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Immersive Virtual Reality Training to Improve Novice Physicians' Emergency Response Skills: A Randomized Controlled
Yeon-Ju Huh1,2, Ju Whi Kim1,3, Narae Yoon1,4
1Office of Medical Education, Seoul National University College of Medicine, Education building, 2nd Fl.103, Daehak-ro, Jongno-gu, Seoul, KR.
JMIR Medical Education
|March 11, 2026
Summary
Virtual reality (VR) and high-fidelity simulation (HFS) both enhance medical interns' confidence in managing emergencies. While HFS offered higher satisfaction, VR provides scalable training for acute oxygen desaturation scenarios.
Area of Science:
- Medical Education
- Simulation Technology
- Emergency Medicine Training
Background:
- Simulation-based training is crucial for medical interns managing emergencies.
- Virtual reality (VR) simulation is increasingly used, but its effectiveness compared to high-fidelity simulation (HFS) needs more evidence.
Purpose of the Study:
- To compare the perceived educational effectiveness of VR and HFS in improving novice physicians' confidence, satisfaction, and preparedness for managing acute oxygen desaturation.
Main Methods:
- A randomized controlled trial with 164 medical interns compared VR and HFS for managing simulated oxygen desaturation.
- Confidence and satisfaction were measured via surveys; usability was assessed using the User Experience Questionnaire-Short.
- Focus group interviews explored real-world application and behavior transfer post-training.
Main Results:
- Both VR and HFS significantly improved intern confidence in managing oxygen desaturation, with no significant difference between groups.
- Satisfaction was higher in the HFS group, which was rated higher for tutor guidance and authenticity.
- Qualitative data revealed VR's strengths in immersion and focused repetition, while HFS excelled in realism and hands-on practice.
Conclusions:
- VR can complement HFS in emergency response training, improving confidence and preparedness.
- Both modalities show potential for diverse training contexts due to VR's scalability and accessibility.
