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Table 2 How various aspects of simulation-based medical education affect the physical simulation setting. Blank spaces indicate that the item has little or no effect; x that the item can have an effect; xx that the item can have a strong effect

From: Design of simulation-based medical education and advantages and disadvantages of in situ simulation versus off-site simulation

  Off-site simulation in simulation centre Off-site simulation in-house in department In situ simulation announced In situ simulation unannounced
1.Less risk of cancellation due to heavy patient load xx xx x  
2.Reported to promote better involvement of all postgraduate healthcare professionals   x x x
3.No risk of staff being called away for clinical work xx x   
4.Does not require travel time; accessibility for staff easier   xx xx xx
5.Popular and promotes recruitment of postgraduate healthcare professionals    x x
6.Not described as anxiety provoking x x x  
7.May potentially give a greater feeling of safety psychologically x    
8.Enhances individual learning x x x x
9.Enhances team learning x xx xx xx
10.More time potentially set aside, especially for debriefing xx x x  
11.Ideas for organisational changes brought back to the organisation (latent patient safety issues)   x xx xx
12.No potential risk of safety hazards due to mixing up medical equipment and utensils xx x   
13.No potential risk of unintentional involvement of patients and relatives xx xx x  
14.More efficient use of simulation equipment, which can be shared by many departments, and better facilities to ensure efficient use of high-tech simulation equipment xx    
15.Potentially more efficient simulations due to development of simulation curriculum xx x x x
16.Easier access for technicians if simulation equipment has technical problems xx    
17.Team-based and low-tech simulation can be cheaper due to use of local facilities and equipment   x xx xx
18.Potentially more efficient simulations due to better training of simulation instructors xx x x x