Healthcare education and training usually happen in big city hospitals and medical schools. This leaves rural healthcare workers with fewer chances to learn. There is often a big difference between what students learn in class and what they do with patients, especially in rural areas. These places have less access to critical care training and specialty help.
A survey by UbiSim looked at 800 nursing students and new nurses in the U.S. It found some worrying facts. Almost 20% of registered nurses plan to stop working by 2027. The main reasons are being burned out and not feeling ready. For new nurses and students, 35% said they did not feel ready for stressful situations or hard patient care like end-of-life cases. Rural nursing students were almost 30% more likely to say that using immersive simulation technology could have helped their learning.
These facts show that rural healthcare workers often miss out on hands-on training that urban workers get. Also, 21% of nursing students who dropped out or thought about quitting said they had trouble applying what they learned in class to real life. As healthcare needs grow and patients become more complex, it is more important to close this training gap.
Immersive technology like virtual reality (VR) and augmented reality (AR) are useful in healthcare training. These tools can create real-life medical situations safely. Learners can practice many times without risking patient safety. VR make it possible to repeat training, which helps build skill and confidence before working with real patients.
In the U.S., UbiSim is a VR platform used by over 1,100 nursing students in a Bachelor of Science in Nursing program. It makes up about 33% of their simulation time. 92% of users say it is important to their learning, and 89% say it prepared them better for practice. For rural students, being able to use this technology helps reduce geographic differences in training.
This technology also helps in tough healthcare areas like emergency care, critical care, and pediatric nursing. These fields have complex procedures and emotional challenges, such as code events and end-of-life care. Real practice is hard to come by and can be stressful. VR simulations let new nurses practice safely. This lowers stress and helps keep new nurses working longer in their jobs.
One big problem in rural healthcare training is internet access. Without good internet, it is hard to watch interactive lessons or join tele-simulations. The new 6G technology will fix many of these problems. It will offer faster internet with very little delay, allowing immersive learning from far away.
Studies by Yu Liu, Muhammad Rizal Razman, and others show that 6G makes education in rural areas better. 6G supports “ubiquitous learning,” where students can train anytime and anywhere. This helps healthcare workers keep improving their skills all the time.
Using 6G, AR and VR let rural healthcare workers join interactive training remotely. For example, tele-simulations let them take part in live exercises led by experts who are far away. This means patients do not have to be transferred to big hospitals so often. Tele-proctoring and tele-mentoring give quick clinical help, helping rural staff handle hard cases with more confidence.
To make all this work, healthcare groups, schools, policymakers, and tech companies must work together. They need to build better infrastructure and make programs suited for rural learners.
The University of Nebraska Medical Center’s iEXCEL Emerging Technologies Lab shows how using immersive and AI technology can improve healthcare training and patient care. iEXCEL uses AI to run medical simulations and create digital twins—virtual copies of patients or systems that predict what could happen using real time data.
This method helps rural healthcare workers get good-quality training that can adjust to different cases. Digital twins let providers practice on virtual patients. The simulations change based on what the learner does and the latest data. This kind of learning helps trainees understand hard situations better.
iEXCEL also uses extended reality (XR) and holograms to make learning feel more real. This closes the gap between classroom learning and working with real patients. It is especially helpful for remote or underserved clinics. By sharing these tools across the state, the lab works to reduce patient transfers to big hospitals and improve healthcare in rural areas through tele-simulation and tele-care.
The shortage of nurses in the U.S. creates problems for healthcare quality. Stress, burnout, and poor training cause many nurses to quit early. 42% of nurses think about quitting within their first year, and 31% say this is because they did not feel ready.
Immersive simulation training helps nurses get ready and stay in their jobs. VR lets nursing students practice skills many times and face stressful situations without risking patients. This builds skill and lowers anxiety when nurses start working.
Emotional and academic support also matter for nurse readiness. Surveys show 48% of nursing students would have liked better mental health help. 80% say more instructor help would improve how well they do. Mixing human support with immersive training gives better results.
For rural nursing students, who often cannot access advanced simulation tools, immersive technology helps level the playing field. It gives them practical experience and confidence despite where they live.
Artificial intelligence helps healthcare education by customizing learning, checking performance data, and making content automatically. The iEXCEL lab uses AI to create 3D training materials and simulations that change based on how learners respond. This keeps learners interested and helps them remember more.
AI-powered digital twins help predict patient responses during training. Providers can see what might happen based on decisions they make in the virtual setting. These smart systems help teachers create lessons that fit each learner’s needs and support data-based choices.
For healthcare office managers and IT staff, AI-driven phone automation makes patient communication and office work easier. Companies like Simbo AI automate phone answering using AI. This helps patients get answers faster and lowers pressure on staff.
Automation works in appointment setting, patient questions, follow-ups, and emergency screening by understanding natural language. This reduces wait times, stops missed appointments, and keeps communication on time. AI systems also gather data and offer insights to help managers plan staff and resources well.
Automation cuts down repeated tasks for office workers so they can focus on important work like patient care and coordination. This is very important for rural healthcare where staff may be few.
AI also works together with immersive training tools to give smart feedback and reports about learner progress. This helps check how well training is working and matches worker skills needs. Tracking skill development with AI-driven simulations helps managers find knowledge gaps and offer focused help.
Automation tools can also handle training tasks like signing up learners, scheduling sessions, and tracking rules compliance. This makes it easier for medical practices to keep their teams up to date.
Infrastructure Investment: Updating networks to handle fast, low-delay internet, possibly using 6G when ready, is needed for smooth immersive and tele-simulation use.
Training Program Design: Working with schools and tech providers makes sure training fits clinical needs and geographic challenges. Programs should combine VR/AR, AI feedback, and human mentors.
Stakeholder Engagement: Success in rural training means involving healthcare workers, educators, tech teams, and IT to handle digital skills and workflow changes together.
Security and Compliance: Healthcare privacy laws require safe environments for tele-training and AI. Systems must follow rules like HIPAA and protect patient data during sessions and phone use.
Evaluation and Continuous Improvement: Regular checks of training impact and how well systems work can improve use of immersive and AI tools over time.
By using immersive learning and AI automation, healthcare leaders in the U.S. can reduce gaps in rural healthcare training and office efficiency. These tools offer a path to fairer healthcare education, helping rural providers give safer and better care to their communities.
The primary goal of the iEXCEL initiative is to improve human performance and effectiveness in healthcare through advanced simulation training and education utilizing emerging technologies like XR and AI.
iEXCEL leverages AI by using it for automating content creation, enhancing data-driven decision-making, and developing intelligent digital twins that analyze patient care and training effectiveness.
Emerging technologies allow rural clinics to access real-time training and support, reducing patient transfers to tertiary hospitals and enhancing healthcare delivery through tele-simulation and tele-mentoring.
The lab includes specialty areas for performance analysis, quality assurance, AI integration, and immersive experience creation, working collaboratively to innovate in medical training.
Tele-simulation enables healthcare professionals to receive ‘just-in-time’ training remotely, ensuring they stay updated on best practices without the need for travel.
Digital twins can provide real-time interaction with data, predicting outcomes based on various parameters and ultimately improving patient care and training.
Continuous evaluation ensures that emerging technologies are relevant, reliable, and effective, thus maintaining high standards in healthcare training and patient outcomes.
iEXCEL tests new tools in secure environments, involving potential users in the evaluation process to assess usability and relevance.
Democratizing access helps bridge the gap between urban and rural healthcare, providing equal training opportunities and improving overall healthcare quality.
The lab is structured around distinct engines focused on performance, quality, intelligence, and experience, facilitating collaboration and rapid development of innovative solutions.