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“Tell me, and I will forget.

Show me, and I may remember.

Involve me, and I will understand.”

Confucius, 450 BC

Simulation has been defined as the imitation of some real thing, state of affairs, or process. For decades, simulation-based training (SBT) has been utilized by the military, aviation, and computer science industries to aid in performance optimization, safety engineering, testing, training, and research.1,2 (See Box 64-1.) The success of SBT in these areas has prompted its introduction into other domains such as business, education, and medicine. When implemented appropriately, SBT has been shown to be a realistic, safe, flexible, and cost-effective tool that can be used to enhance daily operations in all areas of healthcare.3

Box 64-1 Executive Summary

When SBT was first integrated into the healthcare arena, professionals were primarily using the methodology and available equipment to improve team training and crisis resource management. Emerging data and positive outcomes eventually led the Accreditation Council for Graduate Medical Education (ACGME) to not only support, but also strongly encourage the use of simulation in medical education and assessment. Studies evaluating SBT in the medical field have demonstrated specific, objective improvement in clinical competencies and patient care.4 Its ability to foster both formative and summative feedback in a manner that is both safe and efficacious prompted the ACGME to note: “Simulation will be part of the redesign of graduate medical education.”4

The benefits of SBT are not limited to healthcare education alone. Hospital administration and management groups across the country are beginning to utilize SBT to enhance daily practices and improve the quality of care provided. By implementing evidence-based protocols, and providing their staff with the means by which to rehearse their roles, healthcare leadership has discovered that SBT can be a very useful tool in helping organizations achieve objective and measurable goals in a variety of arenas.5

Over the past few years, an abundance of research has shown the value of utilizing SBT as a tool to enhance operations, performance, and professional development.6 The “practice of medicine” does not end with graduation from an accredited program. Healthcare continues to evolve, and therefore, healthcare professionals must keep up with ...

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