Adapting Simulation Curricula to the Future Needs of Anesthesiology.

We have discussed some examples of the types of program development strategies that are in common use and have presented examples of the type of performance gaps that can occur when a coordinated curriculum development process is not applied (or is applied in an uncoordinated fashion). We have outlined one method to develop a simulation-based curriculum focusing more on ways to identify how to "simulate what is needed" rather than using the "simulate what we know" style. We believe that curricula must be designed to continually evolve rather being conceived as a single finished program. We have attempted to illustrate what a designed simulation curriculum for training anesthesiology residents and faculty in the PSH might look like, and we have provided a sample scenario to illustrate how this process could be presented (Supplemental Digital Content 2, http://links.lww.com/AIA/A23, Supplemental Digital Content 3, http://links.lww.com/AIA/A24). Our hope is that this model may be applied to create simulation education curricula in a wide variety of areas. We suggest that it be a part of any attempt to create a standardized, longitudinal simulation-based assessment for residents or practitioners. A cohesive, strategic approach to simulation curriculum design and implementation will be required as we seek to create the same type of effective safety training in medicine that has been present in other high-risk professions.