Abstract
This chapter starts from the premise that simulation is a key element in surgical education, but that current approaches can lead to unhelpful oversimplication of the complexities of real world clinical practice. The chapter’s aim is to set the scene for later sections of the book, where further aspects of simulation will be examined. After describing the nature of simulation and outlining its strengths and limitations, the chapter makes the case for placing the complexity and ‘unruliness’ of patient care at the center of simulation activity and considers some theoretical issues raised by this position. Issues of realism, access and resourcing are then addressed, putting forward possible solutions from the author’s research work in these areas.
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References
Allan, C. K., Thiagarajan, R. R., Beke, D., Imprescia, A., Kappus, L. J., Garden, A., et al. (2010). Simulation-based training delivered directly to the pediatric cardiac intensive care unit engenders preparedness, comfort, and decreased anxiety among multidisciplinary resuscitation teams. The Journal of Thoracic and Cardiovascular Surgery, 140(3), 646–652.
Balme, C. (2008). The Cambridge introduction to theatre studies. Cambridge: Cambridge University Press.
Bereiter, C. (2002). Education and mind in the knowledge age. Mahwah: Lawrence Erlbaum Associates.
Bereiter, C., & Scardamalia, M. (1993). Surpassing ourselves: An enquiry into the nature and implications of expertise. Chicago/La Salle: Open Court.
Bligh, J., & Bleakley, A. (2006). Distributing menus to hungry learners: Can learning by simulation become simulation of learning? Medical Teacher, 28(7), 606–613.
Chaffin, R., Imreh, G., & Crawford, M. (2002). Practicing perfection: Memory and piano performance. Mahwah: Lawrence Erlbaum Associates.
CMO. (2009). 150 years of the annual report of the chief medical officer: On the state of public health 2008.
Dieckmann, P., Gaba, D., & Rall, M. (2007). Deepening the theoretical foundations of patient simulation as social practice. Simulation in Healthcare, 2(3), 183–193.
Ericsson, K. A. (2004). Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Academic Medicine, 79(10), S70–S81.
Ericsson, K. A., & Charness, N. (1994). Expert performance. Its structure and acquisition. The American Psychologist, 49(8), 725–747.
Ericsson, K. A., Charness, N., Feltovich, P., & Hoffman, R. (Eds.). (2006). The Cambridge handbook of expertise and expert performance. Cambridge: Cambridge University Press.
Ericsson, K. A., Prietula, M. J., & Cokely, E. T. (2007). The making of an expert. Harvard Business Review, 85(7–8), 114–121. 193.
Gaba, D. M. (2004). The future vision of simulation in health care. Quality & Safety in Health Care, 13(Suppl 1), 2–10.
Gaba, D. M., & DeAnda, A. (1988). A comprehensive anesthesia simulation environment: Re-creating the operating room for research and training. Anesthesiology, 69, 387–394.
Gaba, D. M., Howard, S. K., Flanagan, B., Smith, B. E., Fish, K. J., & Botney, R. (1998/7). Assessment of clinical performance during simulated crises using both technical and behavioral ratings. Anesthesiology, 89(1), 8–18.
Gaba, D., Howard, S., Fish, K., Smith, B., & Sowb, Y. (2001). Simulation-based training in anaesthesia crisis resource management (ACRM): A decade of experience. Simulation and Gaming, 32(2), 175–193.
Goodwin, D. (2008). Refashioning bodies, reshaping agency. Science, Technology & Human Values, 33(3), 345–363.
Guest, C. B., Regehr, G., & Tiberius, R. G. (2001). The life long challenge of expertise. Medical Education, 35(1), 78–81.
Heidegger, M. (1968). What is called thinking? New York: Harper & Row.
Hindmarsh, J., & Pilnick, As. (2002). The tacit order of teamwork: Collaboration and embodied conduct in anaesthesia. The Sociological Quarterly, 43(2), 139–164.
Hindmarsh, J., & Pilnick, A. (2007). Knowing bodies at work: Embodiment and ephemeral teamwork in anaesthesia. Organization Studies, 28(9), 1395–1416.
Hodges, B. D., Kuper, A., & Reeves, S. (2008). Discourse analysis. British Medical Journal, 337, a879.
Holzman, R. S., Cooper, J. B., Gaba, D. M., Philip, J. H., Small, S. D., & Feinstein, D. (1995/12). Anesthesia crisis resource management: Real-life simulation training in operating room crises. Journal of Clinical Anesthesia, 7(8), 675–687.
Issenberg, S. B., McGaghie, W. C., Petrusa, E. R., Gordon, D., & Scalese, R. J. (2005/1). Features and uses of high-fidelity medical simulations that lead to effective learning: A BEME systematic review. Medical Teacher, 27(1), 10–28.
Kneebone, R. L. (2005). Clinical simulation for learning procedural skills: A theory-based approach. Academic Medicine, 80(6), 549–553.
Kneebone, R. (2009a). Perspective: Simulation and transformational change: The paradox of expertise. Academic Medicine, 84(7), 954–957.
