Imperial College London

ProfessorRogerKneebone

Faculty of MedicineDepartment of Surgery & Cancer

Professor of Surgical Education and Engagement Science
 
 
 
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Contact

 

r.kneebone Website

 
 
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Location

 

ICCESS, Academic SurgeryChelsea and Westminster HospitalChelsea and Westminster Campus

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Summary

 

Publications

Citation

BibTex format

@article{Kneebone:2016:10.1186/s41077-016-0028-8,
author = {Kneebone, RL},
doi = {10.1186/s41077-016-0028-8},
journal = {Advances in Simulation},
title = {Simulation reframed},
url = {http://dx.doi.org/10.1186/s41077-016-0028-8},
volume = {1},
year = {2016}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - BackgroundSimulation is firmly established as a mainstay of clinical education, and extensive research has demonstrated its value. Current practice uses inanimate simulators (with a range of complexity, sophistication and cost) to address the patient ‘as body’ and trained actors or lay people (Simulated Patients) to address the patient ‘as person’. These approaches are often separate.Healthcare simulation to date has been largely for the training and assessment of clinical ‘insiders’, simulating current practices. A close coupling with the clinical world restricts access to the facilities and practices of simulation, often excluding patients, families and publics. Yet such perspectives are an essential component of clinical practice.Main bodyThis paper argues that simulation offers opportunities to move outside a clinical ‘insider’ frame and create connections with other individuals and groups. Simulation becomes a bridge between experts whose worlds do not usually intersect, inviting an exchange of insights around embodied practices—the ‘doing’ of medicine—without jeopardising the safety of actual patients.Healthcare practice and education take place within a clinical frame that often conceals parallels with other domains of expert practice. Valuable insights emerge by viewing clinical practice not only as the application of medical science but also as performance and craftsmanship.Such connections require a redefinition of simulation. Its essence is not expensive elaborate facilities. Developments such as hybrid, distributed and sequential simulation offer examples of how simulation can combine ‘patient as body’ with ‘patient as person’ at relatively low cost, democratising simulation and exerting traction beyond the clinical sphere.The essence of simulation is a purposeful design, based on an active process of selection from an originary world, abstraction of what is c
AU - Kneebone,RL
DO - 10.1186/s41077-016-0028-8
PY - 2016///
SN - 2059-0628
TI - Simulation reframed
T2 - Advances in Simulation
UR - http://dx.doi.org/10.1186/s41077-016-0028-8
UR - http://hdl.handle.net/10044/1/40966
VL - 1
ER -