Simulation-Based Training in Medical Education Can Reduce Risks to Patient Safety

Increasingly, there is an emphasis on patient safety and comfort. With the growing demand for minimally invasive procedures and higher incidences of chronic disorders, the obligation to provide high quality patient care is critical for achieving optimal treatment and outcomes.

At present, conventional medical education involves a combination of didactic lectures, group-based learning, and hands-on training based on the apprenticeship model. Following the apprenticeship approach, trainees perform procedures on patients under the supervision of attending preceptors. Although patient-based, hands-on experience is an essential component of residencies and fellowships, novice trainees pose a significant risk to patient safety. One study observed the number of complications associated with endoscopy significantly increased in July and August during the start of new trainee training programs.2 Prolonged procedure times3, mismanagement of findings, and adverse events such as patient abdominal pain2 are common endoscopy-related complications resultant of lack of trainee experience. Moreover, preceptors relinquish complete control of the case and equipment to allow trainees to practice procedures and tasks, further placing the patient in a vulnerable position. 

SBT is an alternative form of learning that circumvents the challenges of patient safety and avoidable medical error. By providing a platform for medical students and healthcare professionals to reach an acceptable threshold of clinical competency before high stress, patient-based training, SBT can improve patient safety and outcomes while enhancing the educational experience of trainees. While task trainer simulators are well-suited for novice learners who are building step-wise understanding of procedures, simulated scenarios that challenge communication, collaboration, and conflict resolution skills with an interdisciplinary team adds further richness to the learning experience.