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Extended Reality-A Narrative Review of Current State and Best Use in Health Care Simulation
Jason Konzelmann1, William B Belk2, Zaleha Abdullah Mahdy3
1Clinical Skills and Simulation Center, University of Central Florida - College of Medicine, Orlando, Florida, USA.
Journal of Medical Extended Reality
|August 6, 2026
Summary
Extended reality (XR) in healthcare simulation offers benefits but requires careful implementation. Training and gradual complexity are key to managing cognitive load and ensuring effective use of this technology.
Area of Science:
- Healthcare Simulation
- Extended Reality (XR) Technology
- Medical Education
Background:
- Extended reality (XR) is increasingly utilized in healthcare simulation.
- Best practices for integrating XR into simulation standards are still evolving.
- The impact of XR on learner cognitive load remains a subject of debate.
Purpose of the Study:
- To explore the optimal use of XR in healthcare simulation.
- To address the controversial effects of XR on cognitive load.
- To provide recommendations for effective XR implementation in medical education.
Main Methods:
- Review of current literature on XR in healthcare simulation.
- Analysis of factors influencing cognitive load in XR environments.
- Discussion of adaptation strategies and simulation design principles.
Main Results:
- XR can enhance audio-visual learning and potentially reduce cognitive load.
- Technical adaptation and cybersickness are challenges associated with XR use.
- Scaffolded learning and separating complex content improve novice learner outcomes.
Conclusions:
- Thorough training for faculty and learners is crucial for effective XR simulation.
- Adapting simulation design principles can optimize XR's impact on learning and performance.
- Further research is needed to enhance XR technology and validate its effectiveness.
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