Practice Report: On the development of medical English ESP learning model via VR space in collaboration with Finland

The paper outlines the construction process of a medical English Collaborative Online International Learning (COIL) model developed in collaboration with universities in Finland and the USA in a 3D virtual learning space (metaverse) mediated by Cross Reality (XR) technology. This technology mobilizes all aspects of Virtual Reality (VR), Augmented Reality (AR), and Mixed Reality (MR). This paper will describe the development and construction of a medical English COIL model developed in a 3D virtual learning space (metaverse) mediated by Cross Reality (XR) technology in detail. It will then present a report on the actual lessons conducted using the model. Furthermore, using the model, it will examine the development of metacognitive ability and the L2 ideal self of the students in the classes. It will also investigate whether it is possible to learn medical English in a communicative way.