Simulation-based Procedural Skill Training

Taylor Sawyer, Megan R Gray


Procedures are a critical part of medical practice.  In this report, we examine the topic of simulation-based procedural skill training. Developing competency with procedures begins in medical school and continues through residency training. After residency training, internists must maintain competency in a defined set of required procedures. Simulation plays a key role in all these stages. Learning procedural skills is influenced by an individual’s ability, skill, and set.  Competency in procedural skills develops through a series of five stages spanning from novice to expert. The Halstedian training model of ‘see one, do one, teach one’ has been replaced by a contemporary model of procedural skill training that uses simulation. The contemporary training model consisting of six stages: Learn, See, Practice, Prove, Do, and Maintain. While simulation-based procedural skill training can be applied to both graduate and continuing medical education in internal medicine, it should always be seen as a supplement to performing procedures in the clinical environment, not as a replacement


: simulation, training, procedural skills, procedural training, internal medicine

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