The Crucible simulation: Behavioral simulation improves clinical leadership skills and understanding of complex health policy change

Health Care Management Review
Daniel CohenAra Darzi

Abstract

The Health and Social Care Act 2012 represents the most complex National Health Service reforms in history. High-quality clinical leadership is important for successful implementation of health service reform. However, little is known about the effectiveness of current leadership training. This study describes the use of a behavioral simulation to improve the knowledge and leadership of a cohort of medical doctors expected to take leadership roles in the National Health Service. A day-long behavioral simulation (The Crucible) was developed and run based on a fictitious but realistic health economy. Participants completed pre- and postsimulation questionnaires generating qualitative and quantitative data. Leadership skills, knowledge, and behavior change processes described by the "theory of planned behavior" were self-assessed pre- and postsimulation. Sixty-nine medical doctors attended. Participants deemed the simulation immersive and relevant. Significant improvements were shown in perceived knowledge, capability, attitudes, subjective norms, intentions, and leadership competency following the program. Nearly one third of participants reported that they had implemented knowledge and skills from the simulation into practice wi...Continue Reading

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Citations

May 18, 2018·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Carl Macrae
Aug 11, 2020·Medical Education·Riikka Hofmann, Jan D Vermunt

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