Strengths and limitations
BLIND
The current study investigated difference in learning outcomes between radiography student cohorts learning with VR simulation and physical simulation. The two cohorts were well matched for previous learning experience and age and grade profile. The assessment criteria were objective and recorded in real time by experienced assessors, blind of the study cohort each student belonged to. These factors strengthen the findings of the comparison.Multiple assessors scored the students in the OSCE, and no inter‐rater reliability evaluation was conducted. However, all assessors were qualified and experienced in grading students for their formal qualifications. While students were instructed not to cross over to another simulation style, there was no control over what they did outside of the dedicated learning environment. Some students may have accessed extra VR or physical simulation at home or on campus. These factors moderate the findings of the comparison.The study was focussed on 1‐year group of students in one university, and while the findings are conclusively in favour of VR simulation, similar findings may not arise in later year groups in the same university or in student groups in other universities with different previous experience.