List of accesskeys skip navigation

Education The Seat of Medical Education

Skip Navigation LinksHome > Education > Institute for Medical Simulation and Education (IMSE) > Simulation Training > In-situ Medical Simulation

In-situ Medical Simulation

IMSE conducted their first in-situ patient simulation in the Medical ICU with a drug anaphylaxis scenario on 28 Mar 2012. This was followed a week later in the General Surgery ward with a post-ERCP sepsis scenario on 5 Apr 2012.


In-situ simulation is distinct from the medical simulation in a simulation centre (or lab) in that it is physically conducted in the hospital ward and integrated into the clinical environment. The participants are on-duty doctors, nurses and allied health staff during their actual workday. This mode of learning enjoys the advantage of training efficiency in that it alleviates the need to schedule doctors and nurses on non-clinical days or providers to cover duties for them while they are off for training. It also provides an opportunity to review their clinical and decision-making skills related to high risk situations. Hence the clinical departments that are most likely to benefit from in-situ simulations are the intensive care units, operation theatres, emergency rooms and high dependency wards.

Training Role

In-situ simulation does not replace simulations conducted in the simulation centre where the training objectives are more related to a curriculum. In contrast, in-situ simulation allows organic teams to review and reinforce their problem solving skills and identify deficiencies in their clinical systems and environment. It is a relatively new tool for improving patient safety through the identification of latent hazards in high-risk patient environments.

Fig. 1: In-situ simulation in Medical ICU environment

Fig. 2: In-situ simulation in a General Surgery ward environment.

Last Modified Date :11 Jun 2012