Measuring the effects and feasibility of virtual reality in developing empathy among medical students in a paediatric setting

Authors

  • Naganandini Nagasundaram University of Melbourne, Australia
  • Carolyn VanHeerden University of Melbourne, Australia
  • Sean Porashemi University of Melbourne, Australia
  • Amy Gray University of Melbourne, Australia

DOI:

https://doi.org/10.11157/fohpe-vol26iss2id857

Keywords:

medical education, virtual reality (VR), empathy

Abstract

Background: Delivering empathetic care is an integral part of clinical practice and has been shown to directly impact patient outcomes. Virtual reality (VR) technology offers a resource and time-efficient method to enhance empathy skills in medical students by providing a unique insight into patient perspectives. 

Objective: Our study aims to evaluate the effectiveness and feasibility of incorporating VR technology into a medical student curriculum to improve empathy in a paediatric setting.  

Methods: Using a virtual-reality headset, participants experienced a short paediatric clinical scenario, depicting a ward round from the viewpoint of a child. The Jefferson Scale of Empathy questionnaire, which measures empathy in physicians, was completed pre- and post-VR experience. Participants also completed an anonymous survey at the conclusion of the session, which included open-ended questions about the VR experience.  

Results: There was a significant increase in self-reported mean empathy scores post VR experience (p < 0.0001). Qualitative analysis of the open-ended survey questions about the VR experience identified four key themes. These included lack of involvement of the patient (child) in the clinical encounter, minimal introduction and communication with the patient and carer, the overwhelming nature of a clinical consult and the importance of considering a patient’s perspective.  

Conclusions: VR technology is an effective educational modality to improve self-reported empathy in medical students immediately following the intervention. As VR is resource and time efficient, it has considerable potential to be implemented into existing educational activities for healthcare students and professionals. 

References

Alieldin, R., Peyre, S., Nofziger, A., & Borasi, R. (2024). Effectiveness of immersive virtual reality in teaching empathy to medical students: A mixed methods study. Virtual Reality, 28, Article 129. https://doi.org/10.1007/s10055-024-01019-7

Alanazi, A., Nicholson, N., & Thomas, S. (2017). The use of simulation training to improve knowledge, skills, and confidence among healthcare students: A systematic review. IJAHSP, 15(3). https://nsuworks.nova.edu/ijahsp/vol15/iss3/2

Batt-Rawden, S. A., Chisolm, M. S., Anton, B., & Flickinger, T. E. (2013). Teaching empathy to medical students: An updated, systematic review. Academic Medicine, 88(8), 1171–1177. https://doi.org/10.1097/ACM.0b013e318299f3e3

Derksen, F., Bensing, J., & Lagro-Janssen, A. (2013). Effectiveness of empathy in general practice: A systematic review. British Journal of General Practice, 63(606), e76–e84. https://doi.org/10.3399/bjgp13X660814

Dyer, E., Swartzlander, B. J., & Gugliucci, M. R. (2018). Using virtual reality in medical education to teach empathy. Journal of the Medical Library Association, 106(4), 498–500. https://doi.org/10.5195/jmla.2018.518

Hojat, M., Gonnella, J. S., Nasca, T. J., Mangione, S., Veloksi, J. J., & Magee, M. (2002). The Jefferson Scale of Physician Empathy: Further psychometric data and differences by gender and specialty at item level. Academic Medicine, 77(Suppl. 10), S58–S60. https://doi.org/10.1097/00001888-200210001-00019

Hojat, M., Gonnella, J. S., Nasca, T. J., Mangione, S., Vergare, M., & Magee, M. (2002). Physician empathy: Definition, components, measurement, and relationship to gender and specialty. American Journal of Psychiatry, 159(9), 1563–1569. https://doi.org/10.1176/appi.ajp.159.9.1563

Hojat, M., Louis, D. Z., Markham, F. W., Wender, R., Rabinowitz, C., & Gonnella, J. S. (2011). Physicians’ empathy and clinical outcomes for diabetic patients. Academic Medicine, 86(3), 359–364. https://doi.org/10.1097/ACM.0b013e3182086fe1

Hojat, M., Vergare, M. J., Maxwell, K., Brainard, G., Herrine, S. K., Isenberg, G. A., Veloski, J., & Gonnella, J. S. (2009). The devil is in the third year: A longitudinal study of erosion of empathy in medical school. Academic Medicine, 84(9), 1182–1191. https://doi.org/10.1097/ACM.0b013e3181b17e55

