Northern Ontario School of Medicine, Canada.
Med Teach. 2009 Aug;31(8):725-31. doi: 10.1080/01421590903124716.
Simulation modalities are generally used independently of one another, largely due to physical and operational limitations to integration. Recent developments are enabling simulators and simulation environments to progress beyond single intervention models towards integrated continua of simulation. Moving to greater integration can improve contextualisation, better management of the transition from individual simulation to clinical practice, and provide wider opportunities to synthesise skills and approaches to practice. Simulation integration may involve experiential, modelling, technical, narrative, and evaluation dimensions; it includes both direct actions and activities, and technical and systems designs. The work in developing these integration continua is ongoing and takes many forms in many places. The framework of 'practica continua' proposed in this article links theoretical approaches and practical examples of integrated uses of simulation in education.
模拟方式通常是相互独立使用的，这主要是由于集成的物理和操作限制。最近的发展使模拟器和模拟环境能够超越单一干预模式，向模拟的综合连续体发展。向更大的集成发展可以提高情境化程度，更好地管理从个体模拟到临床实践的过渡，并为综合技能和实践方法提供更广泛的机会。模拟集成可能涉及体验、建模、技术、叙事和评估方面；它既包括直接的行动和活动，也包括技术和系统设计。开发这些集成连续体的工作正在进行中，并在许多地方以多种形式进行。本文提出的“实践连续体”框架将理论方法与模拟在教育中的综合应用的实际例子联系起来。
