Simulation scenarios have a variety of moving parts that require considerable planning.  Most importantly the scenario needs to make logical sense and rely on true physiology.  One has to create a story and anticipate a learner’s reaction.  Much attention needs to be paid to the level of the learners and clearly defined learning objectives need to be plotted.  The case needs to have elements to stimulate responses and elements that may distract from previous derived schema.  The decision to use a standardized patient versus a hi-fidelity simulator must also be made.

The following readings will provide some theory and facts to help aid in the creation of your simulation scenarios.


1.     Cleland, JA, Abe, K, & Rethans, JJ, (2009) The use of simulated patients in medical education: AMEE Guide No 42, Medical Teacher. 31:477-486. [CHSE]

2.     Dieckmann, P et al., (2010) When Things Do Not Go as Expected: Scenario Life Savers, Sim in Healthcare. 5:219-225. [CHSE]

Additional Suggested Readings and Movies (Required for Sim/ED Fellowship)

1.     Gordon, JA, et al., (2006) A Randomized Controlled Trial of Simulation-Based Teaching versus Traditional Instruction in Medicine: A Pilot Study among Clinical Medical Students, Advances in Health Science Education, 11:33-39.