Phase 1: Creation of Content: A software engineer with expertise in video-game
development will be hired to develop the computer-generated emergency department in
collaboration with the educators and clinicians on the team. A theatre-based trauma
scenario from the current uOttawa Emergency Department curriculum will be adapted to the
VR platform. This virtual environment will allow a team of students to manage a patient
simultaneously through their avatars, from a first-person perspective. In parallel, the
same scenario will be scripted, in all its permutations, and recorded using a 360-degree
HD video camera. The recording will be made using the investigators as actors, with
additional interprofessional volunteers recruited as needed. These videos will be edited
and then converted to an application that can be uploaded to the Oculus platform. Both
platforms will undergo piloting for content and usability. The amount of time, money and
other resources required to develop each of these scenarios will be calculated.

Phase 2: Evaluating the intervention:

Pre-test: Prior to participating in one of the 3 educational interventions, participants
will complete a pre-test of their content-specific knowledge and knowledge application
with respect to trauma resuscitation. As well, they will participate in a video-recorded
in-situ simulation of a trauma resuscitation. Team performance will be recorded for
subsequent scoring (see measures and analysis section below). During the in-situ
sessions, the investigators will measure the learners' heart rate (HR) and heart rate
variability (HRV) with the use of a Polar H10 chest belt linked with a commercial capture
and analysis software program on an iPad. This will allow us to measure both arousal and
stress responses, as physiological indication of the learners' emotional engagement.

Intervention: Following the pre-test, residents will either participate in the
interactive VR, the 360o video or the in-person theatre-based simulation sessions.

Post-test. Two weeks after the education session, all participants will complete a
post-test of their knowledge and knowledge application (matched in difficulty with
pre-test), as well as lead an in-situ simulated trauma resuscitation. The sessions will
be videotaped for subsequent rating of clinical and team performance.