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      <dc:title>Evaluation of a virtual objective structured clinical examination in the metaverse (Second Life) to assess the clinical skills in emergency  radiology of medical students in Spain: a cross-sectional study</dc:title>
      <dc:creator>Pérez-Baena, Alba Virtudes</dc:creator>
      <dc:creator>Rudolphi Solero, Teodoro</dc:creator>
      <dc:creator>Lorenzo Álvarez, Rocío</dc:creator>
      <dc:creator>Domínguez-Pinos, Dolores</dc:creator>
      <dc:creator>Ruiz-Gómez, Miguel José</dc:creator>
      <dc:creator>Sendra-Portero, Francisco</dc:creator>
      <dc:subject>Radiología médica - Estudio y enseñanza</dc:subject>
      <dc:subject>Enseñanza asistida por ordenador</dc:subject>
      <dc:description>Purpose: The objective structured clinical examination (OSCE) is an effective but resource-intensive tool for assessing clinical competence. This study hypothesized that imple-menting a virtual OSCE in the Second Life (SL) platform in the metaverse as a cost-effective alternative will effectively assess and enhance clinical skills in emergency radiology while being feasible and well-received. The aim was to evaluate a virtual radiology OSCE in SL as a formative assessment, focusing on feasibility, educational impact, and students’ perceptions.&#xd;
Methods: Two virtual 6-station OSCE rooms dedicated to emergency radiology were developed in SL. Sixth-year medical students completed the OSCE during a 1-hour session in 2022–2023, followed by feedback including a correction checklist, individual scores, and group comparisons. Students completed a questionnaire with Likert-scale questions, a 10-point rating, and open-ended comments. Quantitative data were analyzed using the Student t-test and the Mann-Whitney U test, and qualitative data through thematic analysis. Results: In total, 163 students participated, achieving mean scores of 5.1±1.4 and 4.9±1.3 (out of 10) in the 2 virtual OSCE rooms, respectively (P=0.287). One hundred seventeen students evaluated the OSCE, praising the teaching staff (9.3±1.0), project organization (8.8±1.2), OSCE environment (8.7±1.5), training usefulness (8.6±1.5), and formative self-assessment (8.5±1.4). Likert-scale questions and students’ open-ended comments highlighted the virtual environment’s attractiveness, case selection, self-evaluation usefulness, project excellence, and training impact. Technical difficulties were reported by 13 students (8%).&#xd;
Conclusion: This study demonstrated the feasibility of incorporating formative OSCEs in SL as a useful teaching tool for undergraduate radiology education, which was cost-effec-tive and highly valued by students.</dc:description>
      <dc:date>2025-07-29T11:03:50Z</dc:date>
      <dc:date>2025-07-29T11:03:50Z</dc:date>
      <dc:date>2025</dc:date>
      <dc:type>journal article</dc:type>
      <dc:identifier>Perez-Baena AV, Rudolphi-Solero T, Lorenzo-Alvarez R, Dominguez-Pinos D, Ruiz-Gomez MJ, Sendra-Portero F. Evaluation of a virtual objective structured clinical examination in the metaverse (Second Life) to assess the clinical skills in emergency radiology of medical students in Spain: a cross-sectional study. J Educ Eval Health Prof. 2025;22:12. doi:10.3352/jeehp.2025.22.12</dc:identifier>
      <dc:identifier>https://hdl.handle.net/10630/39568</dc:identifier>
      <dc:identifier>10.3352/jeehp.2025.22.12</dc:identifier>
      <dc:language>eng</dc:language>
      <dc:rights>open access</dc:rights>
      <dc:publisher>Korea Health Personnel Licensing Examination Institute</dc:publisher>
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