Fiction contract: its importance in simulation-based medical education
DOI:
https://doi.org/10.18203/2319-2003.ijbcp20232579Keywords:
Medical simulation, Medical education, Fiction contract, Suspension of disbelief, Realism, Simulation-based educationAbstract
Simulation-based education has become an integral part of education and training in high-risk professions and disciplines such as aviation, aerospace, military, nuclear power plants, medicine and healthcare. In the last decade, medical simulation has globally emerged as a powerful instructional technique across various specialties and disciplines. Despite its increasing popularity and various advantages, simulation-based medical education (SBME) poses a unique challenge, that is, realism. This is where the concept of fiction contract or suspension of disbelief comes into the picture. In this article we provide an overview of fiction contract in SBME including how can it be effectively addressed during training.
Metrics
References
Patel M. Changes to postgraduate medical education in the 21st century. Clin Med (Lond). 2016;16:311-4.
Joshi T, Budhathoki P, Adhikari A, Poudel A, Raut S, Shrestha DB. Improving medical education: A narrative review. Cureus. 2021;13:e18773.
Evgeniou E, Loizou P. Simulation-based surgical education. ANZ J Surg. 2013;83:619-23.
Motola I, Devine LA, Chung HS, Sullivan JE, Issenberg SB. Simulation in healthcare education: a best evidence practical guide. AMEE Guide No. 82. Med Teach. 2013;35:e1511-30.
Al-Elq AH. Simulation-based medical teaching and learning. J Family Community Med. 2010;17:35-40.
Papaspyros SC, Javangula KC, Adluri RK, O'Regan DJ. Briefing and debriefing in the cardiac operating room. Analysis of impact on theatre team attitude and patient safety. Interact Cardiovasc Thorac Surg. 2010;10:43-7.
Henrickson SE, Wadhera RK, Elbardissi AW, Wiegmann DA, Sundt TM 3rd. Development and pilot evaluation of a preoperative briefing protocol for cardiovascular surgery. J Am Coll Surg. 2009;208:1115-23.
Gaba DM. The future vision of simulation in health care. Qual Saf Health Care. 2004;13(1):i2-10.
Oak SN. Medical simulation: a virtual world at your doorstep. J Postgrad Med. 2014;60:171-4.
Ypinazar VA, Margolis SA. Clinical simulators: applications and implications for rural medical education. Rural Remote Heal. 2006;6:527.
Ilgen JS, Sherbino J, Cook DA. Technology-enhanced simulation in emergency medicine: a systematic review and meta-analysis. Acad Emerg Med. 2013;20:117-27.
Frallicciardi A, Vora S, Bentley S, Nadir NA, Cassara M, Hart D et al. Development of an emergency medicine simulation fellowship consensus curriculum: Initiative of the Society for Academic Emergency Medicine Simulation Academy. Acad Emerg Med. 2016;23:1054-60.
Rutherford-Hemming T, Lioce L, Breymier T. Guidelines and Essential Elements for Prebriefing. Simul Healthc. 2019;14:409-14.
Rudolph JW, Raemer DB, Simon R. Establishing a safe container for learning in simulation: the role of the presimulation briefing. Simul Healthc. 2014;9:339-49.
Dieckmann P, Gaba D, Rall M. Deepening the theoretical foundations of patient simulation as social practice. Simul Healthc. 2007;2:183-93.
Salas E, Burke CS: Simulation for training is effective when. Qual Safety Health Care. 2002;11:119-20.
Hughes PG, Hughes KE. Briefing Prior to Simulation Activity. In: Stat Pearls. Treasure Island (FL): StatPearls Publishing. 2023.
Nanji KC, Baca K, Raemer DB. The effect of an olfactory and visual cue on realism and engagement in a health care simulation experience. Simul Healthc. 2013;8:143-7.
Beaubien JM, Baker DP. The use of simulation for training teamwork skills in health care: how low can you go? Qual Saf Health Care. 2004;13(1):i51-6.
Rudolph JW, Simon R, Raemer DB. Which reality matters? Questions on the path to high engagement in healthcare simulation. Simul Healthc. 2007;2:161-3.
Lubbers J, Rossman C. Satisfaction and self-confidence with nursing clinical simulation: Novice learners, medium-fidelity, and community settings. Nurse Educ Today. 2017;48:140-4.
Dalwood N, Maloney S, Cox N, Morgan P. Preparing physiotherapy students for clinical placement student perceptions oflow-cost peer simulation. A mixed-methods study. Simul Healthc. 2018;13:181-7.
Tufts LM, Hensley CA, Frazier MD, Hossino D, Domanico RS, Harris JK et al. Utilizing high-fidelity simulatorsin improving trainee confidence and competency in code management. Pediatr Qual Saf. 2021;6:e496.
Carey JM, Rossler K. The how when why of high-fidelity simulation. In StatPearls. StatPearls Publishing: TreasureIsland, FL, USA. 2022.
Stokes-Parish J, Duvivier R, Jolly B. Expert opinions on the authenticity of moulage in simulation: a Delphi study. Adv Simul (Lond). 2019;4:16.