Accepted for/Published in: JMIR Medical Education
Date Submitted: Apr 24, 2025
Date Accepted: Nov 30, 2025
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Investigating the Impact of a Virtual Reality Experience on Medical Student Empathy: A Mixed-Methods Study
ABSTRACT
Background:
Physician empathy is important not only for improving patient satisfaction and health outcomes but also for increasing physician job satisfaction and protecting against burnout. Amidst concerns over declining empathy levels in medical education, however, there is a need for innovative teaching approaches that address the empathy gap, a critical element in patient-centered care.
Objective:
This study used a mixed-methods analysis to explore the effectiveness of a Virtual Reality (VR) intervention versus traditional lecture methods in enhancing empathy among medical students.
Methods:
Fifty first- and second-year medical students were randomized to either a VR intervention, which simulated patient experiences, or a control group receiving traditional empathy lectures. Both groups watch two videos with reflections gathered after each video to capture students’ experiential learning. Empathy was measured using the Jefferson Scale of Empathy (student version) before and after the intervention.
Results:
Quantitative analysis revealed significant increases in empathy scores post-intervention for both groups (control group: mean increase = 4.71, SD = 11.01; VR group: mean increase = 5.6, SD = 10.02; p < .001), indicating that both interventions enhanced empathy. The VR group exhibited a significant difference in qualitative empathy coding after the second video (U = 165.5, p <.001) compared to the control. Qualitative feedback from the VR group emphasized a more profound emotional and cognitive engagement with the patient perspective than the lecture group.
Conclusions:
This study supports the integration of VR into medical education as a complementary approach to traditional teaching methods for empathy training. VR immersion provides a valuable platform for students to develop a deeper, more nuanced understanding of empathy. These findings advocate for further exploration into VR's long-term impact on empathy in clinical practice.
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Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.