Advantages, disadvantages and similarities of simulation environments
| Skills centres | In situ | |
|---|---|---|
| Advantages | Trained faculty to design and deliver simulation Trainees removed from work environment ‘bleep free’ time | On site—can be fitted into clinical workload Allows the system to be tested as it would be for real event—personnel, equipment, environment (identifies latent failure) Equitable access—involves domestics, porters Cheap May be more effective Enhanced fidelity |
| Disadvantages | Difficulties releasing staff for offsite training (often 1–2 days) Unlikely to be able to train whole team together Often expensive to attend courses | Time has to be limited as in clinical environment may be seen by patients—may feel less ‘safe’ for both patients and staff often small core faculty |
| Similarities | Educationally robust Can be linked to curriculum outcomes Can be used as a workplace based assessment Adaptable to any technical and non-technical skills teaching Permits deliberate practice—novice to expert |