Simulation in Medical Education

  • Yasser El Miedany


Simulation is an interactive educational tool that is increasingly used in medical education, and there is mounting evidence to support its role in improving knowledge, behaviours, as well as skill outcomes. Simulation is not a technology but a technique, which aims at mimicking or magnifying a real experience that is performed under supervision and guidance from a professional educator in a fully interactive manner. Equipment and facilities often dominate the discussion when taking about simulation-based education; however, effective learning using simulation as a methodology usually involves facilitators as well as simulated patients. Using simulation to improve safety will require full integration of its applications into the routine structures and practices of healthcare. Various leading forces and enactment mechanisms are required to drive simulation forward. By itself, simulation does not guarantee learning, but within the proper environment, it is a tool of paramount importance for modern curricula oriented by the adult learning theory. The future of simulation in healthcare depends on the commitment and creativity of the healthcare simulation community to see that improved patient safety using this tool becomes a reality. This chapter will discuss the art and science of simulated learning, the simulation fidelity continuum (low to high, multimode) and how it can be tailored to the learner’s needs. It will also discuss using simulation for assessment, how to design an effective simulation-based medical education activity as well as approach to evaluation of a simulation learning activity. It will expand to include curriculum integration and simulated learning in rheumatology and then will conclude with future directions of simulation-based education.


Medical education Simulated learning Simulated patient Standardized patient High fidelity in simulation education Low fidelity in simulation education 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Yasser El Miedany
    • 1
    • 2
  1. 1.King’s College London, Darent Valley HospitalDartfordUK
  2. 2.Rheumatology and RehabilitationAin Shams UniversityCairoEgypt

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