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Deconstructing Participant Behaviors in Virtual Reality Simulation: Ethnographic Analysis

Deconstructing Participant Behaviors in Virtual Reality Simulation: Ethnographic Analysis

Simulation-based medical education (SBME) emerged as a way to practice skills without placing patients at risk [1]. Simulation has been shaped by the tools and technology available and has primarily consisted of ever-evolving computerized manikins designed to represent a patient.

Daniel Loeb, Jamie Shoemaker, Kelly Ely, Matthew Zackoff

JMIR Med Educ 2025;11:e65886


Correlation Between Electroencephalogram Brain-to-Brain Synchronization and Team Strategies and Tools to Enhance Performance and Patient Safety Scores During Online Hexad Virtual Simulation-Based Interprofessional Education: Cross-Sectional Correlational Study

Correlation Between Electroencephalogram Brain-to-Brain Synchronization and Team Strategies and Tools to Enhance Performance and Patient Safety Scores During Online Hexad Virtual Simulation-Based Interprofessional Education: Cross-Sectional Correlational Study

However, to our knowledge, previous studies focused on face-to-face interactions, and no study has explored the correlation between EEG-based brain-to-brain synchronization and Team STEPPS performance in virtual simulation–based interprofessional education (SIMBIE), where face-to-face communication is absent.

Atthaphon Viriyopase, Khuansiri Narajeenron

JMIR Med Educ 2025;11:e69725


Comparing the Effectiveness of Multimodal Learning Using Computer-Based and Immersive Virtual Reality Simulation–Based Interprofessional Education With Co-Debriefing, Medical Movies, and Massive Online Open Courses for Mitigating Stress and Long-Term Burnout in Medical Training: Quasi-Experimental Study

Comparing the Effectiveness of Multimodal Learning Using Computer-Based and Immersive Virtual Reality Simulation–Based Interprofessional Education With Co-Debriefing, Medical Movies, and Massive Online Open Courses for Mitigating Stress and Long-Term Burnout in Medical Training: Quasi-Experimental Study

Studies have shown that using simulation as a teaching strategy significantly reduces State-Trait Anxiety Inventory (STAI) scores, with this reduction persisting at a 1-week posttraining follow-up. These findings underscore the benefits of simulation-based education, particularly for residents in anesthesia and intensive care [153].

Sirikanyawan Srikasem, Sunisa Seephom, Atthaphon Viriyopase, Phanupong Phutrakool, Sirhavich Khowinthaseth, Khuansiri Narajeenron, ER-VIPE Study Group

JMIR Med Educ 2025;11:e70726


Enhancing Preclinical Training for Removable Partial Dentures Through Participatory 3D Simulation: Development and Usability Study

Enhancing Preclinical Training for Removable Partial Dentures Through Participatory 3D Simulation: Development and Usability Study

The advent of simulation technology in dentistry has led to immersive training systems including some based on force feedback and mixed reality [12]. However, there is a lack of studies on nonimmersive simulation approaches. In this context, to enhance the efficiency of training in the design of RPD frameworks, the use of training systems that incorporate 3 D casts has increasingly been recognized as an innovative and reliable approach [13].

Yikchi Siu, Hefei Bai, Jung-Min Yoon, Hongqiang Ye, Yunsong Liu, Yongsheng Zhou

JMIR Med Educ 2025;11:e71743


Exploring the Impact of Home-Based Serious Smartphone Resuscitation Gaming on Stress Among Nursing Students Practicing Simulated Adult Basic Life Support: Randomized Waitlist Controlled Trial

Exploring the Impact of Home-Based Serious Smartphone Resuscitation Gaming on Stress Among Nursing Students Practicing Simulated Adult Basic Life Support: Randomized Waitlist Controlled Trial

A 2017 study measured the impact of team leader stress on teams practicing advanced life support in a simulation environment, using the Empatica E4 device and self-reported measures for assessment [55]. A key finding was that EDA levels increased as team performance improved and decreased with poorer performance.

Nino Fijačko, Benjamin S Abella, Špela Metličar, Leon Kopitar, Robert Greif, Gregor Štiglic, Pavel Skok, Matej Strnad

JMIR Serious Games 2025;13:e67623


Development and Evaluation of a Case-Based Serious Game for Diagnosis and Treatment Planning in Orthodontic Education: Quasi-Experimental Study

Development and Evaluation of a Case-Based Serious Game for Diagnosis and Treatment Planning in Orthodontic Education: Quasi-Experimental Study

This highlights the need for a simulation-based tool, designed specifically for orthodontic education, that can guide students through the step-by-step reasoning process involved in accurate diagnosis and treatment planning. Serious games have currently gained momentum in dental education due to their positive educational impact across several aspects [13-16].

Rochaya Chintavalakorn, Chayuth Chanwanichkulchai, Napat Buranasing, Napatsaporn Parivisutt, Naruchol Patchasri, Kawin Sipiyaruk

JMIR Serious Games 2025;13:e73956


Global Disparities in Simulation-Based Learning Performance: Serial Cross-Sectional Mixed Methods Study

Global Disparities in Simulation-Based Learning Performance: Serial Cross-Sectional Mixed Methods Study

However, there is an unequal distribution of simulation-based learning across LMICs, due to misconceptions regarding the cost and availability of programs [11]. Also, while the benefits of simulation training are well established, there is a paucity of research studying the differences, if any, in the clinical performance of HCPs from HICs and LMICs in simulation-based case scenarios.

Kashish Malhotra, Harshin Balakrishnan, Emily Warmington, Vina Soran, Francesca Crowe, Dengyi Zhou, SIMBA AND CoMICs Team, Punith Kempegowda

JMIR Med Educ 2025;11:e52332


Games to Improve the Clinical Skills of Nursing Students: Systematic Review of Current Evidence

Games to Improve the Clinical Skills of Nursing Students: Systematic Review of Current Evidence

Overview of the included studies that address games for nursing education. a Not applicable. b GBL: game-based learning. c NCLEX: National Council Licensure Examination. d SBAR: Situation, Background, Assessment, and Recommendation. e CR: clinical reasoning. f SG: serious game. g TT: traditional teaching. h CPR: cardiopulmonary resuscitation. i VR: virtual reality. j NTS: nontechnical skills. k IVR: immersive virtual reality. l PU-VRSim: pressure ulcer management virtual reality simulation. m PU: pressure ulcer. n BAM: burn

Soleiman Ahmady, Hanieh Zehtab Hashemi, Arghavan Afra, Niloofar Attarian, Amir Tabari, Fariba Shabani, Ayoob Molla, Esmaeil Mehraeen

Asian Pac Isl Nurs J 2025;9:e70737


Examining Nonverbal Communication in Dyadic Interactions With Virtual Humans Using an Integrated Coding System: Mixed Methods Analysis

Examining Nonverbal Communication in Dyadic Interactions With Virtual Humans Using an Integrated Coding System: Mixed Methods Analysis

We conducted a secondary analysis from the intervention arm of a randomized controlled trial (n=210 medical students and 840 video recordings of interactions) of a communication simulation using virtual humans.

Analay Perez, Rae Sakakibara, Srikar Baireddy, Michael D Fetters, Timothy C Guetterman

JMIR Form Res 2025;9:e59328