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Simulation Fellowship Programs: An International Survey of Program Directors.

Brenda Natal1, Demian Szyld, Scott Pasichow

  • 1B. Natal is an independent contractor in emergency medicine and health care simulation education and was, at the time of this research, assistant professor, Department of Emergency Medicine, and simulation director, Clinical Skills Center, Division of the Office of Education, Rutgers New Jersey Medical School, Newark, New Jersey. D. Szyld is attending physician, Department of Emergency Medicine, Brigham and Women's Hospital, and senior director, Institute for Medical Simulation, Center for Medical Simulation, Boston, Massachusetts. S. Pasichow is postgraduate year 2 resident, Department of Emergency Medicine, The Warren Alpert Medical School of Brown University, and vice chair, Simulation Division, Emergency Medicine Residents Association, Providence, Rhode Island. Z. Bismilla is assistant professor, University of Toronto, academic clinician, Hospital for Sick Children, and lead, Hospital for Sick Children Learning Institute Simulation Fellowship Program, Toronto, Ontario, Canada. J. Pirie is associate professor, University of Toronto, pediatric emergency medicine (PEM) physician, and director of PEM simulation and the PEM Simulation Fellowship Program, Hospital for Sick Children, Toronto, Ontario, Canada. A. Cheng is associate professor, Department of Pediatrics, University of Calgary, director, KidSIM-ASPIRE Simulation Research Program, and scientist, Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada.

Academic Medicine : Journal of the Association of American Medical Colleges
|April 6, 2017
PubMed
Summary

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Simulation-based training (SBT) fellowship programs have rapidly expanded globally. This study surveyed program directors, revealing a need for standardized guidelines and accreditation to ensure measurable competencies in simulation training graduates.

Area of Science:

  • Medical Education
  • Healthcare Simulation Training

Background:

  • Simulation-based training (SBT) has rapidly evolved and integrated into medical education.
  • Fellowship programs in simulation training have experienced significant growth internationally.

Purpose of the Study:

  • To analyze the structure and infrastructure of current simulation fellowship programs.
  • To describe existing training practices and identify barriers within these programs.
  • To explore opportunities for standardization in simulation-based training.

Main Methods:

  • A cross-sectional survey study was conducted among English-speaking simulation fellowship program directors.
  • Fellowships were identified through multiple sources including academic websites, literature, and web searches.
  • A web-based questionnaire was administered via email and follow-up calls.

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Main Results:

  • 32 out of 49 identified programs responded, primarily located in the US, Canada, England, and Australia.
  • Most programs were established after 2010, with 186 fellows graduated since 1998.
  • Programs shared core objectives and educational outcomes, with most directors favoring national standardization.

Conclusions:

  • The rapid growth of simulation fellowships necessitates attention to standardization and accreditation.
  • Standardization can lead to measurable competencies for graduates of simulation training programs.
  • Further development in accreditation can enhance the quality and consistency of simulation education.