Procedural Medical Training in VR in a Smart Virtual University Hospital Håvard Snarby 1 , Tarald Gåsbakk 1 , Ekaterina Prasolova-Førland 2 , Aslak Steinsbekk 3 , Frank Lindseth 1 1 Department of Computer and Information Science, NTNU Norwegian University of Science and Technology, Trondheim, Norway hsnarby@gmail.com;tarald.gaasbakk@gmail.com,frankl@idi.ntnu.no 2 Department of Education and Lifelong learning, NTNU Norwegian University of Science and Technology, Trondheim, Norway, ekaterip@ntnu.no 3 Department of of Public Health and General Practice, NTNU Norwegian University of Sci- ence and Technology, Trondheim, Norway aslak.steinsbekk@ntnu.no Abstract. A smart virtual university hospital representing a real life one can pre- pare students for direct patient contact and provide possibilities for clinical prac- tice. Such a virtual hospital will support student learning by providing adaptive and flexible solutions for practicing a variety of clinical situations at the students’ own pace. This paper builds on a previous research on the Smart Virtual Univer- sity concepts and explores the possibilities for medical procedural training with Virtual Reality. Two cases have been implemented for the pre-operative prepa- ration training: neurological (brain tumor removal) and gynecological (ectopic pregnancy). The procedural training has been enhanced with the possibility to interact with real world medical data (MRI and ultrasound). The neuro case was tested on two occasions. The feedbacks from the tests have been generally posi- tive, both in terms of general user experience and expected learning outcomes. The paper presents the implementation procedure, evaluation results and outlines the directions for future work. Keywords: Smart Virtual University Hospital, medical procedural training, Vir- tual Reality 1 Introduction A smart virtual university hospital mirroring a real life one can prepare students for direct patient contact and provide opportunities for clinical practice. We have worked with the long-term idea of establishing an online Virtual University Hospital (VUH) to create a holistic system and a venue for learning, research, and development [1]. The idea is to make a virtual mirror of the St. Olav’s University Hospital (St. Olav), which is integrated with the faculty of Medicine at the Norwegian University of Science and