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- W2314678839 abstract "To the Editor: We agree with Hamstra et al1 that structural fidelity does not always correspond to educational effectiveness in simulation-based health professions training, and that elements central to the primary training objectives, as well as alignment between the clinical task and the simulation task (functional task alignment), may be better indicators of a simulator’s effectiveness. Regardless of a simulator’s physical fidelity, learners must engage on multiple levels in a given simulation scenario. Thus, simply focusing on physical realism will not advance the science of simulation education. We believe that a successful, exciting simulation should be identified not by its physical fidelity but by how well it captures the imagination, triggers physiological responses and the execution of ingrained clinical algorithms, and taps into participants’ history of previous social interactions and past psychological history to evoke similar responses in the present. Here, we offer suggestions for designing simulation experiences that achieve these factors. We agree with Dieckmann et al2 that, to engage participants deeply in simulation, we need to recognize that humans think about reality in two other modes besides the physical aspect. The semantical mode of thinking concerns theory and meaning, and it involves “if–then” relationships, such as “If epinephrine is administered, then the blood pressure will increase.” The phenomenal mode relates to the holistic experience of the situation, and to actions and relationships of an emotional kind. It describes the different elements of the experience. If the simulation “works,” then participants experience the simulation scenario as a complex real-time situation relevant to the learning goal of the session, and they are able to make sense of it despite its physical differences from the clinical situation. To help us understand how to deeply engage participants in simulation-based training, we should consider techniques from other disciplines. Magicians, for example, use sensory and cognitive illusions in their tricks, controlling people’s sensory awareness and manipulating their attention to miscue the attentional spotlight and dissociate actual physical events from the activity corresponding to the conscious processing.3 Cognitive illusions may help us understand the neural underpinnings of cognition, memory, sensation, social attachment, causal inference, and awareness. Therefore, we propose to explore techniques in cognitive science that can be applied in the simulation environment to enhance the educational experience for learners. Rodrigo Rubio, MD Simulation coordinator, National Autonomous University of Mexico, and assistant professor and simulation program coordinator, Department of Anesthesia, ABC Medical Center, Mexico City, Mexico. Ignacio del Moral, MD, PhD Executive director, Hospital Virtual Valdecilla, Santander, Spain. Jose M. Maestre, MD, PhD Education director, Hospital Virtual Valdecilla, and faculty, Department of Anesthesiology and Critical Care, Hospital Universitario Valdecilla, Santander, Spain; [email protected]" @default.
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- W2314678839 date "2014-10-01" @default.
- W2314678839 modified "2023-09-30" @default.
- W2314678839 title "Enhancing Learner Engagement in Simulation Through Scenario Design" @default.
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- W2314678839 doi "https://doi.org/10.1097/acm.0000000000000451" @default.
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