Evidence map›Paper›PMID 42131872›Full record

ArticleClinical kidney journal2026

Implementing virtual reality for emergency training in nephrology: a large-scale study on educational impact and acceptance.

Philipp Russ, Jonas Einloft, Muriel L Morgenschweis, Simon Bedenbender, Joy Giesen, Hendrik L Meyer, Lukas D Rimpl, Martin C Hirsch, Andre Ganser, Joseph V Bonventre and 1 more

Abstract read
In one paragraph

Article in Clinical kidney journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Philipp RussDepartment of Internal Medicine and Nephrology, Marburg University, University Hospital Giessen and Marburg, Marburg, Germany.ORCID https://orcid.org/0009-0007-2799-5449
Jonas EinloftDepartment of Internal Medicine and Nephrology, Marburg University, University Hospital Giessen and Marburg, Marburg, Germany.
Muriel L MorgenschweisDepartment of Internal Medicine and Nephrology, Marburg University, University Hospital Giessen and Marburg, Marburg, Germany.
Simon BedenbenderDepartment of Internal Medicine and Nephrology, Marburg University, University Hospital Giessen and Marburg, Marburg, Germany.ORCID https://orcid.org/0009-0001-1839-4947
Joy GiesenDepartment of Internal Medicine and Nephrology, Marburg University, University Hospital Giessen and Marburg, Marburg, Germany.
Hendrik L MeyerDepartment of Internal Medicine and Nephrology, Marburg University, University Hospital Giessen and Marburg, Marburg, Germany.
Lukas D RimplDepartment of Internal Medicine and Nephrology, Marburg University, University Hospital Giessen and Marburg, Marburg, Germany.
Martin C HirschInstitute for Artificial Intelligence in Medicine, Marburg University, Marburg, Germany.
Andre GanserDepartment of Internal Medicine and Nephrology, Marburg University, University Hospital Giessen and Marburg, Marburg, Germany.
Joseph V BonventreDivision of Renal Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Ivica GrgicDepartment of Internal Medicine and Nephrology, Marburg University, University Hospital Giessen and Marburg, Marburg, Germany.ORCID https://orcid.org/0000-0001-9017-1804

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Rapidly progressive glomerulonephritis (RPGN) is a prototypical nephrology emergency requiring rapid recognition and treatment. Despite the promise of immersive virtual reality (VR), nephrology lacks VR-based emergency training. Building on our initial VR simulation, we evaluated the feasibility, acceptance and effectiveness of large-scale curricular implementation. Methods: On the STEP-VR platform, we embedded a custom three-dimensional RPGN case as a mandatory internal medicine module for fifth-year students. Knowledge was measured pre- and post-training. Instructional design effects were tested by comparing tutor-guided versus tutorless sessions and by examining a pretesting effect. Acceptance and simulation sickness were surveyed. Results: A total of 408 students participated (mean age 25.4 years, 59.6% female). In the pretest-posttest cohort, knowledge increased after training (overall relative gain +101%; Conclusions: This study demonstrates the successful large-scale curricular integration of VR-based training for nephrology emergencies, confirming its feasibility and educational effectiveness. By sustainably embedding immersive VR into medical education, this approach bridges a long-standing training gap in nephrology, enhances clinical competencies, increases student engagement with the specialty and may contribute to long-term efforts to address the nephrology workforce shortage.

Indexed as

acute kidney injury (AKI)anti-neutrophil cytoplasmic antibody–associated vasculitisnephrology emergency medicinerapidly progressive glomerulonephritis (RPGN)virtual reality (VR)

Identifiers

PMID42131872
PMCPMC13166867

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.