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Figure 1. Modules on the cellular and molecular mechanisms of nerves take a focused look at normal neurotransmitter activity, as seen
here, and pathophysiological processes. Module captured with permission from BioDigital.

an avatar and are quizzed at the end of the modules.

Target audience-appropriate experiences provide detailed, game-based learning on peripheral nerve
disorders and appropriate treatment. Over 25 modules focus on individual nerve disorders such as brachial
plexus compression/injury, facial pain and headache, facial palsy, joint denervation, and pelvic pain of
neural origin. In addition, trainees can learn about peripheral neuropathy due to diabetes, leprosy, or
chemotherapy. Trainees are briefed on a patient case and then interact with a patient avatar to learn the
appropriate diagnostics - including physical exam maneuvers and electrodiagnostic testing - to diagnose
and treat the patient [Figure 3]. Trainees gain competency in how to medically treat nerve injuries and learn
when surgical intervention is necessary. Surgical intervention modules demonstrate the principles of nerve
decompression, nerve repair, nerve reconstruction, and neuroma treatment.

We are developing a high-fidelity operating room (OR) experience capable of both a single and multi-player
format to allow surgical residents and advanced trainees to learn how to perform the peripheral nerve
surgeries described. Patient case and OR simulations will be done under the guidance of a virtual coach to
provide real-time feedback. The simulations will be followed by a debriefing and constructive, personalized
discussion of the simulation and the trainee’s decisions.

The VPNA’s data and analytics dashboards allow trainees to assess skill improvement and identify specific
learning needs. The built-in learner management system facilitates easy integration into any existing
curricula. The infrastructure of the VPNA supports reconfiguration and customization to address the
training needs of different audiences - thus allowing the platform to be used to train healthcare
professionals at any level as well as patients.