Simulation training for the frontline--realistic preparation for role 1 doctors.

Simulation in Healthcare is gaining popularity worldwide. Recently it has been decided that there should be a simulation component to pre-deployment training for doctors destined for Role 1. Little is known about the challenges, workload, case mix and non-technical issues that face medical personnel working out of a Forward Operating Base. To examine this further, a workshop was convened with subject matter experts and simulation trainers. Common themes identified were concerning pre-deployment issues, team working, evaluation prior to transfer, equipment, communication and specific clinical issues. Six scenarios were developed over the course of the day that included desired learning objectives in form of technical and nontechnical skills. There are many aspects of team resource management or non-technical skills already researched that can be transferred directly into a Role 1 healthcare setting. Simulation offers the chance to provide training in a safe and controlled environment and can potentially ensure specific defined learning outcomes are achieved. This article reports the first steps in the process of providing this new type of training and discusses the faculty requirements, the available methods of delivery and specific issues surrounding fidelity.