Medical education
Open Access
Published December 30, 2025

New advances in the integration of death education and metaverse technologies: implications for a tiered, full-cycle approach to medical education in China

ZHANG Wen
ZHANG Wen
Department of Education, Zhongshan Hospital, Fudan University, Shanghai 200032, China
,
ZHANG Min
ZHANG Min
Department of Education, Zhongshan Hospital, Fudan University, Shanghai 200032, China
,
MA Changchang
MA Changchang
Department of Education, Zhongshan Hospital, Fudan University, Shanghai 200032, China
,
ZHANG Mengyao
ZHANG Mengyao
Department of Education, Zhongshan Hospital, Fudan University, Shanghai 200032, China
,
WEI Liping
WEI Liping
Department of Education, Zhongshan Hospital, Fudan University, Shanghai 200032, China
,
ZHOU Yifei
ZHOU Yifei
Department of Education, Zhongshan Hospital, Fudan University, Shanghai 200032, China
,
WANG Xiangyu
WANG Xiangyu
Department of Education, Zhongshan Hospital, Fudan University, Shanghai 200032, China
,
ZHENG Yuying
ZHENG Yuying
Department of Education, Zhongshan Hospital, Fudan University, Shanghai 200032, China
,
YU Qing
YU Qing
yu.qing@zs-hospital.sh.cn
Department of Education, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Author information
Article notes
Funding

ZHANG Wen, Master's Degree, Attending Physician, E-mail: zhang.wen1@zs-hospital.sh.cn

Corresponding author, YU Qing, Tel: 021-64041990, E-mail: yu.qing@zs-hospital.sh.cn

Received October 12, 2025; Accepted December 22, 2025; Published December 30, 2025
Supported by Shanghai Shenkang Hospital Development Center Management Research Project (2025SKMR-21), Higher Education Science Research Planning Project (24CX0201), Zhongshan Hospital, Fudan University Management Science Fund (2024ZSGL14), Zhongshan Hospital, Fudan University Medical Humanities and Ideological-Political Education Research Project (SZ2024-4).
Medical education
Open Access
New advances in the integration of death education and metaverse technologies: implications for a tiered, full-cycle approach to medical education in China
ZHANG Wen
ZHANG Wen
Department of Education, Zhongshan Hospital, Fudan University, Shanghai 200032, China
,
ZHANG Min
ZHANG Min
Department of Education, Zhongshan Hospital, Fudan University, Shanghai 200032, China
,
MA Changchang
MA Changchang
Department of Education, Zhongshan Hospital, Fudan University, Shanghai 200032, China
,
ZHANG Mengyao
ZHANG Mengyao
Department of Education, Zhongshan Hospital, Fudan University, Shanghai 200032, China
,
WEI Liping
WEI Liping
Department of Education, Zhongshan Hospital, Fudan University, Shanghai 200032, China
,
ZHOU Yifei
ZHOU Yifei
Department of Education, Zhongshan Hospital, Fudan University, Shanghai 200032, China
,
WANG Xiangyu
WANG Xiangyu
Department of Education, Zhongshan Hospital, Fudan University, Shanghai 200032, China
,
ZHENG Yuying
ZHENG Yuying
Department of Education, Zhongshan Hospital, Fudan University, Shanghai 200032, China
,
YU Qing
YU Qing
yu.qing@zs-hospital.sh.cn
Department of Education, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Author information

ZHANG Wen, Master's Degree, Attending Physician, E-mail: zhang.wen1@zs-hospital.sh.cn

Corresponding author, YU Qing, Tel: 021-64041990, E-mail: yu.qing@zs-hospital.sh.cn

Article notes
Received October 12, 2025; Accepted December 22, 2025; Published December 30, 2025
Funding
Supported by Shanghai Shenkang Hospital Development Center Management Research Project (2025SKMR-21), Higher Education Science Research Planning Project (24CX0201), Zhongshan Hospital, Fudan University Management Science Fund (2024ZSGL14), Zhongshan Hospital, Fudan University Medical Humanities and Ideological-Political Education Research Project (SZ2024-4).
Published December 30, 2025
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Abstract

Against the backdrop of The Lancet’s international initiative to “bring death back to life,” and in response to the pressing issue of insufficient death education in China, this paper first reviews five representative cases over the past three years in which metaverse-based medical education technologies have empowered death education — namely, brain death diagnosis, breaking bad news, advance care planning and advance directives communication, end-of-life and postmortem care, and terminal communication. Guided by relevant European, American, and Chinese guidelines, the study further proposes four core modules of death education: cognition and values, emotions and psychology, communication and relationships, and culture and behavior. These are structured into a tiered and progressive three-phase framework spanning undergraduate, postgraduate, and continuing medical education. Finally, the paper elaborates on the empowerment pathways of metaverse medical education technologies — including VR, AR, MR, and AI-enhanced virtual patients — to promote the localization, systematization, and sustainable high-quality development of death education in China through collective academic effort.


Key Words: death education; metaverse medical education technology; tiered progression; empowerment pathways; localization

Metaverse in Medicine

ISSN: 3006-4236

Volume 2, Issue 4

December 2025

Pages: 1-64

PDF CITE Accesses: 16
Metaverse in Medicine
ISSN: 3006-4236
ZENTIME PUBLISHING CORPORATION LIMITED
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