The Why, Who, What, and Where to Implement a Simulation Program in Obstetrics and Gynecology

When implementing a simulation program, the initial question is WHY? Why are you embarking on a simulation program? Is it for residency training, team performance improvement, or improvement of your unit workflow with identification of latent system errors? After the WHY is clearly defined, the subsequent questions, who, what, and where, are easily answered. WHO do you need to accomplish the predetermined goal, and how do you best engage them. The WHO includes identifying your learners, team members, and the stakeholders. All must be committed to ensure the program will be a success. Strategies to engage WHO vary and options are discussed. The WHAT encompasses the curriculum and equipment including creating a safe zone where learners can practice new and difficult skills without judgment. WHERE defines the site of the simulation whether it is a simulation lab, in situ on labor and delivery, or a classroom, each offering pros and cons. Strategies for a careful and thoughtful introduction of a simulation program are presented. Successful planning will ensure your effort will become an integral component of a comprehensive patient safety program.