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Updated: May 21, 2026
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A Cross-Disciplinary and Multi-Modal Experimental Design for Studying Near-Real-Time Authentic Examination Experiences
Published on: September 4, 2019
Metaverse-based objective structured clinical examinations: an exploratory approach to advancing clinical competency
Yeon-Ju Huh1,2, Joon Sung Shin1,3, Narae Yoon1,3
1Office of Medical Education, Seoul National University College of Medicine, Seoul, Korea.
Korean Journal of Medical Education
|May 20, 2026
Summary
A metaverse platform with large language models (LLMs) shows promise for scalable clinical skills assessment in medical education. While effective for history-taking, physical exam simulations face current technological limits.
Area of Science:
- Medical Education Technology
- Virtual Reality in Healthcare
- Artificial Intelligence in Medicine
Background:
- Objective Structured Clinical Examinations (OSCEs) are standard in medical training.
- Need for innovative, scalable, and objective assessment tools in medical education.
- Metaverse technologies offer potential for immersive learning and assessment environments.
Purpose of the Study:
- To explore the feasibility and applicability of a metaverse-based clinical assessment platform.
- To complement traditional objective structured clinical examinations (OSCEs).
- To enhance undergraduate medical education through novel assessment methods.
Main Methods:
- Literature review and expert consensus to identify suitable clinical domains.
- Development of prototype virtual patient simulations in a metaverse environment.
- Integration of large language models (LLMs) for interactive history-taking and pilot physical examination modules.
Main Results:
- LLM-integrated virtual patients facilitated realistic, context-sensitive medical interviews.
- Metaverse enabled consistent and reproducible scenarios for assessing communication and diagnostic reasoning.
- Technical limitations were noted for physical examination modules requiring haptic feedback.
Conclusions:
- Metaverse simulations with LLMs show potential for scalable, standardized assessment of cognitive and interpersonal skills.
- Current technology limits fidelity in physical examination simulations, but advancements are anticipated.
- Further research is required to validate educational efficacy for high-stakes assessments.