Training programs / Clinical and patient conversations

Clinical and patient conversations: practise with a patient who answers back

Uncertainty, bad news, a worried family, a concern for a senior colleague. Rehearse it before the ward.

The moment

The clinical knowledge is there. The words are the hard part

A student explains uncertainty to a frightened family. A nurse answers a daughter who says her mother’s care plan was not followed. A registrar hears a concern at the end of a long shift. Each conversation shapes trust, consent and safety.

A simulated hospital family room, soft light through a frosted window. Parents sit together; a midwife in the headset sits opposite, the family conversation practised before it is needed.
Parents sit together in a family room.
An oncology nurse talks with a reclining man. A VR training scenario for healthcare.
An oncology nurse talks with a reclining man.
A simulated GP consulting room. A woman in her sixties sits with an interpreter beside her, a doctor in the headset speaking to the patient, not the interpreter.
A patient and interpreter in a consult.

Why it goes wrong

Placements cannot schedule the hard conversation

A student can finish a placement without ever telling a family something they did not want to hear. Simulation gives every learner the same moment, with a prebrief and a debrief, and a record where you set it up that way.

A nurse educator wearing a headset briefs a nursing student in a simulation laboratory.
A nurse educator briefs a student.

Designed around simulation standards

The INACSL Healthcare Simulation Standards of Best Practice cover preparation, facilitation and debriefing, and connect scenario design with measurable objectives. Nursing regulators in Australia, the US and New Zealand each decide what simulation counts toward, as set out for university simulation centres.

Every way to practise it

A headset, a hologram, a browser or a twin

Chosen for the task, the cohort and the room, then debriefed.

An older woman wearing a VR headset stands face to face with a nurse in Mater scrubs, hands raised, in a simulated hospital room.
A participant faces a nurse in scrubs.

Custom VR set in your own wards

Mater Education rebuilt its Speaking with Good Judgement program in VR, in recreations of its own hospital rooms, and its facilitators were trained to run the technology themselves. De-escalation for healthcare uses the same approach.

A patient speaks from his hospital room bed, on screen, an empty bed and monitor behind him.
A patient speaks from a hospital bed.

AI patients in a browser

An AI roleplay patient answers in their own time on a laptop, so a whole cohort can rehearse the same consultation, get feedback against set criteria and try again.

A clinician addresses a holographic patient. A VR training scenario for mixed reality.
A clinician addresses a holographic patient.

Mixed reality in the simulation lab

Mixed reality places a holographic patient in a real room, so students keep sight of the equipment, the space and each other.

An adult sits facing a floating head-and-shoulders presence of a clinician digital twin, framed in soft pale light, rehearsing a healthcare conversation.
An adult faces a clinician digital twin.

A clinician’s twin for questions after hours

A conversational twin answers from a clinician’s approved material, the way a senior colleague would on a night shift, and hands over to the person when judgement is needed.

A simulated office on a hospital ward, chairs facing each other. A nursing student sits with hands in her lap as her supervisor wears the headset opposite, giving feedback.
A nursing student sits in a ward office.

Prebrief, rehearse, debrief

A facilitator prebriefs the case, the student rehearses, and the debrief asks for the reasoning behind each choice before a second attempt. A complaint handoff becomes a scenario with the steps in complaints and open disclosure.

The evidence

What a hospital and a health system reported

A client’s own program evaluation, and published research on a program for nurse leaders.

Inside the Mater build: an older patient sits up in a hospital bed, a meal tray across the blanket, curtains drawn beside him.
Inside the Mater build, at a bedside.

Client evaluation: Mater Education

In Mater’s own program evaluation, 90% of participants reported better concentration, 77% found the scenarios more engaging than face-to-face delivery, and over 96% wanted more training in VR. Read the case study.

A nurse leader wearing a headset stands in a ward corridor facing simulated colleagues, a colleague looking away.
A nurse leader faces colleagues in a corridor.

Published research: Mayo Clinic

In the Mayo Clinic evaluation of a VR diversity, equity and inclusion program People Tech Revolution built for nurse leaders, 91.9% of respondents agreed they achieved the learning objectives. Self-reported; 593 of 1,131 learners responded.

How it runs

Run it the way your team already learns.

A GP leans forward to welcome a patient across a consulting room desk, the GP wearing a headset.
A GP welcomes a patient across the desk.

Start with the conversation students avoid

Tell us the consultation your students or clinicians find hardest, and we will show you how a cohort rehearses it. Talk to us or book a time with our team.

Related pages

Teaching clinical conversations?

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Sources

Each standard and result at its source.

A nurse educator wearing a headset briefs a nursing student in a simulation laboratory.

Healthcare Simulation Standards of Best Practice

INACSL

Preparation, facilitation, professional integrity and debriefing.

Inside the Mater build: an older patient sits up in a hospital bed, a meal tray across the blanket, curtains drawn beside him.

Mater immersive learning pilot

Mater Education program evaluation, hosted by PTR

Concentration, engagement and demand for more VR training.

A nurse leader wearing a headset stands in a ward corridor facing simulated colleagues, a colleague looking away.

Promoting nursing diversity, equity and inclusion through virtual reality

Journal of Nursing Administration, 2024

Learner evaluation of a VR education program for nurse leaders.

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WHAT CLIENTS SAY
Keia Hobbs, MD
PTR demonstrated a profound understanding of the intricacies of human behaviour, crucial in crafting meaningful and impactful experiences. I wholeheartedly endorse PTR and their commitment to creating impactful experiences.
Keia Hobbs, MD
Assistant Dean of Graduate Medical Education, University of Illinois Chicago
Martine McCash
Over the past six months, XRHealth Australia has worked closely with People Tech Revolution to co-design innovative immersive applications... supporting workplace mental health and recovery in the transport industry. Simon and his team have been exceptional collaborators: creative, responsive and genuinely committed to human-centred design. Their ability to understand clinical and operational needs and translate complex ideas into safe, realistic VR environments has made the partnership both productive and enjoyable. Together, we are developing practical, evidence-informed tools that build confidence, resilience and coping strategies through structured, real-world scenarios. I highly recommend People Tech Revolution as a trusted technology partner.
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From the initial concept discussions to the final execution, PTR demonstrated a commitment to guiding us through what was completely new territory. Their approach was structured and transparent and they always let us know what was achievable given the timeframe and budget.
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Nic Barry
I don't think role plays will ever cut it again in this space. Participants are able to empathise and discuss the experiences... with detail that just wouldn't be possible without actually experiencing it themselves.
Nic Barry
Digital Learning & Organisational Capability, Domain Group
Rhonda Brighton-Hall
They jump back, step away, they gasp, they try to find their voice, they ask to be included and when dismissed, they physically shrink. And when they can't do any of those things, the learning sticks and the real conversations begin.
Rhonda Brighton-Hall
CEO, MWAH - Making Work Human Again
Sean Hunter
Working with the PTR team has been great and I look forward to continuing the relationship and developing more VR training.
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SWGJ Program Lead
VR will be a game changer, helping us create ongoing opportunities for deliberate and safe practice following the live workshop experience.
SWGJ Program Lead
Speaking with Good Judgement Program Lead, Mater Education
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