Simulation in Limited-Resource Settings

  • Nicole Ann Shilkofski
  • Peter A. Meaney
Part of the Comprehensive Healthcare Simulation book series (CHS)


There is a growing trend in medical education toward globalization, and simulation-based education (SBE) is at the forefront of this trend. There are important considerations when establishing simulation programs in limited resource settings (LRS) internationally, including integration of cultural and linguistic factors, scalability, and sustainability and partnership with local in-country stakeholders. This chapter highlights several SBE programs that have been widely disseminated in LRS and which have demonstrated efficacy in those environments. It will only be through continued curriculum development, rigorous program evaluation, and outcomes-based research that SBE has the potential to improve the health of children worldwide and to enhance the feasibility to achieve progress on the healthcare-related United Nations Millennium Development Goals on a global scale.


Simulation-based education (SBE) Limited resource setting (LRS) Standardized patient (SP) Helping Babies Breathe (HBB) program Millennium Development Goals (MDGs) Traditional birth attendants (TBAs) Telesimulation m-Health technology Culture Fidelity Hybrid simulation Patient safety Neonatal mortality Obstetric emergencies Postpartum hemorrhage Neonatal resuscitation World Health Organization (WHO) Under-five mortality rates (UFMRs) Emergency Triage Assessment and Treatment (ETAT) Rapid cycle deliberate practice (RCDP) Gather–Analyze–Summarize (GAS) debriefing model Good judgment debriefing model Advanced Cardiac Life Support (ACLS) Pediatric Advanced Life Support (PALS) 


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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Departments of Pediatrics and Anesthesiology/Critical Care MedicineJohns Hopkins University School of MedicineBaltimoreUSA
  2. 2.Department of Anesthesia and Critical CareUniversity of Pennsylvania School of Medicine, Children’s Hospital of PhiladelphiaPhiladelphiaUSA

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