, E. and McAuliffe, F.M. (2023) 'Virtual reality learning: A randomized controlled trial assessing medical student knowledge of fetal development', 1(1), 292-299.

Saab, M.M. (2022) 'Enhancing men's awareness of testicular diseases using virtual reality: The e-mat study', (Suppl 1), S6-s7.

Sarkar, U., Lee, J.E., Nguyen, K.H., Lisker, S. and Lyles, C.R. (2021) 'Barriers and Facilitators to the Implementation of Virtual Reality as a Pain Management Modality in Academic, Community, and Safety-Net Settings: Qualitative Analysis', J Med Internet Res, 23(9), e26623, available: http://dx.doi.org/10.2196/26623.

Sattar, M.U., Palaniappan, S., Lokman, A., Hassan, A., Shah, N. and Riaz, Z. (2019) 'Effects of Virtual Reality training on medical students' learning motivation and competency', 1(3), 852-857.

Savino, S., Mormando, G., Saia, G., Da Dalt, L., Chang, T.P. and Bressan, S. (2023) 'SIMPEDVR: using VR in teaching pediatric emergencies to undergraduate students-a pilot study', 1.

Scerbo, M.W., Bliss, J.P., Schmidt, E.A. and Thompson, S.N. (2006) 'The efficacy of a medical virtual reality simulator for training phlebotomy', 1(1), 72-84.

Schneider, J., Patfield, M., Croft, H., Salem, S. and Munro, I. (2020) 'Introducing Augmented Reality Technology to Enhance Learning in Pharmacy Education: A Pilot Study', 1(3).

Schoeb, D.S., Schwarz, J., Hein, S., Schlager, D., Pohlmann, P.F., Frankenschmidt, A., Gratzke, C. and Miernik, A. 'Mixed reality for teaching catheter placement to medical students: a randomized single-blinded, prospective trial', (1), 510.

Silva, R.D.C., Albuquerque, S.G.C., Muniz, A.V., Filho, P.P.R., Ribeiro, S., Pinheiro, P.R. and Albuquerque, V.H.C. (2017) 'Reducing the Schizophrenia Stigma: A New Approach Based on Augmented Reality', 1, 2721846.

Smidt, A., Balandin, S., Sigafoos, J. and Reed, V.A. (2009) 'The Kirkpatrick model: A useful tool for evaluating training outcomes', Journal of Intellectual and Developmental Disability, 34(3), 266-274.

Stephanie Cobb, R.H.O.C.a.S.H.-B. (2009) 'The Learning Gains and Student Perceptions of a Second Life Virtual Lab', Bioscience Education, 13(1), 1-9, available: http://dx.doi.org/10.3108/beej.13.5.

Stepniak, C., Wickens, B., Husein, M., Paradis, J., Ladak, H.M., Fung, K. and Agrawal, S.K. (2017) 'Blinded randomized controlled study of a web-based otoscopy simulator in undergraduate medical education', 1(6), 1306-1311.

Stevens, A., Hernandez, J., Johnsen, K., Dickerson, R., Raij, A., Harrison, C., DiPietro, M., Allen, B., Ferdig, R., Foti, S., Jackson, J., Shin, M., Cendan, J., Watson, R., Duerson, M., Lok, B., Cohen, M., Wagner, P. and Lind, D.S. 'The use of virtual patients to teach medical students history taking and communication skills', (6), 806-811.

Strickland, C.D., Lowry, P.A., Petersen, B.D. and Jesse, M.K. 'Introduction of a virtual workstation into radiology medical student education', (3), W289-w292.

Stromberga, Z., Phelps, C., Smith, J. and Moro, C. (2021) 'Teaching with Disruptive Technology: The Use of Augmented, Virtual, and Mixed Reality (HoloLens) for Disease Education', 1, 147-162.

Sultan, L., Abuznadah, W., Al-Jifree, H., Khan, M.A., Alsaywid, B. and Ashour, F. (2019) 'An Experimental Study On Usefulness Of Virtual Reality 360degree In Undergraduate Medical Education', 1, 907-916.

