The History of Simulation in Obstetrics and Gynecology

Abstract

The greatest advantage of simulation training is that it closely approximates actual clinical work, but in a controlled setting with minimal potential for harm. This type of training can use programmed mannequins or actors (professional or not) serving as "standardized patients" (SPs) to help teach and evaluate trainees' clinical examination skills. Faculty and students can review the videos of simulated training sessions to ensure technical aspects of these behaviors are performed correctly, such as placing one's hands or equipment (e.g., stethoscope) appropriately. Videos also reveal key verbal and non-verbal aspects of communication quality, such as interruption patterns and body language. Video technology transforms even the subtlest elements of therapeutic encounters into observable, behavioral data. Clinically relevant interpersonal competencies, therefore, can be assessed objectively. And for trainees, video review is an unparalleled learning tool. Given simulation's precise fit with clinical psychologists' training, better integration of psychology and medicine can uniquely sensitize learners and cultivate their self-awareness and insight, in a manner that no other modality can.