목적: The immersive virtual reality (VR) simulator is advantageous because it is cost-effective, realistic, can be controlled directly by the user, and can be integrated into education and training in otorhinolaryngology. The present study explored the feasibility of incorporating VR pure-tone audiometry (PTA) into an audiologist training curriculum, and introduce newly developed VR speech audiometry (SA). 방법:A total of 31 audiologists (16 skilled audiologists and 15 undergraduate students) participated in the study, using a developed VR PTA and SA application with a Meta Quest 2 device. A digital twin technique was applied for a realistic environment. In the VR SA, the anechoic room and speech materials such as Korean Speech Audiometry was implemented using Unity and Naver CLOVA AI platform. For the efficacy of the VR PTA, key components of the VR system and behavioral intention to use VR and traditional PTA was measured using a modified version of the Technology Acceptance Model survey. To identify the efficacy of VR simulator, VR PTA and the traditional PTA were compared, using a paired t-test and W test. 결과:The general characteristics of the participants were homogeneous. In the homogeneity test, no statistically significant differences were found between the ratings of VR PTA and traditional PTA. The comparison between VR PTA and traditional PTA revealed no significant differences between skilled audiologists and undergraduate students for all variables. 결론:The VR PTA and traditional PTA had no differences in of VR system characteristics and behavioral intention to use. The efficacy of the VR PTA was validated, and previous experience with traditional PTA was not affected by adopting VR PTA. As the next step, the VR SA is under developing and briefly introduced in terms of its realism.