Suzette Davis Reyes and Kristina Stillsmoking and, D. (2008) 'Implementation and Evaluation of a Virtual Simulator System: Teaching Intravenous Skills', Clinical Simulation in Nursing, 4(1), e43-e49, available: http://dx.doi.org/https://doi.org/10.1016/j.ecns.2009.05.055.

Taubert, M., Webber, L., Hamilton, T., Carr, M. and Harvey, M. (2019) 'Virtual reality videos used in undergraduate palliative and oncology medical teaching: results of a pilot study', 1(3), 281-285.

Thomson, H. (2023) 'Immersive virtual reality to promote leadership among health professions students', 1(1), 28-34.

Tidbury, L., Jarvis, K. and Bridge, P. (2020) 'Initial evaluation of a virtual reality bomb-defusing simulator for development of undergraduate healthcare student communication and teamwork skills', 1(4), 229-231.

Torda, A. (2020) 'CLASSIE teaching - using virtual reality to incorporate medical ethics into clinical decision making', 1(1), 326.

Tran, C., Toth-Pal, E., Ekblad, S., Fors, U. and Salminen, H. (2020) 'A virtual patient model for students' interprofessional learning in primary healthcare', 1(9), e0238797.

Trapero, I., Sanchez-Martinez, V., Cauli, O. and Buigues, C. (2023) 'Evaluating video virtual reality teaching for nursing students', 1.

Tso, H.L., Young, J. and Yung, C.W. (2021) 'Comparing Eyesi Virtual Reality Simulator and Traditional Teaching Methods for Direct Ophthalmoscopy: Students' Perspectives at Indiana University School of Medicine', 1(1), e66-e72.

Turan, Z., Gürol, A. and Uslu, S. (2021) 'A mixed-methods study exploring the effect of augmented learning for paramedic students in ECG training', Innovations in Education & Teaching International, 58(2), 230-241, available: http://dx.doi.org/10.1080/14703297.2020.1752282.

Vallance, A.K., Hemani, A., Fernandez, V., Livingstone, D., McCusker, K. and Toro-Troconis, M. 'Using virtual worlds for role play simulation in child and adolescent psychiatry: An evaluation study', (5), 204-210.

Vallée, A., Blacher, J., Cariou, A. and Sorbets, E. (2020) 'Blended learning compared to traditional learning in medical education: systematic review and meta-analysis', Journal of medical Internet research, 22(8), e16504.

Vandeweerdt, C., Luong, T., Atchapero, M., Mottelson, A., Holz, C., Makransky, G. and Bohm, R. (2022) 'Virtual reality reduces COVID-19 vaccine hesitancy in the wild: a randomized trial', 1(1), 4593.

Vestergaard, L.D., Løfgren, B., Jessen, C., Børlum, C., Wolff, A., Nielsen, H.V. and Krarup, N.H.V. (2011) 'Abstract 156: Pediatric Basic Life Support Self-Training Is Comparable to Instructor-Led Training: A Randomized Manikin Study', Circulation, 124(suppl_21), A156-A156, available: http://dx.doi.org/doi:10.1161/circ.124.suppl_21.A156.

Vukanovic-Criley, J.M., Boker, J.R., Criley, S.R., Rajagopalan, S. and Criley, J.M. 'Using virtual patients to improve cardiac examination competency in medical students', (7), 334-339.

Wandell, H.F. 'Using a virtual reality simulator in phlebotomy training', (8), 463-466.

Washington, E. and Shaw, C. (2019) The Effects of a VR Intervention on Career Interest, Empathy, Communication Skills, and Learning with Second-Year Medical Students: Educational Media and Technology Yearbook, available: https://search.ebscohost.com/login.aspx?direct=true&db=eric&AN=ED601893&site=ehost-live [accessed.

Watari, T., Tokuda, Y., Owada, M. and Onigata, K. (2020) 'The Utility of Virtual Patient Simulations for Clinical Reasoning Education', 1(15).

William, A., Vidal, V.L. and John, P. (2016) 'Traditional Instruction versus Virtual Reality Simulation: A Comparative Study of Phlebotomy Training among Nursing Students in Kuwait', Journal of Education and Practice, 7(9), 18-25.

Williams, D., Stephen, L.A. and Causton, P. (2020) 'Teaching interprofessional competencies using virtual simulation: A descriptive exploratory research study', 1, 104535.

