Simulation reframed.

Area of Science:

• Healthcare Education
• Medical Simulation
• Clinical Practice

Background:

• Current healthcare simulation primarily trains clinical insiders using separate "patient as body" (inanimate simulators) and "patient as person" (Simulated Patients) approaches.
• This traditional model restricts access and excludes essential perspectives from patients, families, and the public.
• Existing simulation practices are closely tied to clinical environments, limiting broader engagement.

Purpose of the Study:

• To argue that simulation can transcend the "clinical insider" frame and foster connections with external individuals and groups.
• To propose a redefinition of simulation, emphasizing its core principles over expensive facilities.
• To explore how simulation can bridge the gap between medicine and other expert domains, viewing clinical practice as performance and craftsmanship.

Main Methods:

• Advocating for a redefined concept of simulation based on purposeful design: selection, abstraction, and re-presentation.
• Highlighting innovative simulation models like hybrid, distributed, and sequential approaches.
• Suggesting simulation can occur in diverse settings beyond traditional centers, including community and performance spaces.

Main Results:

• Simulation can serve as a bridge, facilitating insight exchange on embodied medical practices safely.
• Redefined simulation democratizes access by utilizing lower-cost, adaptable methods.
• Simulation can effectively integrate "patient as body" and "patient as person" elements.

Conclusions:

• Healthcare simulation, while established, often focuses narrowly on replicating existing practices.
• Imaginative simulation design unlocks potential for profound engagement with patients, the public, and non-medical experts.
• This broader approach enriches clinical education and practice by incorporating diverse perspectives.