Kneebone, R. L. (2009b). Practice, rehearsal, and performance: An approach for simulation-based surgical and procedure training. Journal of the American Medical Association, 302(12), 1336–1338.
Kneebone, R. (2010). Simulation, safety and surgery. Quality & Safety in Health Care, 19(Ergonomics & Safety Supplement), i47–i52.
Kneebone, R., Kidd, J., Nestel, D., Asvall, S., Paraskeva, P., & Darzi, A. (2002). An innovative model for teaching and learning clinical procedures. Medical Education, 36(7), 628–634.
Kneebone, R., Nestel, D., Moorthy, K., Taylor, P., Bann, S., Munz, Y., et al. (2003). Learning the skills of flexible sigmoidoscopy – The wider perspective. Medical Education, 37(Suppl. 1), 50–58.
Kneebone, R. L., Scott, W., Darzi, A., & Horrocks, M. (2004). Simulation and clinical practice: Strengthening the relationship. Medical Education, 38(10), 1095–1102.
Kneebone, R., Kidd, J., Nestel, D., Barnet, A., Lo, B., King, R., et al. (2005). Blurring the boundaries: Scenario-based simulation in a clinical setting. Medical Education, 39, 580–587.
Kneebone, R., Nestel, D., Wetzel, C., Black, S., Jacklin, R., Aggarwal, R., et al. (2006). The human face of simulation: Patient-focused simulation training. Academic Medicine, 81(10), 919–924.
Kneebone, R. L., Nestel, D., Vincent, C., & Darzi, A. (2007). Complexity, risk and simulation in learning procedural skills. Medical Education, 41(8), 808–814.
Kneebone, R., Arora, S., King, D., Sevdalis, N., Kassab, E., Aggarwal, R., et al. (2010). Distributed simulation – Accessible immersive training. Medical Teacher, 32(1), 65–70.
LeBlanc, D. (2008). Situated simulation: Taking simulation to the clinicians. In R. Kyle & W. Murray (Eds.), Clinical simulation: Operations, engineering and management. Amsterdam: Elsevier.
Lehmann, A., Sloboda, J., & Woody, R. (2007). Psychology for musicians: Understanding and acquiring the skills. Oxford: Oxford University Press.
McAuley, G. (2000). Space in performance making meaning in the theatre. Ann Arbor: University of Michigan Press.
McGaghie, W. C., Issenberg, S. B., Petrusa, E. R., & Scalese, R. J. (2010). A critical review of simulation-based medical education research: 2003–2009. Medical Education, 44(1), 50–63.
McGilchrist, I. (2009). The master and his emissary. The divided brain and the making of the Western world. New Haven/London: Yale University Press.
Mylopoulos, M., & Regehr, G. (2007). Cognitive metaphors of expertise and knowledge: Prospects and limitations for medical education. Medical Education, 41(12), 1159–1165.
Parncutt, R., & McPherson, G. (Eds.). (2002). The science and psychology of music performance: Creative strategies for teaching and learning. Oxford: Oxford University Press.
Pye, D. (1968). The nature and art of workmanship. Cambridge: Cambridge University Press.
Rall, M., Stricker, E., Reddersen, S., Zieger, J., & Dieckmann, P. (2008). Mobile ‘in Situ’ simulation crisis resource management training. In R. Kyle & W. Murray (Eds.), Clinical simulation: Operations, engineering and management. Amsterdam: Elsevier.
Sennett, R. (2008). The craftsman. London: Allen Lane.
Temple, J. (2010). Time for training. A review of the impact of the European working time directive on the quality of training. Medical Education England. http://www.mee.nhs.uk/PDF/14274%20Bookmark%20Web%20Version.pdf. Accessed 22 July 2011.
Weinstock, P. H., Kappus, L. J., Kleinman, M. E., Grenier, B., Hickey, P., & Burns, J. P. (2005). Toward a new paradigm in hospital-based pediatric education: The development of an onsite simulator program. Pediatric Critical Care Medicine, 6(6), 635–641.
Weinstock, P. H., Kappus, L. J., Garden, A., & Burns, J. P. (2009). Simulation at the point of care: Reduced-cost, in situ training via a mobile cart. Pediatric Critical Care Medicine, 10(2), 176–181.
Wertsch, J. V. (1985). Vygotsky and the social formation of mind. Cambridge: Harvard University Press.
Wiggins, G. (1993a). Assessing student performance. Exploring the purpose and limits of testing. San Francisco: Jossey-Bass.
Wiggins, G. (1993b). Assessment: Authenticity, context, and validity. Phi Delta Kappan, 75(3), 200–214.
Williamon, A. (Ed.). (2004). Musical excellence: Strategies and techniques to enhance performance. Oxford: Oxford University Press.
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Kneebone, R. (2011). Simulation. In: Fry, H., Kneebone, R. (eds) Surgical Education. Advances in Medical Education, vol 2. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-1682-7_3
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