title: Using second life virtual simulation environment for mock oral emergency medicine examination.
abstract: OBJECTIVE
  Oral examination is a method used to evaluate emergency medicine (EM) residents and is a requirement for board certification of emergency physicians. Second Life (SL) is a virtual three-dimensional (3-D) immersive learning environment that has been used for medical education. In this study we explore the use of SL virtual simulation technology to administer mock oral examinations to EM residents.
  
  
  METHODS
  This was a prospective observational study of EM residents who had previously completed mock oral examinations, participating in a similar mock oral examination case scenario conducted via SL. EM residents in this training program completed mock oral examinations in a traditional format, conducted face to face with a faculty examiner. All current residents were invited to participate in a similar case scenario conducted via SL for this study. The examinee managed the case while acting as the physician avatar and communicated via headset and microphone from a remote computer with a faculty examiner who acted as the patient avatar. Participants were surveyed regarding their experience with the traditional and virtual formats using a Likert scale.
  
  
  RESULTS
  Twenty-seven EM residents participated in the virtual oral examination. None of the examinees had used SL previously. SL proved easy for examinees to log into (92.6%) and navigate (96.3%). All felt comfortable communicating with the examiner via remote computer. Most examinees thought the SL encounter was realistic (92.6%), and many found it more realistic than the traditional format (70.3%). All examinees felt that the virtual examination was fair, objective, and conducted efficiently. A majority preferred to take oral examinations via SL over the traditional format and expressed interest in using SL for other educational experiences (66.6 and 92.6%, respectively).
  
  
  CONCLUSIONS
  Application of SL virtual simulation technology is a potential alternative to traditional mock oral examinations for EM residents.
authors.affiliation: Emergency Medicine (JS, NK, DB, DRM, SK, RNe), the Center for Education and Scholarship (RNa), The Ohio State University, Columbus, OH, USA.jillian.schwaab@osumc.edu
authors.forename: Jillian
authors.initials: J
authors.lastname: Schwaab
authors.forename: Nicholas
authors.initials: N
authors.lastname: Kman
authors.forename: Rollin
authors.initials: R
authors.lastname: Nagel
authors.forename: David
authors.initials: D
authors.lastname: Bahner
authors.forename: Daniel R
authors.initials: DR
authors.lastname: Martin
authors.forename: Sorabh
authors.initials: S
authors.lastname: Khandelwal
authors.forename: John
authors.initials: J
authors.lastname: Vozenilek
authors.forename: Douglas R
authors.initials: DR
authors.lastname: Danforth
authors.forename: Richard
authors.initials: R
authors.lastname: Nelson
mesh_terms: D001291:Attitude of Health Personnel; D002568:Certification; D004521:Educational Measurement / Q000379:methods*; D004635:Emergency Medicine / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D010820:Physicians / Q000523:psychology*; D011446:Prospective Studies; D012955:Societies, Medical; D013044:Specialty Boards; D014481:United States; D014584:User-Computer Interface