Original Publication
Open Access

NERVE- A Three Dimensional Patient Simulation for Evaluating Cranial Nerve Function

Published: February 1, 2011 | 10.15766/mep_2374-8265.8255

Included in this publication:

  • NERVE-1 Patient Presentation.docx
  • Immersive Virtual Patient Vision Complaint.pdf
  • Instructor's Guide Nerve.docx
  • NERVE.exe

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.

Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.


This module portrays a simulated patient who presents to a clinic or Emergency Room with a complaint of blurry vision. The purpose of this simulation is to promote effective history taking and evaluation in order to differentiate cranial nerve disorders from less worrisome pathologies. A significant limitation of live standardized patient interaction is the difficulty in reproducing clinical findings in various conditions. Therefore, medical students are often taught diagnostic skills for evaluation of cranial nerve injuries in a low fidelity manner, mainly where the injury is described, and the student is able to visualize still images of the anticipated clinical findings. The current simulation incorporates not only an accurate depiction of the clinical findings, but an opportunity to dialogue with the patient to ascertain important history information. By integrating the ability to perform a history and evaluate a realistic representation of the clinical examination findings, we anticipate a significant enhancement in medical student learning of various pathologies.

Educational Objectives

By the end of this session, learners will be able to:

  1. Obtain an effective, focused patient history and review of systems related to the presenting complaint.
  2. Perform a focused/relevant cranial nerve exam.
  3. Recognize presence or absence of cranial nerve pathology.
  4. Experience and recognize an otherwise normal cranial nerve exam while becoming familiar with the nuances of the simulation package.

Author Information

  • Marc Peden, MD: University of Florida College of Medicine
  • Joon Hao Chuah: University of Florida
  • Aaron Kotranza, PhD: University of Florida
  • Kyle Johnsen, PhD: University of Georgia
  • Benjamin Lok, PhD: University of Florida
  • Juan Cendan, MD: University of Central Florida

None to report.

None to report.


Peden M, Chuah J, Kotranza A, Johnsen K, Lok B, Cendan J. NERVE- a three dimensional patient simulation for evaluating cranial nerve function. MedEdPORTAL. 2011;7:8255. https://doi.org/10.15766/mep_2374-8265.8255