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Science, Technology & Human Values
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Out of My Viewfinder, Yet in the Picture

Seeing the Hospital in Medical Simulations

Ericka Sue Johnson

Göteborg University

This research examines the integration of medical simulators into medical education. Training on a haptic-enabled surgery simulator has been observed with an eye to the context of the medical apprenticeship. Videotape of simulations and ethnographic observations at the simulator center are analyzed using the theoretical tools of legitimate peripheral practice and identity construction. In doing so, it becomes apparent that simulations are much more than just a forum for the transfer of specific medical skills. Although they may be designed to facilitate discrete aspects of surgical practice, when in use, the simulators are surrounded by the rich and varied social interactions that make up the medical apprenticeship. These social aspects contribute to the creation of medical practices out of simulator practices, so that working on the simulator can still be experienced as part of the situated learning otherwise conducted during the internship (clinical clerkship) of medical training.

Key Words: Medical simulation • surgical simulator • situated learning • identity • apprenticeship

This version was published on January 1, 2008

Science, Technology & Human Values, Vol. 33, No. 1, 53-76 (2008)
DOI: 10.1177/0162243907306194
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