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Simulation-based training has been used in numerous settings for procedural training. In this research, we focus on a method of simulation-based procedural skills training that uses virtual worlds. This method, implemented in our MeRiTS software system, models procedures using executable workflows, which are enacted by the trainee in a virtual world. The workflows may be defined by educators, or demonstrated by experts and then extracted from system logs. To demonstrate the utility of the system, we have created a scenario for training EMTs in patient rescue and transition procedures. We have pilot tested this scenario with students at a polytechnical institute, and will be conducting more rigorous testing with a range of students and institutions in the near future.
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