Simulation as part of a complex and entangled puzzle
Simulation-based education (SBE) is “massively on the rise, highly technological, but under-theorised” (p. 905) . Discussion of potential and actual applications [2, 3], often focus on methods and technologies [4, 5], seeing SBE sessions as an “add on” to an existing curriculum , without paying much attention to how SBE sits within its wider ecosystem. Important questions include: how does SBE work in combination with other activities (e.g. lectures, tutorials, and clinical placements)? How do external forces (e.g. accreditation requirements, research evidence, available resources) influence the design, facilitation and experience of simulation? What is the influence of the different purposes and values of teachers, learners and other stakeholders?
Our cross-institutional team in Scotland was recently awarded a Scottish Medical Education Research Consortium (SMERC) grant to explore these questions. Figure 1 shows our initial thoughts about how a simulation session is “entangled”  in not just methods and technologies but in how simulation sessions are situated in the wider context, where purposes and values are in play. As members of the IJoHS community we would be delighted to have your thoughts and input into shaping this early proposal of an entangled view of simulation.
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