title: Developing technical expertise in emergency medicine--the role of simulation in procedural skill acquisition.
abstract: Developing technical expertise in medical procedures is an integral component of emergency medicine (EM) practice and training. This article is the work of an expert panel composed of members from the Society for Academic Emergency Medicine (SAEM) Interest Group, the SAEM Technology in Medical Education Committee, and opinions derived from the May 2008 Academic Emergency Medicine Consensus Conference, "The Science of Simulation in Healthcare." The writing group reviewed the simulation literature on procedures germane to EM training, virtual reality training, and instructional learning theory as it pertains to skill acquisition and procedural skills decay. The authors discuss the role of simulation in teaching technical expertise, identify training conditions that lead to effective learning, and provide recommendations for future foci of research.
authors.affiliation: Division of Emergency Medicine, Evanston Northwestern Healthcare, Evanston, IL, USA. ernestwangmd@yahoo.com
authors.forename: Ernest E
authors.initials: EE
authors.lastname: Wang
authors.forename: Joshua
authors.initials: J
authors.lastname: Quinones
authors.forename: Michael T
authors.initials: MT
authors.lastname: Fitch
authors.forename: Suzanne
authors.initials: S
authors.lastname: Dooley-Hash
authors.forename: Sharon
authors.initials: S
authors.lastname: Griswold-Theodorson
authors.forename: Ron
authors.initials: R
authors.lastname: Medzon
authors.forename: Frederick
authors.initials: F
authors.lastname: Korley
authors.forename: Torrey
authors.initials: T
authors.lastname: Laack
authors.forename: Adam
authors.initials: A
authors.lastname: Robinett
authors.forename: Lamont
authors.initials: L
authors.lastname: Clay
mesh_terms: D002304:Cardiac Pacing, Artificial; D002405:Catheterization, Central Venous; D002983:Clinical Competence / Q000592:standards; D036861:Delivery, Obstetric; D004632:Emergency Medical Services / Q000592:standards; D004635:Emergency Medicine / Q000193:education* / Q000592:standards; D006801:Humans; D007821:Laryngeal Muscles / Q000601:surgery; D008348:Manikins; D017410:Practice Guidelines as Topic; D013129:Spinal Puncture; D013647:Task Performance and Analysis; D013663:Teaching / Q000379:methods*; D013907:Thoracostomy