Simulation offers an important context for clinical education, providing a structured, safe and supportive environment bridging the classroom and the clinic. Two trends in the simulation community appear to be developing uncritically and without adequate evaluation. First, there is a fascination with seductive high-fidelity simulation realized through sophisticated technology. Second, simulation has increasingly appropriated learning in the psychological domain, such as communication skills, under the rationale of 'integration'. Developments in simulation activities have largely been made in a theoretical vacuum and where theory is invoked it is learning theory rather than theory of simulation. This paper introduces theories of simulation from cultural studies as a critical balance to the claims of the simulation community. Work-based and simulation-based learning could engage in a new dialogue for an effective clinical education.

译文

:模拟为临床教育提供了重要的环境,为架设教室和诊所提供了结构化,安全和支持性的环境。在模拟社区中,有两种趋势似乎正在不加批判地发展,并且没有进行充分的评估。首先,对通过复杂技术实现的诱人的高保真度模拟着迷。其次,在“整合”的基本原理下,模拟越来越适合在心理学领域中进行学习,例如交流技巧。模拟活动的发展很大程度上是在理论真空中进行的,在其中调用理论的是学习理论而不是模拟理论。本文介绍了文化研究中的模拟理论,作为对模拟社区主张的重要平衡。基于工作和基于模拟的学习可以参与新的对话,以进行有效的临床教育。

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