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Accepted for/Published in: JMIR Medical Education

Date Submitted: Apr 24, 2025
Date Accepted: Nov 30, 2025

The final, peer-reviewed published version of this preprint can be found here:

Investigating the Impact of a Virtual Reality Experience on Medical Student Empathy: Mixed Methods Study

Mundok AG, Ho VN, Fowler LA, Kennedy AB, Stark-Taylor S

Investigating the Impact of a Virtual Reality Experience on Medical Student Empathy: Mixed Methods Study

JMIR Med Educ 2026;12:e76504

DOI: 10.2196/76504

PMID: 41637473

PMCID: 12871579

Investigating the Impact of a Virtual Reality Experience on Medical Student Empathy: A Mixed-Methods Study

  • Allen G Mundok; 
  • Vivian N Ho; 
  • Lauren A Fowler; 
  • Ann B Kennedy; 
  • Shannon Stark-Taylor

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.


 Citation

Please cite as:

Mundok AG, Ho VN, Fowler LA, Kennedy AB, Stark-Taylor S

Investigating the Impact of a Virtual Reality Experience on Medical Student Empathy: Mixed Methods Study

JMIR Med Educ 2026;12:e76504

DOI: 10.2196/76504

PMID: 41637473

PMCID: 12871579

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