Methods
Through stratified randomisation, 188 radiography students were allocated to one of two matched groups: a VR group (using Virtual Medical Coaching's Radiography simulation) and a physical simulation group (using Philips' X‐ray equipment). Both groups were taught 31 radiography views over one 25‐week semester. Both groups were assessed in an Objective Structured Clinical Examination (OSCE), using actors as patients in a physical X‐ray environment. Assessment was conducted by assigning objective count scores for five assessment criteria.