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Related Experiment Video

Updated: Feb 14, 2026

Simulator Training for Endovascular Neurosurgery

Simulator Training for Endovascular Neurosurgery

Published on: May 6, 2020

Simulation reframed.

Roger L Kneebone^1,2

¹1Division of Surgery, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK.

Advances in Simulation (London, England)

|February 17, 2018

Summary

This summary is machine-generated.

Healthcare simulation training can move beyond clinical insiders by creatively engaging patients and the public. Redefining simulation democratizes access and expands its impact beyond traditional medical settings.

Keywords:

Access Distributed simulation Frames Reciprocal illumination Sequential simulation Simulated patients Simulation Simulation centres Simulation fidelity

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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.