Manifesto for healthcare simulation practice

Christine S. Park, Louise Clark, Grace Gephardt, Jamie M. Robertson, Jane Miller, Dayna K. Downing, Bee Leng Sabrina Koh, Kellie D. Bryant, David Grant, Dinker R. Pai, Jesika S. Gavilanes, Edgar Israel Herrera Bastida, Li Li, Keith Littlewood, Eliana Escudero, Michelle Ann Kelly, Debra Nestel, Jan Joost Rethans

Research output: Contribution to journalReview ArticleResearchpeer-review


A pandemic has sent the world into chaos. It has not only upended our lives; hundreds of thousands of lives have already been tragically lost. The global crisis has been disruptive, even a threat, to healthcare simulation, affecting all aspects of operations from education to employment. While simulationists around the world have responded to this crisis, it has also provided a stimulus for the continued evolution of simulation. We have crafted a manifesto for action, incorporating a more comprehensive understanding of healthcare simulation, beyond tool, technique or experience, to understanding it now as a professional practice. Healthcare simulation as a practice forms the foundation for the three tenets comprising the manifesto: Safety, advocacy and leadership. Using these three tenets, we can powerfully shape the resilience of healthcare simulation practice for now and for the future. Our call to action for all simulationists is to adopt a commitment to comprehensive safety, to advocate collaboratively and to lead ethically.

Original languageEnglish
Article number000712
Number of pages4
JournalBMJ Simulation & Technology Enhanced Learning
Publication statusPublished - 3 Nov 2020


  • Health Professions Education
  • Leadership
  • Safety
  • Simulation Center Operations/Administration
  • Simulation In healthcare

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