To simulate or not to simulate: what is the question?

Annals of Surgery (Impact Factor: 7.19). 04/2006; 243(3):301-3. DOI: 10.1097/01.sla.0000200853.69108.6d
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    ABSTRACT: Simulation is a practical and safe approach to the acquisition and maintenance of task-oriented and behavioral skills across the spectrum of medical specialties, including obstetrics and gynecology. Since the 1990s, the profession of obstetrics and gynecology has come to appreciate the value of simulation and major steps are being taken toward incorporating this technique into specialty-specific training, evaluation, and credentialing programs. This article provides an overview of simulators and simulation in health care and describes the scope of their current use and anticipated applications in the field of obstetrics and gynecology.
    Obstetrics and Gynecology Clinics of North America 04/2008; 35(1):97-127, ix. DOI:10.1016/j.ogc.2007.12.008 · 1.40 Impact Factor
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    ABSTRACT: It is widely accepted that a reform in medical teaching must be made to meet today's high volume training requirements. Receiving pre-training in a core set of surgical skills and procedures before novice practitioners are exposed to the traditional apprenticeship training model where an experienced practitioner must always be present, can reduce both skill acquisition time and the risks patients are exposed to due to surgeon inexperience. Virtual simulation offers a potential method of providing this training and a subset of current medical training simulations integrate haptics and visual feedback to enhance procedural learning. The role of virtual medical training applications, in particular where haptics (force and tactile feedback) can be used to assist a trainee to learn and practice a task, is investigated in this thesis. A review of the current state-of-the-art summarises considerations that must be made during the deployment of haptics and visual technologies in medical training, including an assessment of the available force/torque, tactile and visual hardware solutions in addition to the haptics related software. An in-depth analysis of medical training simulations that include haptic feedback is then provided after which the future directions and current technological limitations in the field are discussed.
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    ABSTRACT: Simulation offers a new frontier in surgical education that promises to enhance the current approaches to training. It addresses the operational and fiscal realities of current healthcare deliveries while adhering to principles of educational psychology. Challenges for educators include systematic validation of simulation methods, attracting research funding agencies to support this cause, and development of appropriate funding mechanisms for the sometimes high facility and hardware costs. The greatest challenge, however, is instituting simulation into the minds of a surgical community that is already steeped in a long and entrenched tradition of Halstedian surgical training.
    Advances in Surgery 02/2006; 40:249-63. DOI:10.1016/j.yasu.2006.06.004


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