For Educationalists

Clinical skills are increasingly tested in simulations rather than real world (clinical) settings. A noble exception, where skill was tested in real world settings rather than simulation scenarios, was published recently.[1]

Nevertheless, performance in a simulation seems to be a good surrogate for the latter according to a recent systematic review.[2] Only one study in the review examined the effect of a change in score in a simulation on the score in actual clinical practice and found that they were correlated.[3]

— Richard Lilford, CLAHRC WM Director


  1. Laiou E, Clutton-Brock TH, Lilford RJ, Taylor CA. The effects of laryngeal mask airway passage simulation training on the acquisition of undergraduate clinical skills: a randomised controlled trial. BMC Med Educ. 2011; 11: 57.
  2. Brydges R, Hatala R, Zendejas B, Erwin PJ, Cook DA. Linking Simulation-Based Educational Assessments and Patient-Related Outcomes: A Systematic Review and Meta-Analysis. Acad Med. 2014. [ePub].
  3. Yudkowsky R, Luciano C, Banerjee P, et al. Practice on an augmented reality/haptic simulator and library of virtual brains improves residents’ ability to perform a ventriculostomy. Simul Healthc. 2013; 8: 25-31.

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