Simulation in Health Care
2007; Lippincott Williams & Wilkins; Volume: 3; Issue: 3 Linguagem: Inglês
10.1097/pts.0b013e31813e5e39
ISSN1549-8425
Autores Tópico(s)Innovations in Medical Education
ResumoIn the process of training tomorrow's clinicians, today's patients are sometimes harmed. Advances in medical simulation technology along with other unfolding trends have started to shift research attention to the performance component of clinical competency. There is reason to believe that the advantages that have made simulation a successful training medium in other high-risk industries have the potential to be realized in health care as well. These advantages for health care include safety of patients during a period when providers are inexperienced and learning new procedures, optimal control of the training conditions to promote new skill acquisition, the integration of multiple components and skills for effective individual and team performance, and return on investment in the form of costs avoided from complications, injury, and death. Given the benefits that simulation can provide, the current enthusiasm of the health care simulation community is understandable. At the same time, it is important to focus on some of the less recognized yet fundamental challenges-setting realistic expectations, identifying relevant research questions, determining training and simulation specifications, matching fidelity levels to research and training objectives, and developing well rounded curricula-that are worthy of attention. There is likewise a need to move beyond the competency of individuals and train for enhanced capability, resiliency, and a continuity of safety across the separate stages of the patient care cycle.
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