Changes in medical practice that limit instruction time and patient availab
ility, the expanding options for diagnosis and management, and advances in
technology are contributing to greater use of simulation technology in medi
cal education, Four areas of high-technology simulations currently being us
ed are laparoscopic techniques, which provide surgeons with an opportunity
to enhance their motor skills without risk to patients; a cardiovascular di
sease simulator, which can be used to simulate cardiac conditions; multimed
ia computer systems, which includes patient-centered, case-based programs t
hat constitute a generalist curriculum in cardiology; and anesthesia simula
tors, which have controlled responses that vary according to numerous possi
ble scenarios, Some benefits of simulation technology include improvements
in certain surgical technical skills, in cardiovascular examination skills,
and in acquisition and retention of knowledge compared with traditional le
ctures. These systems help to address the problem of poor skills training a
nd proficiency and may provide a method for physicians to become self-direc
ted lifelong learners.