Rural/Remote means just that.

As rural docs we can't always travel to a sim-lab each month.  Yet it's a well known fact that humans learn and retain more if we review complex concepts and practice regularly and on an ongoing basis. 

The solution for rural learning?  Virtual Participation.  Come try it.  You're going to love it.
...after you get the initial giggles worked out!

Innovative tools for
Virtual Learning

RnR Rounds has been offering a virtual-participation option to Rural / Remote physicians for over five years (over 20 physicians across 7 provinces/territories), and we've learned a lot along the way.

We currently use many novel technologies to create as much realism and immersion as possible for our remote participants.   We do pretty well with it too.  A recent analysis of RnR Rounds data demonstrates satisfaction scores between Live & Virtual participants in RnR Rounds are statistically equivalent. 

Live-Stream of Sim Sessions

The backbone of virtual participation remains  observation and participation during the debrief of the live sim group. 

Well supported by sim-education literature: a remote participant observing a scenario and participating in the debrief still gets ~80-90% of the value out of sim as compared to the live participant control group.

The DoubleRobot

Our nerdiest, most complicated innovation: "the Double" is a remote-controlled robot which permits a Rural Doc to move independently around inside the physical sim-lab. 

No physical interaction is possible, but a remote doc can potentially direct the team in a simulated resuscitation. 

See below for more details. 

Virtual Resus Room

A low-fidelity, but extremely useful resource, "VRR" is a visual and interactive tool to assist with group "table top" exercises via video calls. 

Used independent of a brick & mortar sim-lab, VRR provides far more realism than an oral case presentation and receives very high satisfaction ratings.

Watch demo of VRR in action.

3D-Printed Teaching Tools

The nemesis of virtual simulation education is the lack of hands-on "skill-station" access.  

We continue to work on this gap, but lightweight and inexpensive 3D-printable teaching aids, such as UBC's open-access "Crich-Trainer" above,  help make hands-on training a bit more accessible no matter where you are.  

It's an iPad 
On a Segway

...and at first it makes everyone laugh. 
But listen to what they say next: 

- "I forgot you're not actually standing here. It felt to me like you were in the room with the team, leading the code." 

- "I can see everything in the sim in detail now, just by turning the robot, adjusting the height, or zooming in on the patient or monitor."

- "This is the coolest thing ever." 


Come take it for a test drive!

(Actual Screen Shot taken during simulation.)

Login / Driver Reference Info

Login Instructions:
- you should use the Chrome Browser for optimal performance on a computer (PC or Mac), or use an iOS device. 
         - go to   
         - or Search for ‘Double Robotics’ on the iOS app store and download the app

         - use the Double Login username/password we provide for the session. 

Prior to moving the Double, check segway location in the ground-cam for obstacles. 

Double may be parked in its charging dock.  (Be sure to drive straight out to clear, before turning.) 

Driving Instructions:
      Navigation: Keyboard arrows (Up, Down, Left, Right) Or W,S,A,D
      Height Controls  (Standing or Sitting heights): R = Raise, F= Lower
      Park: P - makes Double fully stationary and more stable in its current position.
      End Call: Esc
      Mute Driver Side Volume: M (driver hears nothing) 
      Mute Robot Side Volume: N (mute the driver) 
      Double click on your screen to zoom in or out. 
      Drag while zoomed in to pan around

Riding Shotgun

Our Double also supports multiple simultaneous observers.    There can only be one driver at a time, but there can be upto 5 additional computers receiving the 2 way feed (Robot feed from the sim lab + small picture of the driver from their webcam.)     

As an observer you will receive a specific link by email for the session.   Click that link and the feed should start automatically. 

- Only the driver can control the robot or adjust the camera.  Observers are just along for the ride. 

- Observers will see both the main feed from the robot in the sim lab as well as a small picture in picture of the driver.  They will hear both sides also. 

- Observers can be heard, but not seen.   Note, there is no "mute" button associated with the video feed.     (See below for instructions on how to mute yourself.)  At this time Double does not support video feed to the sim lab from an Observer's webcam, just the Driver's, thus as an observer you can be heard but not seen. 

As an observer, in order to mute yourself you will need to use your computer's system preferences.

For MacOS users: System Preferences -> Sound. On Input tab reduce your microphone's Input Volume to zero (see sample image).

Keep your sound control window handy as during debrief etc, you may wish to be able to speak. 

RnR Rounds is a revenue-neutral CPD program operated by Community Health Network Ltd.  
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