Medical education and training have traditionally placed emphasis on student interaction with real patients in clinical settings. Although hands-on experiential learning is indispensable, medical educators have become increasingly concerned about, and committed to, the safety of patients. Making mistakes can be regarded as an expected and inevitable part of the learning process but there can be a real risk to patient safety and well-being. Furthermore, there has also been a massive increase in the numbers of students in training, especially at undergraduate level, where competition between medical students themselves and other health care groups has raised difficulties for access to patients.
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