Ten Must-Read 2018 Journal Articles for Simulation Technology Specialists


Blog post by SimGHOSTS Executive Director Kirrian Steer



Why are these considered must-read articles? Sim Techs are commonly tasked with recommending appropriate technology to achieve learning objectives, making purchasing decisions about simulation technology, creating realistic training models, and improving the realism of existing models. These articles provide important information on these topics. Even if they aren’t related to your specialty area they have broadly applicable information that can be adapted to your simulation program. 

Go get yourself a snack and a drink and settle in for a good read!

3D Printing featured prominently in simulation technology publications in 2018 with the common finding that 3D printing provides an economical method of producing simulation models. We start the list with a very descriptive article on the benefits of 3D printing using the example of creating an ocular foreign body removal task trainer, and then follow up description of a 3D printed airway management task trainers for pediatric patients. The final articles on 3D printing applications describe production of a mitral valve model and endobronchial tree model. 

Using 3D Printing (Additive Manufacturing) to Produce Low-Cost Simulation Models for Medical Training  Free Open-Access Article

This article provides detailed step-by-step photographs and descriptions of the processed used when developing the trainer and also includes detailed set-up and production cost estimates. It is a great overview and guide to in-house production of task trainers.


Development and Multidisciplinary Preliminary Validation of a 3-Dimensional–Printed Pediatric Airway Model for Emergency Airway Front-of-Neck Access Procedures.

This article details the process of creating and validating a task trainer. It includes details of the materials used and the cost of production, along with suggestions for improvements. 

3D Printing Endobronchial Models for Surgical Training and Simulation Free Open-Access Article

This article describes the development of a 3D printed UV resin lung airway phantom that is low-cost and patient-specific. It has detailed information about the software and process used to design the patent-lumen airway model, the 3D printers and materials used, and validation procedure. Detailed production cost information is not provided however an estimation of overall cost is available. 

3D printed mitral valve models: affordable simulation for robotic mitral valve repair Free Open-access article

A slightly different take on 3D printing is described in this article - the use of dissolvable thermoplastic to create moulds which are used to produce silicone mitral valve models. The simulated valves were placed in a laparoscopic trainer box for use with a da Vinci Si robotic surgical system.  The CAD and  validation process is also provided in this article. 


Development and validation of a high–fidelity phonomicrosurgical trainer

When creating training models do you consider the physical properties of the tissues you are replicating? This article describes the physical properties of different tissues and how they were replicated when developing this trainer. 


Randomized trial of high- and low-fidelity simulation to teach intrauterine contraception placement

A comparison of students’ knowledge, skills and self perceived confidence and competence in performing placement of intrauterine contraceptive device following simulation training with either a high or low fidelity trainer. As you are reading this consider the cost-benefit of increased fidelity for different tasks. When is high fidelity required and when can low fidelity suffice? Remember that the findings of this study apply just to this procedure and the outcome will be different for different skills. 

Bridging burn care education with modern technology, an integration with high fidelity human patient simulation

The process and outcomes of addition of high fidelity human patient simulation to the Advanced Burn Life Support program is described and a copy of the scenario documentation and outcome measures are provided. 


Tracking workflow during high-stakes resuscitation: the application of a novel clinician movement tracing tool during in situ trauma simulation. Free Open-Access Article

This is one for all of the AV and IT geeks. It describes the use of an open source video overlay tracing tool to map participant movement during simulations. This technology has many applications such as analyzing individual and team activity during clinical procedures, and analyzing efficiency of layout and equipment location of clinical spaces. 


Interactive Anatomy-Augmented Virtual Simulation Training

AR and VR are rapidly gaining in popularity and are being used in many simulation programs. This article describes the use of AR for teaching nasogastric tube placement skills in undergraduate nurses and compares performance and satisfaction with a control group. Cost is not described. 


Augmented reality fluoroscopy simulation of the guide-wire insertion in DHS surgery: A proof of concept study

This highly descriptive article details the method used to develop a simulation of the fluoroscopy used to guide placement of a guide-wire during dynamic hip screw (DHS) surgery using open source software and commercially available equipment. Cost of production is not provided.