www.sciedu.ca/jbgc Journal of Biomedical Graphics and Computing, 2014, Vol. 4, No. 2 Published by Sciedu Press 49 ORI GI NAL RESEARCH I ntegrating Google Glass into simulation-based training: experiences and future directions Teresa Wu, Christian Dameff, Jeffrey Tully Maricopa Medical Center, University of Arizona, College of Medicine-Phoenix, Phoenix, Arizona, USA Correspondence: Teresa Wu. Address: 7012 E. Voltaire Avenue, Scottsdale, AZ 85254, USA. E-mail: teresawumd@gmail.com Received: March 3, 2014 Accepted: March 24, 2014 Online Published: April 18, 2014 DOI : 10.5430/jbgc.v4n2p49 URL: http://dx.doi.org/10.5430/jbgc.v4n2p49 Abstract Background: Education experts are starting to explore the potential uses of wearable technology and augmented reality in simulation-based training. In this article, we summarize our experiences with using Google Glass in simulation-based training and discuss potential future directions with this advanced technology. Methods: Emergency medicine residents and medical students participated in a pilot study where each team captain was asked to wear Google Glass during 15 separate simulation-based training sessions. Video obtained from Google Glass was analyzed and utilized during debriefing sessions for the residents and medical students. Results: We were able to successfully integrate Google Glass into simulation-based training and debriefing. During the analysis of each recording, observations were noted about the events that transpired and this data was used to provide instructional feedback to the residents and medical students for self-reflection and appraisal. Post-exercise surveys were conducted after each simulation session and all participants noted that Google Glass did not interfere with their simulation experience. Google Glass enabled the observers to analyze the team captain’s primary visual focus during the entire simulation scenario and feedback was provided based on the data recorded. Conclusions: Wearable technologies such as Google Glass can be successfully integrated into simulation-based training exercises without disrupting the learners’ experience. Data obtained from this integration can be utilized to improve debriefing sessions and self-reflection. Future research is underway and required to evaluate other potential uses for wearable technology in simulation-based training. Key words Simulation-based training, Medical education, Google Glass, Wearable technology, Augmented reality 1 Introduction In simulation-based training (SBT), practitioners and students are called upon to participate in a clinical scenario that mimics what they are likely to encounter in true clinical practice [1-3] . The practitioners and students are asked to work through the scenario in the same manner they would approach a similar case presenting in their department or office. In most simulation-based training exercises, both summative and formative feedback is provided to the participants based on information from educators actively observing and taking notes from the case, from direct observation of the critical