![]() With designs similar to popular computer games, SBS in anesthesia education presents hypothetical patient scenarios in the form of dynamic graphical images and supplemental text. What is SBS, and How Do We Classify Screen-Based Simulators Used in Anesthesia Education? Data bases associated with the Stanford Lane Medical Library were searched using phrases including “anesthesia education,” “anaesthesia education,” “anesthesia training,” “anaesthesia training,” “screen-based simulation,” “virtual simulation,” “computer simulation,” “computer-based simulation,” “web-based simulation,” “simulated crises,” and “distance education,” and approximately 150 articles were considered with dates of publication ranging from 1980 to 2020. ![]() 2, 4 In order to address specific issues related to SBS in anesthesia pedagogy, a review of the pertinent literature was performed. 2, 3 In recent years, screen-based simulation (SBS) using digital technology – also termed “virtual simulation” – has played an increasing role in anesthesia education, and even relatively low-fidelity SBS has proven effective in teaching skills related to appropriate responses to intraoperative adverse events. 1 Part or partial task trainers (eg airway trainers), “in-situ simulation” utilizing actual operating rooms, and computer-driven electromechanical mannequins in mock operating rooms (mannequin-based simulation (MBS)) have become integral parts of anesthesia training programs, and it has been shown that high-fidelity MBS training improves second-time simulated crisis management skills. Simulation is employed in anesthesia both for educational and assessment purposes. Several options exist for asynchronous and synchronous teaching of anesthesia skills at a distance with SBS, and there are useful techniques that can assist in achieving these educational goals with this process. Despite the fact that there are no studies concerning the application of SBS in anesthesia distance education, this form of instruction has increased as a result of quarantine measures associated with the coronavirus-2 pandemic that have disrupted traditional in-person mannequin-based simulation, and its usage likely will continue through the post-pandemic era for multiple reasons. Online use of SBS with software employing standard cloud-based peer-to-peer platforms allows for instruction at a distance of important anesthesia-related critical thinking skills including crisis management. As a method of education and evaluation, this form of simulation offers multiple advantages related to cost, availability, simplicity, repeatability, and scorability. ![]() Screen-based simulation (SBS) using digital technology has been demonstrated to improve the cognitive and psychomotor skills of anesthesia trainees.
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