Safety in medical simulation--overlooked or underappreciated?

摘要

In the past, many doctors learned their craft in understaffed settings with heavy patient loads. Long hours of work with considerable responsibility provided the opportunity to gain experience and build skills rapidly. Patients accepted junior doctors in no small part because of a lack of alternatives. Altered perceptions about what is reasonable in relation to hours of work, the role of trainee doctors, and the expectations of patients have changed the situation considerably. The airline industry (amongst others) has created high public expectations for safe and reliable services, and these expectations are extending increasingly to healthcare.