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Simulation based training
Are simulation and didactic crisis resource management (CRM) training synergistic?
  1. J B Cooper
  1. Correspondence to:
 J B Cooper
 Associate Professor of Anaesthesia, Harvard Medical School, Massachusetts General Hospital, Boston, Mass 02114, USA; Director, Biomedical Engineering, Partners Healthcare System Inc; Executive Director, Center for Medical Simulation;

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Simulation may have an additive component to classroom style training, at least in the short term

Full environment simulation is achieving wide adoption despite weak evidence of its impact on outcome. It is doing so because it has strong face validity, creates much enthusiasm from both students and teachers, and because it is what other high hazard industries do to mitigate errors and to create and maintain a culture of safety. Yet most of us working with simulation technologies and techniques generally try to maintain our objectivity. We ask ourselves if it really does what we think it does, how much fidelity is needed to achieve our educational goals, and how we weigh the costs and benefits. When we are using it for non-technical training such as improving teamwork, we want to understand how it should be used to meet the real objective—creating real lasting behavior and culture changes that will make health care more effective and safer.

The paper in this issue of QSHC by Shapiro and colleagues1 demonstrates a model for using …

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  • Competing interest disclaimer: The author is Executive Director of the center in which the simulation training described in this report was conducted but had no direct involvement in the study.

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