Abstract
Medical simulation mimics clinical care, allowing individual health professionals and teams to develop and maintain skills necessary for safe and effective clinical care. It enables trainee surgeon practice remotely from patients thereby gaining confidence and becoming more efficient. One of the earliest examples of simulation is the construction of the game of chess in the sixth century for military training. In the last 10 years, technological advances have allowed for a wider availability and greater realism of simulation, and this has encouraged a great expansion in its use. The Experiential Learning Theory (ELT) developed by David Kolb (1982) ‘comes alive’ and explains well how simulation translates to deep learning. For operative gynaecology to fully take advantage of the advantages offered by the explosion of endoscopic surgery in recent years, simulation based training should be fully integrated and funded within training programmes for clinician at all stages. Simulation based training needs to be valued and adequately resourced by healthcare organisations. A skilled faculty of expert clinical facilitators should be developed to deliver high-quality simulation training. The importance of human factors training to safe care should be widely communicated.
Highlights
Medical simulation mimics clinical care, allowing individual health professionals and teams to develop and maintain skills necessary for safe and effective clinical care
One of the earliest examples of simulation is the construction of the game of chess in the sixth century for military training
Medical simulation was has been in practice long ago
Summary
Medical simulation mimics clinical care, allowing individual health professionals and teams to develop and maintain skills necessary for safe and effective clinical care. Virtual reality training has been reported to improve the learning outcomes in different surgical procedures It offers an ethical way of assessing the competency of a surgeon in performing a procedure without risk to the patient [5]. A recent cochrane review by Nagendran et al 2013 concluded that virtual reality training appears to decrease the operating time and improve the operative performance of surgical trainees with limited laparoscopic experience when compared with no training or with box-trainer training. The cycle goes on with repetition of simulation and practice [13] Bandura described in his Social Cognitive Theory, individual’s symbolising capability (remarkable ability to use symbols to transform their experience so that it can be stored and used as a guide to future actions) and the vicarious capability (that allow them to learn from observing the actions of others). Virtual simulations training and serious gaming provide both input and are often exceptional ways of learning [15]
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