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Updated: Feb 7, 2026
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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
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Challenges in implementing simulation-based training programme in managing sick surgical patients in India: A review
Rajdeep Singh1, Gyan Saurabh2, Rahul Bhat3
1Department of Surgery, Maulana Azad Medical College, Delhi, India.
The National Medical Journal of India
|February 6, 2026
Summary
Implementing simulation-based acute critical care courses (ACCC) is vital for equipping all clinicians with essential life-saving skills. Addressing barriers to ACCC implementation requires executive decisions and regulatory support for effective critical care competency development.
Area of Science:
- Medical Education
- Critical Care Medicine
- Simulation-Based Training
Background:
- Formal critical care competency development for non-specialists in India is inconsistent.
- Barriers to implementing simulation-based acute critical care courses (ACCC) for clinicians require investigation.
Purpose of the Study:
- To identify barriers hindering the implementation of simulation-based acute critical care courses (ACCC) for clinicians in India.
Main Methods:
- A systematic review of published articles, primarily qualitative with some quantitative data.
- Critical appraisal of literature using Guba's four parameters, ConQual rating, and study program appraisal.
Main Results:
- Clinicians need both technical and non-technical skills to safely manage deteriorating patients.
- Simulation-based ACCC can build competence and confidence in trainees for complex critical care situations.
Conclusions:
- Executive decisions and regulatory body involvement (National Medical Commission, State Medical Councils) are crucial for ACCC implementation.
- Prioritizing life-saving skill development through simulation over traditional lectures is key for clinician preparedness in critical care.
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