Innovation in Simulation: Using Augmented Reality and Artificial Intelligence for Human Centered Medical Education

Main Article Content

Asheen Rama Thomas J. Caruso

Abstract

Simulation is evolving to include immersive technologies and artificial intelligence which provide adaptive, highly realistic and engaging learning experiences. These pedagogical tools will reshape the boundaries of simulation curriculum to provide educational experiences that foster unique scenarios beyond cardiac arrest and resuscitation skills training. For instance, extended reality simulations combined with artificial intelligence can provide challenging, humanities-based topics related to ethics, and enhance empathy through embodiment experiences, and navigate difficult conversations with compassion. In addition, unlike traditional mannikin based simulations, technology enhanced simulations have numerous advantages including asynchronous, highly adaptive learning experiences, that can be used in resource limited institutions and can conform to various cultures, languages, and customizable scenarios. This editorial explores the advantages of augmented reality and artificial intelligence simulation and shares a vision for a renewed focus on human-centered medical education.

Article Details

How to Cite
RAMA, Asheen; CARUSO, Thomas J.. Innovation in Simulation: Using Augmented Reality and Artificial Intelligence for Human Centered Medical Education. Medical Research Archives, [S.l.], v. 13, n. 7, july 2025. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/6788>. Date accessed: 05 dec. 2025. doi: https://doi.org/10.18103/mra.v13i7.6788.
Section
Research Articles

References

1. Alam F, Matava C. A new virtual world? The future of immersive environments in anesthesiology. Anesth Analg. 2022;135(2):230-238.

2. Hamilton A. Artificial intelligence and healthcare simulation: the shifting landscape of medical education. Cureus. 2024;16(5):e59747.

3. Moudatsou M, Stavropoulou A, Philalithis A, Koukouli S. The role of empathy in health and social care professionals. Healthcare (Basel). 2020; 8(1):26.

4. Rama A, Knight LJ, Berg M, et al. Near miss in intraoperative magnetic resonance imaging: a case for in situ simulation. Pediatr Qual Saf. 2019;4(6): e222.36051401

5. Chen MJ, Ambardekar A, Martinelli SM, et al. Defining and addressing anesthesiology needs in simulation-based medical education. J Educ Perioper Med. 2022;24(2):1-15.

6. Rama A, Tsai AH, Caruso TJ. Enhancing telemedicine perioperative simulations using augmented reality. J Educ Perioper Med. 2023;25 (3):E711.

7. Berger JS, Blatt B, McGrath B, Greenberg L, Berrigan MJ. Relationship express: a pilot program to teach anesthesiology residents communication skills. J Grad Med Educ. 2010;2(4):600-603.3917 6491

8. Brenner A, Warnecke Y, Fujarski M, Varghese J. Mixed reality in medical education - introduction of a practical course module. Stud Health Technol Inform. 2024;316:1515-1516.

9. Caruso TJ, Armstrong-Carter E, Rama A, et al. The physiologic and emotional effects of 360-degree video simulation on head-mounted display versus in-person simulation: a noninferiority, randomized controlled trial. Simul Healthc. 2022; 17(1):e105-e112.40207076

10. Rama A, Rojas-Pino MS, Wang EY, et al. The physiologic effect of augmented reality simulation versus traditional simulation: a noninferiority, randomized controlled trial. J Educ Perioper Med. 2025;27(1):E740.

11. Caruso TJ, Rama A, Uribe-Marquez S, Mitchell JD. Pro-con debate: virtual reality compared to augmented reality for medical simulation. Anesth Analg. Published online October 18, 2024.

12. Qian J, Rama A, Wang E, et al. Assessing pediatric life support skills using augmented reality medical simulation with eye tracking: a pilot study. J Educ Perioper Med. 2022;24(3):E691.

13. Zachary DA, Zachary W, Cannon-Bowers J, Santarelli T. Backstory elaboration: a method for creating realistic and individually varied cultural avatars. In: Schatz S, Hoffman M, eds. Advances in Cross-Cultural Decision Making. Vol 480. Springer International Publishing; 2017:207-217.

14. Barsuk JH, Cohen ER, Wayne DB, Siddall VJ, McGaghie WC. Developing a simulation-based mastery learning curriculum: lessons from 11 years of advanced cardiac life support. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare. 2016;11(1):52 59.

15. Herur-Raman A, Almeida ND, Greenleaf W, Williams D, Karshenas A, Sherman JH. Next-generation simulation—integrating extended reality technology into medical education. Front Virtual Real. 2021;2:693399.

16. Byrne M. Empathic communication training in healthcare using Virtual Patients. APUBS. Published online November 28, 2023:39-44.

17. Kuehn BM. Virtual and augmented reality put a twist on medical education. JAMA. 2018;319(8):756.

18. Hollaender G, Peisachovich E, Kapralos B, Culver C, Da Silva C, Dubrowski A. Augmented reality education experience (Aredux): an augmented reality experience and experiential education medium to teach empathy to healthcare providers and caregivers of persons living with dementia. Cureus. Published online November 6, 2023.

19. Iqbal AI, Aamir A, Hammad A, et al. Immersive technologies in healthcare: an in-depth exploration of virtual reality and augmented reality in enhancing patient care, medical education, and training paradigms. J Prim Care Community Health. 2024; 15:21501319241293310.