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Related Experiment Video

Updated: Jun 9, 2026

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
04:36

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Published on: August 5, 2020

Virtual Reality Based Rapid Cycle Deliberate Practice for Faculty Maintenance of Procedural Competency.

Kristen Ng1, Will Simmons2

  • 1Department of Emergency Medicine Weill Cornell Medical College New York New York USA.

AEM Education and Training
|June 8, 2026
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Virtual reality (VR) practice may be a feasible way for emergency medicine faculty to maintain procedural competency. This pilot study found VR-mentored practice was comparable to traditional methods for pericardiocentesis skills.

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Area of Science:

  • Medical Education
  • Emergency Medicine
  • Simulation Training

Background:

  • Emergency Medicine faculty require consistent methods to maintain procedural competency.
  • Inadequate faculty proficiency impacts patient safety and resident education.
  • Traditional procedural practice is limited by unpredictable patient encounters and resource availability.

Purpose of the Study:

  • To compare procedural competency improvement between faculty-mentored and virtual reality-mentored practice of pericardiocentesis.
  • To assess the feasibility and effectiveness of VR for maintaining skills in rare, high-stakes procedures.

Main Methods:

  • A pilot randomized trial involving 15 Emergency Medicine faculty.
  • Participants were randomized to faculty-mentored or virtual reality-mentored pericardiocentesis practice.
  • Skills were assessed using a task trainer at baseline and 2-6 weeks post-intervention, analyzed with ANCOVA.

Main Results:

  • Fifteen participants were randomized (8 intervention, 7 control); 14 completed the study.
  • No significant difference in post-training pericardiocentesis scores was found between VR and traditional practice groups (p=0.87).
  • Observed differences were small, suggesting noninferiority of VR-based deliberate practice.

Conclusions:

  • Virtual reality deliberate practice may be a feasible and effective method for faculty to maintain competency in rare, high-stakes procedures.
  • While this pilot study had limitations due to sample size, results support VR as a valuable training tool.
  • Further research is warranted to confirm these findings in larger cohorts.