Work simulation as a diagnostic tool in the rehabilitation setting

Standardized tests are often used to assess the cognitive status of individuals who have sustained traumatic brain injuries. However, recent research indicates that these evaluation tools are not always reliable measures of cognitive function. This is particularly evident when assessing executive functions. This article illustrates the use of a work simulation model within a therapeutic setting. Described are two individuals with traumatic brain injury, both physicians, who exhibited high level cognitive deficits during formal testing and little insight into their problem areas. Specific components of the work simulations are explained as well as outcomes and applications of this diagnostic technique.