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Updated: Jan 31, 2026

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Enhancement of Medical Student Suturing Technique Harnessing Virtual Reality Technology
Stephanie E Rothberg1, Eric Bao2, Lance Levine2
1Donald and Barbara Zucker School of Medicine at Hofstra University/Northwell.
The Journal of Craniofacial Surgery
|January 30, 2026
Summary
Virtual reality (VR) training significantly improved suturing skills for medical students compared to traditional 2D methods, especially for the subcuticular stitch. VR also enhanced confidence more effectively, particularly for first-year students.
Area of Science:
- Medical Education
- Surgical Skills Training
- Virtual Reality Applications
Background:
- Traditional 2D methods are standard for teaching suturing.
- Evaluating novel educational modalities like virtual reality (VR) is crucial for enhancing medical training.
- First-year (MS1) and second-year (MS2) medical students require effective suturing instruction.
Purpose of the Study:
- To compare the efficacy of virtual reality (VR) versus 2D methods in teaching suturing skills.
- To assess the impact of VR and 2D training on medical student confidence.
- To determine if VR offers a significant benefit over 2D for novice surgeons.
Main Methods:
- Medical students (10 MS1, 12 MS2) were stratified into VR and 2D cohorts.
- All students received instructional videos and practiced suturing on cadavers.
- Performance was blindly assessed, and statistical analyses (Mann-Whitney U, t-tests) were performed.
Main Results:
- The VR cohort achieved significantly higher overall global rating scores (P=0.04).
- VR training led to significantly better subcuticular stitch performance (P=0.04) and procedural scores (P=0.01).
- Both VR and 2D increased student confidence, with VR showing a greater benefit for MS1 students.
Conclusions:
- Virtual reality (VR) provides superior improvement in suturing skills compared to 2D methods.
- The subcuticular stitch is a key area where VR demonstrates significant advantages.
- VR enhances student confidence more effectively, particularly for early-stage medical students (MS1).
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