Hu, S., & Lai, B. W. P. (2022). Increasing empathy for children in dental students using virtual reality. International Journal of Paediatric Dentistry, 32(6), 793–800. https://doi.org/10.1111/ipd.12957

Kim, S. S., Kaplowitz, S., & Johnston, M. V. (2004). The effects of physician empathy on patient satisfaction and compliance. Evaluation & the Health Professions, 27(3), 237–251. https://doi.org/10.1177/0163278704267037

Kolb A. Y., & Kolb, D. A, (2012). Experiential learning theory. Springer. https://doi.org/10.1007/978-1-4419-1428-6_227

Lelorain, S., Gehenne, L., Christophe, V., & Duprez, C. (2023). The association of physician empathy with cancer patient outcomes: A meta-analysis. Psycho-Oncology, 32(4), 506–515. https://doi.org/10.1002/pon.6108

Marques, A. J., Gomes Veloso, P., Araujo, M., de Almeida, R. S., Correia, A., Pereira, J., Queiros, C., Pimenta, R., Pereira, A. S., & Silva, C. F. (2022). Impact of a virtual reality-based simulation on empathy and attitudes toward schizophrenia. Frontiers in Psychology, 13, Article 814984. https://doi.org/10.3389/fpsyg.2022.814984

Menezes, P., Guraya, S. Y., & Guraya, S. S. (2021). A systematic review of educational interventions and their impact on empathy and compassion of undergraduate medical students. Frontiers in Medicine, 8, Article 758377. https://doi.org/10.3389/fmed.2021.758377

Mystakidis, S., & Lympouridis, V. (2023). Immersive learning. Encyclopedia of Social Sciences, 3(2), 396–405. https://doi.org/10.3390/encyclopedia3020026

Neumann, M., Edelhauser, F., Tauschel, D., Fischer, M. R., Wirtz, M., Woopen, C., Haramati, A., & Scheffer, C. (2011). Empathy decline and its reasons: A systematic review of studies with medical students and residents. Academic Medicine, 86(8), 996–1009. https://doi.org/10.1097/ACM.0b013e318221e615

Patel, S., Pelletier-Bui, A., Smith, S., Roberts, M. B., Kilgannon, H., Trzeciak, S., & Roberts, B. W. (2019). Curricula for empathy and compassion training in medical education: A systematic review. PLoS One, 14(8), Article e0221412. https://doi.org/10.1371/journal.pone.0221412

Pottle, J. (2019). Virtual reality and the transformation of medical education. Future Healthcare Journal, 6(3), 181–185. https://doi.org/10.7861/fhj.2019-0036

Tay, J. L., Xie, H., & Sim, K. (2023). Effectiveness of augmented and virtual reality-based interventions in improving knowledge, attitudes, empathy and stigma regarding people with mental illnesses: A scoping review. Journal of Personalized Medicine, 13(1), Article 112. https://doi.org/10.3390/jpm13010112

Thng, J. Z. H., Tan, F. Y. Y., Aw, M. M. H. Y., & Hu, S. (2022). Combination of teddy bear hospital and virtual reality training increases empathy of medical students. The Asia-Pacific Scholar, 7(3), 33–41. https://doi.org/10.29060/taps.2022-7-3/oa2739

Vears, D. (2022). Inductive content analysis: A guide for beginning qualitative researchers. Focus on Health Professional Education, 23(1). https://doi.org/10.11157/fohpe.v23i1.544

Walsh, S., O'Neill, A., Hannigan, A., & Harmon, D. (2019). Patient-rated physician empathy and patient satisfaction during pain clinic consultations. Irish Journal of Medical Science, 188(4), 1379–1384. https://doi.org/10.1007/s11845-019-01999-5

Wang, H., Kline, J. A., Jackson, B. E., Laureano-Phillips, J., Robinson, R. D., Cowden, C. D., d'Etienne, J. P., Arze, S. E., & Zenarosa, N. R. (2018). Association between emergency physician self-reported empathy and patient satisfaction. PLoS One, 13(9), Article 0204113. https://doi.org/10.1371/journal.pone.0204113

Wilkinson, H., Whittington, R., Perry, L., & Eames, C. (2017). Examining the relationship between burnout and empathy in healthcare professionals: A systematic review. Burnout Research, 6, 18–29. https://doi.org/10.1016/j.burn.2017.06.003

Downloads

Published

2025-06-27

Issue

Section

Articles

How to Cite

Measuring the effects and feasibility of virtual reality in developing empathy among medical students in a paediatric setting. (2025). Focus on Health Professional Education: A Multi-Professional Journal, 26(2), 21-32. https://doi.org/10.11157/fohpe-vol26iss2id857