Wilson, A.S., O'Connor, J., Taylor, L. and Carruthers, D. (2017) 'A 3D virtual reality ophthalmoscopy trainer', 1(6), 427-431.

Wilson, G., Zargaran, A., Kokotkin, I., Bhaskar, J., Zargaran, D. and Trompeter, A. (2020) 'Virtual Reality and Physical Models in Undergraduate Orthopaedic Education: A Modified Randomised Crossover Trial', 1, 97-104.

Winkler-Schwartz, A., Bajunaid, K., Mullah, M.A.S., Marwa, I., Alotaibi, F.E., Fares, J., Baggiani, M., Azarnoush, H., Zharni, G.A., Christie, S., Sabbagh, A.J., Werthner, P. and Del Maestro, R.F. (2016) 'Bimanual Psychomotor Performance in Neurosurgical Resident Applicants Assessed Using NeuroTouch, a Virtual Reality Simulator', 1(6), 942-953.

Wohlgenannt, I., Simons, A. and Stieglitz, S. (2020) 'Virtual Reality', Business & Information Systems Engineering, 62(5), 455-461, available: http://dx.doi.org/10.1007/s12599-020-00658-9.

Wu, Y., Mondal, P., Stewart, M., Ngo, R. and Burbridge, B. (2023) 'Bringing Radiology Education to a New Reality: A Pilot Study of Using Virtual Reality as a Remote Educational Tool', 1(2), 251-263.

Yang, T., Buck, S., Evans, L. and Auerbach, M. (2021) 'A Telesimulation Elective to Provide Medical Students With Pediatric Patient Care Experiences During the COVID Pandemic', Pediatr Emerg Care, 37(2), 119-122, available: http://dx.doi.org/10.1097/pec.0000000000002311.

Yeo, J.Y. and Jang, M.S. (2023) 'Nursing students' self-directed learning experiences in web-based virtual simulation: A qualitative study', 1(2), e12514.

Yeung, J., Kovic, I., Vidacic, M., Skilton, E., Higgins, D., Melody, T. and Lockey, A. (2017) 'The school Lifesavers study-A randomised controlled trial comparing the impact of Lifesaver only, face-to-face training only, and Lifesaver with face-to-face training on CPR knowledge, skills and attitudes in UK school children', Resuscitation, 120, 138-145, available: http://dx.doi.org/10.1016/j.resuscitation.2017.08.010.

Yildiz, H. and Demiray, A. (2022) 'Virtual reality in nursing education 3D intravenous catheterization E-learning: A randomized controlled trial', 1(2-3), 125-137.

Yoganathan, S., Finch, D.A., Parkin, E. and Pollard, J. (2018) '360degree virtual reality video for the acquisition of knot tying skills: A randomised controlled trial', 1(Pt A), 24-27.

Zackoff, M.W., Young, D., Sahay, R.D., Fei, L., Real, F.J., Guiot, A., Lehmann, C. and Klein, M. (2021) 'Establishing Objective Measures of Clinical Competence in Undergraduate Medical Education Through Immersive Virtual Reality', Acad Pediatr, 21(3), 575-579, available: http://dx.doi.org/10.1016/j.acap.2020.10.010.

Zare-Bidaki, M., Ehteshampour, A., Reisaliakbarighomi, M., Mazinani, R., Khodaie Ardakani, M.R., Mirabzadeh, A., Alikhani, R., Noroozi, M., Momeni, F., Samani, A.D., Mehrabi Tavana, M.M., Esmaeili, A. and Mousavi, S.B. (2022) 'Evaluating the Effects of Experiencing Virtual Reality Simulation of Psychosis on Mental Illness Stigma, Empathy, and Knowledge in Medical Students', 1, 880331.

Zhao, G., Fan, M., Yuan, Y., Zhao, F. and Huang, H. (2021) 'The comparison of teaching efficiency between virtual reality and traditional education in medical education: a systematic review and meta-analysis', 1(3), 252.

Zhou, L.L., Tait, G., Sandhu, S., Steiman, A. and Lake, S. (2019) 'Online virtual cases to teach resource stewardship', 1(3), 220-225.