Behind the scenes: Uncovering the downsides of skill and simulation laboratories

Abstract

Skill and simulation laboratories have become integral components of modern medical education, offering hands-on training experiences in a controlled environment. While these labs are lauded for their potential to enhance learning and improve patient safety, they are not without their limitations and drawbacks. One of the primary challenges of skill and simulation labs lies in the fidelity of simulation models. While technological advancements have enabled the creation of highly realistic simulators, they often fall short in replicating the complexities and nuances of real-world clinical scenarios. This discrepancy can lead to a false sense of proficiency among learners, who may struggle to translate their skills effectively to clinical practice. Additionally, the cost involved in maintaining high-fidelity simulators and equipment poses a financial burden on educational institutions, limiting access and scalability. Another disadvantage of skill and simulation labs is the potential for simulation bias. Learners may approach simulated scenarios differently from real patient encounters, leading to skewed learning outcomes and overestimation of abilities. Moreover, the standardized nature of simulations may not adequately prepare students for the variability and unpredictability inherent in clinical practice, where factors such as patient diversity, comorbidities, and environmental stressors play significant roles. This review article highlights the disadvantages related to the skill and simulation lab.