Simulation in clinical teaching and learning

Jennifer M Weller, Debra Nestel, Stuart D Marshall, Peter M Brooks and Jennifer J Conn
Med J Aust 2012; 196 (9): 594. || doi: 10.5694/mja10.11474
  • Jennifer M Weller1
  • Debra Nestel2
  • Stuart D Marshall3
  • Peter M Brooks4
  • Jennifer J Conn5

  • 1 Centre for Medical and Health Sciences Education, University of Auckland, Auckland, NZ.
  • 2 Gippsland Medical School, Monash University, Churchill, VIC.
  • 3 Simulation and Skills Centre, Southern Health and Monash University, Monash Medical Centre, Melbourne, VIC.
  • 4 Australian Health Workforce Institute, University of Melbourne, Melbourne, VIC.
  • 5 Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Melbourne, VIC.


Competing interests:

No relevant disclosures.

  • 1. Ziv A, Wolpe P, Small S, Glick S. Simulation-based medical education: an ethical imperative. Acad Med 2003; 78: 783-788.
  • 2. Weller J. Simulation in undergraduate medical education: bridging the gap between theory and practice. Med Educ 2004; 38: 32-38.
  • 3. Lucian Leape Institute. Unmet needs: teaching physicians to provide safe patient care. Boston: National Patient Safety Foundation, 2010. (accessed Apr 2012).
  • 4. Kneebone RL. Practice, rehearsal, and performance: an approach for simulation-based surgical and procedure training. JAMA 2009; 302: 1336-1338.
  • 5. Barrows H. Simulated patients in medical teaching. CMAJ 1968; 98: 674-676.
  • 6. Kneebone R, Arora S, King D, et al. Distributed simulation-accessible immersive training. Med Teach 2010; 32: 65-70.
  • 7. Robertson K, Hegarty K, O’Connor V, Gunn J. Women teaching women's health: issues in the establishment of a clinical teaching associate program for the well woman check. Women Health 2003; 37: 49-65. doi: 10.1300/J013v37n04_05.
  • 8. Lampotang S, Dobbins W, Good ML, et al. Interactive, web-based educational simulation of an anesthesia machine. J Clin Monit Comput 2000; 16: 56-57.
  • 9. Schmidt EA, Scerbo MW, Bliss JP, et al. Surgical skill performance under combat conditions in a virtual environment. Proceedings of the Human Factors and Ergonomics Society 50th Annual Meeting October 2006; 50: 2697-2701. (accessed Apr 2012).
  • 10. Honey MLL, Diener S, Connor K, et al. Teaching in virtual space: Second Life simulation for haemorrhage management [interactive session]. Proceedings Ascilite Auckland 2009; 1222-1224. (accessed Apr 2012).
  • 11. Kneebone R, Kidd J, Nestel D, et al. An innovative model for teaching and learning clinical procedures. Med Educ 2002; 36: 628-634.
  • 12. Sprick C, Reynolds KJ, Owen H. SimTools: a new paradigm in high fidelity simulation. Stud Health Technol Inform 2008; 132: 481-483.
  • 13. Beaubien JM, Baker DP. The use of simulation for training teamwork skills in health care: how long can you go? Qual Saf Health Care 2004; 13 Suppl 1: i51-i56.
  • 14. Maran N, Glavin R. Low- to high-fidelity simulation — a continuum of medical education? Med Educ 2003; 37 Suppl 1: 22-28.
  • 15. van Merriënboer J, Sweller J. Cognitive load theory and complex learning: recent developments and future directions. Educ Psychol Rev 2005; 17: 147-177.
  • 16. Ericsson KA. Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Acad Med 2004; 79 (10 Suppl): S70-S81.
  • 17. Ericsson KA, Krampe RT, Tesch-Römer C. The role of deliberate practice in the acquisition of expert performance. Psychol Rev 1993; 100: 363-406.
  • 18. Mamede S, Schmidt HG. The structure of reflective practice in medicine. Med Educ 2004; 38: 1302-1308.
  • 19. Kirkpatrick DL. Evaluating training programmes: the four levels. San Francisco: Berrett-Koehler, 1994.
  • 20. McGaghie WC, Issenberg SB, Petrusa ER, Scalese RJ. A critical review of simulation-based medical education research, 2003-2009. Med Educ 2010; 44: 50-63.
  • 21. Grantcharov T, Kristiansen V, Bendix J, et al. Randomized clinical trial of virtual reality simulation for laparoscopic skills training. Br J Surg 2004; 91: 146-150.
  • 22. Chaer R, Derubertis B, Lin S, et al. Simulation improves resident performance in catheter-based intervention: results of a randomized, controlled study. Ann Surg 2006; 244: 343-352.
  • 23. Banks E, Pardanani S, King M, et al. A surgical skills laboratory improves residents’ knowledge and performance of episiotomy repair. Am J Obstet Gynecol 2006; 195: 1463-1467.
  • 24. Ahlberg G, Hultcrantz R, Jaramillo E, et al. Virtual reality colonoscopy simulation: a compulsory practice for the future colonoscopist? Endoscopy 2005; 37: 1198-1204.
  • 25. Frengley R, Weller J, Torrie J, et al. Teaching crisis teamwork: immersive simulation versus case based discussion for intensive care teams. Simulation in Healthcare 2010; 5: 368.
  • 26. Pope C, Mays N, Popay J. Synthesising qualitative and quantitative health evidence. A guide to methods. Part 2, Chapter 5. Mixed approaches to evidence synthesis. Berkshire: McGraw-Hill; Open University Press, 2007: 95.
  • 27. Lepschy A. Communication training. In: Rickheit G, Strohner H, editors. Handbook of communication competence. Berlin: Mouton de Gruyter, 2008: 315-323.
  • 28. Walsh K. Cost effectiveness in medical education. Abingdon, UK: Radcliffe, 2010.
  • 29. Health Workforce Australia. Simulated learning environments [website]. (accessed Apr 2012).
  • 30. Cumin D, Weller JM, Henderson K, Merry AF. Standards for simulation in anaesthesia: creating confidence in our tools. Br J Anaesth 2010; 105: 45-51.
  • 31. Society for Simulation in Healthcare. Council for Accreditation of Healthcare Simulation Programs. (accessed Apr 2012).
  • 32. Weller JM, Barrow M, Gasquoine S. Interprofessional collaboration among junior doctors and nurses in the hospital setting. Med Educ 2011; 45: 478-487.
  • 33. Marshall S, Harrison J, Flanagan B. The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. Qual Saf Health Care 2009; 18: 137-140.
  • 34. Boulet J. Summative assessment in medicine: the promise of simulation for high-stakes evaluation. Acad Emerg Med 2008; 15: 1017-1024.
  • 35. Boulet JR, Murray D, Kras J, et al. Reliability and validity of a simulation-based acute care skills assessment for medical students and residents. Anesthesiology 2003; 99: 1270-1280.
  • 36. Weller J, Robinson B, Larsen P, Caldwell C. Simulation-based training to improve acute care skills in medical undergraduates. N Z Med J 2004; 117: U1119.
  • 37. Weller J, Frengley R, Torrie J, et al. Evaluation of an instrument to measure teamwork in multidisciplinary critical care teams. BMJ Qual Saf 2011; 20: 216-222.
  • 38. Weller JM, Robinson BJ, Jolly B, et al. Psychometric characteristics of simulation-based assessment in anaesthesia and accuracy of self-assessed scores. Anaesthesia 2005; 60: 245-250.


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