Domains of Practice
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One of the earliest priorities set by SimGHOSTS was to identify the knowledge and skills required to work in healthcare simulation technology roles. As a new profession, nobody working in the industry had trained specifically for their role and instead brought knowledge, skills and experience from other areas and applied it to their role.

Through extensive community and industry consultation eight domains were identified as the basis required for successful operation of a healthcare simulation program, either by an individual or a team. Through analysis of position descriptions from around the world, these domains were further refined into entry level, intermediate and senior levels and form the framework for the SimGHOSTS training curriculum.

Audio-Visual Technology Domain

Audio-Visual (AV) technology features prominently in healthcare simulation settings. High-functioning simulation teams must include those who understand how best to design, operate, maintain, manage, and upgrade these systems to fit the various needs of any simulation center.

Examples of knowledge, skills and experience required in the audio-visual domain are:

  • Set up, operate maintain and troubleshoot AV equipment
  • Perform the recording, duplication, mixing and editing of audiovisual data
    Manage, store, organize and archive audiovisual recordings

Education Domain

Simulation practitioners at all levels, from technician though to management, must understand the principles behind adult education and be able to apply them in their work. This knowledge will be used both in the planning and delivery of simulation-based education and also in teaching others to use simulation technology and simulated environments.

Examples of knowledge, skills and experience required in the education domain are:

  • Understand and apply the principles of adult learning, instructional design, interprofessional education, and debriefing and feedback.
  • Contribute to the integration of healthcare simulation methodologies in curriculum.
  • Establish a learning environment that best leverages available technologies
  • Train faculty and learners in the use of healthcare simulation technologies.

Healthcare Domain

An understanding of healthcare settings, practice and professions is required to support and facilitate the delivery of healthcare simulation education and research. In order to collaborate effectively and efficiently all who participate in delivering healthcare simulation must have at minimum a basic understanding of medical terminology, anatomy and physiology, medical equipment and supplies, roles in healthcare, laws and regulations, and general principles of patient care.

Examples of knowledge, skills and experience required in the healthcare domain are:

  • Knowledge of medical terminology, anatomy and physiology, medications, procedures and medical conditions.
  • Set up, operate, maintain and troubleshoot medical equipment and documentation systems.
  • Understanding of patient safety, human factors, inter-professional practice, and teamwork as they apply to health care.
  • Apply healthcare knowledge to accurately recreate clinical settings and scenarios.

Information Technology

Information technology (IT) is essential to the operation of healthcare simulation technology. Even the most basic simulation operation utilizes multiple systems and requires network functionality. Basic digital literacy and troubleshooting skills are required by all who work in simulation programs in order to be an effective team member. Optimal operation of simulation facilities and programs requires a high level of information technology expertise from one or more team members.

Examples of knowledge, skills and experience required in the IT domain are:

  • Ability to learn new software and hardware quickly and independently
  • Ability to install, upgrade, operate, troubleshoot and maintain computer-based equipment and associated infrastructure. This may include electronic medical records, simulation technology, medical technology and audiovisual equipment.
  • Ensure the security of IT equipment and infrastructure.
  • Provide technical support and instruction to all users of the simulation facility.
  • Explore new technologies and make purchasing recommendations

Management & Operations

Managing and administrating systems, inventory, people and simulation logistics are fundamental aspects of the day to day operations in simulation. Even if the role only requires managing resources and supplies, appreciation of the fundamentals of management are necessary to function within a simulation team. Management principles guide the healthcare simulation professional to coordinate, direct, and control resources to achieve organizational goals.

Examples of knowledge, skills and experience in the management and operations domain are:

  • Perform operational functions including inventory management, scheduling, budgeting, staffing, and departmental workflow.
  • Establish and maintain processes, procedures , policies, work standards.
  • Promote the simulation program, facility and organization through briefings, reports, presentations, tours, events and digital media.

Research and Evaluation

Simulation is used not only to educate new and existing healthcare professionals, but is also used to conduct research and improve the methods that are used to teach and evaluate learners. This process aims to improve both the delivery of healthcare and health professional education. Whether in a supporting role or as a primary researcher, all individuals involved with simulation-based education must have a level of knowledge, skills, and expertise in the area of research to advance the field. For the simulation technology specialist, it is imperative that a level of research proficiency be developed. Even the ability to review the quality of other research can enhance understanding and lead to better practice.

Examples of knowledge, skills and experience in the research and evaluation domain are:

  • Monitor, evaluate and report on departmental goals, objectives and programs.
  • Assist in the development, dissemination and evaluation of metrics and tools to assess the effectiveness of clinical simulation.
  • Understand the principles and process of qualitative, quantitative and mixed-methods research.
  • Contribute to or develop presentations and publications to report on research results. 


A requisite knowledge of the wide range of simulation practices from various industries; healthcare, aviation, defense, information technology, business, engineering, and others form the basis to this domain and enhances the practitioner’s ability to utilize simulation. A knowledge of the development of the healthcare simulation industry and of concepts such as realism, fidelity, fiction contract, and suspension of disbelief will enable the healthcare simulation professional to contribute to quality simulation experiences for learners and drive the innovations that will shape the future of healthcare simulation.

Examples of the knowledge, skills and experience required for this domain are:

  • A comprehensive knowledge of the installation, configuration, operation, maintenance, upgrading and troubleshooting of simulation technology ranging from low fidelity simulators, anatomic models and task trainers to extreme high fidelity human simulators and virtual reality programs.
  • Ability to instruct faculty and learners on the safe operation of simulators and simulated environments.
  • Assist with accreditation of the program/facility as it relates to simulation
  • Serve as an internal consultant for simulation design.


Healthcare simulation adopts many practices from the dramatic arts to create realistic learning experiences. Simulation technicians may be tasked with acting as the voice of a manikin, using special effects makeup (moulage) to create a realistic wound, deciding how to get the right camera angles, training standardized patients to portray roles, constructing sets and visual/sound effects and creating artificial body parts.

Examples of the knowledge, skills and experience required for this domain are:

  • Recruit, manage, train and evaluate standardized patients (actors)
  • Coordinate positioning of cameras and lighting for recording or live streaming key elements of a simulation experience.
  • Simulate a clinical environment and scenario by creating and using applications, sound and lighting effects, props and moulage.