Table 2.

Lesson plan for EI-building VR curriculum.

Two weeks prior to VR

Resident asked to record at least one medical encounter in clinic.

Patient consent for video recording is obtained. Video is recorded and made available to facilitators on secure network.

Day of VR

Three spectra exercise Facilitators set ground rules Individual VR Brief background Resident is asked “Is there any particular feedback you would like?” Video is paused periodically, or at request, to reflect on resident presentation/experience, patient presentation, and resident adjustments based on patient presentation. Both residents and peers are encouraged to make these reflections. Questions to promote self-awareness/management may include: “So far, has your presentation in this encounter matched up with what you stated was your general presentation in the room? Why or why not?” Questions to promote social awareness/relational management may include: “What did you notice about the patient’s presentation that communicated to you the need for adjustment in your presentation? How did it go? Did you have to make further adjustments or course corrections?” Observations and feedback are strengths-based and curious. Resident is asked at the end of their video, “What did you notice yourself doing well?” and “Is there anything you would do differently next time?” Peers are asked, “What would like to borrow from your co-resident’s practice?”

Repeat with adequate breaks during process.

Debrief: “How was it to watch yourselves, each other, and be watched by each other? What did you learn/note?”