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Medical Simulation Training
Evidence-based Performance
Six core components are commonly used to determine medical competence:
patient care and safety, medical knowledge, practice-based learning, interpersonal
and communication skills, professionalism, and practice. Each of these
is typically evaluated during residency and fellowship training programs,
but a physician’s technical skills at the core of this competency
are often not formally evaluated, and when they are, the evaluation is
often subjective. Virtual reality medical simulation training, however,
can include objective evaluation metrics based on industry standards.
A number of surgical and medical societies have developed guidelines
on the number of procedures necessary to achieve proficiency. Some societies,
for example, the American College of Cardiology, have recommended that
medical training programs include online, graded training; on-site proctoring;
and metric-based medical simulation training in addition to a defined
number of procedural cases. Others have suggested that simulation training
might be a suitable substitute for a portion of procedural experiences.
Medical Simulation Training Programs
Medical simulation training programs have resulted in improved performance,
shorter response time, and less deviation from practice standards than
non-simulator training. Medical simulators increase trainee confidence,
competence, and improve patient safety. Medical simulation training can
also yield cost and process efficiencies. For example, validation studies
have demonstrated greater procedural efficiency among those who have trained
on a medical simulator to:
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