Acknowledgements: Phase 1 was supported by the London Deanery under their Simulation Technology-enhanced Learning Initiative (STeLI). Phase 2 was supported by funding from the Health Protection Agency. Aggarwal and Sevdalis are supported by the UK's National Institute for Health Research through a Clinician Scientist award and the Imperial Centre for Patient Safety and Service Quality, respectively.
addresses the need for the flexible creation of immersive clinical training simulations for multiple interacting participants and virtual patients by using scalable open source virtual world technologies. Initial development of single-user surgical virtual patients has been followed by that of multi-user multiple casualties in a field environment and an acute hospital emergency department. The authors aim to validate and extend their reproducible framework for eventual application of virtual worlds to whole hospital major incident response simulation and to multi-agency, pan-geographic mass casualty exercises.
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