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Social distancing guidelines brought about in response to the pandemic made the normal operation of a simulation centre with limited ground area not possible. To proceed providing coaching to a larger variety of candidates, strategies for recreating the simulation expertise with distant candidates were devised and explored:A: Conversational avatar over Zoom.Utilizing streaming software program, our pre-current conversational avatar is introduced on a Zoom call for conversational simulation with distant candidates. Fake root B: Gameplay type scenarios on CenarioVR.Candidates navigate a clinical room atmosphere with buttons and menus to undertake a state of affairs. The system tracks inputs to progress the situation.C: Distant In-Ear (RIE) teaching.Using a wireless earbud, candidates talk remotely with centre staff (‘operatives’) who observe the directions given by candidates watching a dwell Zoom feed. Three variations were explored:C1: Candidates remotely watch the feed whereas connected to an operative by an audio call.C2: Candidates message their goal operative on Zoom and textual content-to-speech software reads these messages to the operatives.C3: Zoom breakout rooms/separate WhatsApp video calls join candidates to target operatives, the place candidates see from the operative’s perspective through a head-mounted camera.D: Virtual environmentsD1: Private Worlds inside VRChat host scenarios.D2: GOSH’s Minecraft server hosts situations.Proposals were scored 0-10 in: Staff Interactivity, Fidelity, Range of Eventualities and Ease of Implementation. Summed complete scores had been:C3=32, C1=29, C2=27, A=26, B=20, D1=19, D2=10Up to now, probably the most viable options have been trialled. Fake root Avatar use over Zoom proved easy to set up and programs using it are planned.RIE coaching’s trial periods had operatives reporting communication inefficiencies. In response, the model was revised: the wider group now coaches the whole room over Zoom.Gameplay situations are still underneath development. Externally produced scenarios are being scrutinised.