Purpose Of Review: To summarize recent thinking about how to best design simulations and other virtual environments in medical education and training.
Recent Findings: On the basis of work done in a military context, I describe an approach to scenario-based training and provide a conceptual framework in which developmental activities can be organized. This approach emphasizes the linkages among learning objectives, scenario events, performance measures, instructional strategies and feedback in creating effective scenario-based training.
Summary: In presenting this framework, I hope that medical educators and practitioners can have a deeper appreciation for how to best design and implement scenario-based training.
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