Effective virtual simulations can embed participants in imaginary worlds. Researchers working in virtual worlds and gaming often refer to "immersion," a state in which a participant or player loses track of time and becomes one with the simulation. Immersive settings have been shown to deepen learning. Ken Hudson's work with students…

Alternative approaches to evaluating critical thinking skills are needed, as pencil and paper assessments may not accurately predict simulated or actual clinical performance. To ensure patient safety, it is imperative to determine how to best promote and measure critical thinking skills. Few studies have examined how these skills are related to…