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Updated: May 25, 2026

Emergency Undocking in Robotic Surgery: A Simulation Curriculum
Published on: May 20, 2018
[Simulation in the general hospital: differential diagnosis and policy]
Audrey M van Schaik1, Josien G van Mill, Bregje A Appels
1GGZ inGeest, Amsterdam, the Netherlands. au.vanschaik@ggzingeest.nl
Abstract:
Doctors meet patients who present with non-genuine diseases. We present three patients who present with an illness with no organic cause: conversion syndrome, factitious disorder and simulation. We discuss the differential diagnosis, prevalence and diagnostics in the event of simulation. A proposal is made about how to respond in the event of simulation. The method is similar to the treatment of a factitious disorder: limitation of the potential benefits attached to the sick role; confrontation with medical facts; maintaining the doctor-patient relationship.
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