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

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Cohen, Daniel, Vlaev, Ivo, McMahon, Laurie, Harvey, Sarah, Mitchell, Andy, Borovoi, Leah and Darzi, Ara (2019) The Crucible simulation : behavioral simulation improves clinical leadership skills and understanding of complex health policy change. Health Care Management Review, 44 (3). pp. 246-255. doi:10.1097/HMR.0000000000000162 ISSN 0361-6274.

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Official URL: http://dx.doi.org/10.1097/HMR.0000000000000162

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Abstract

Background: 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.

Purpose: 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.

Methodology: 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.

Results: 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 within 4 weeks.

Conclusions: This study systematically demonstrates the effectiveness of behavioral simulation for clinical management training and understanding of health policy reform. Potential future uses and strategies for analysis are discussed.

Practice Implications: High-quality care requires understanding of health systems and strong leadership. Policymakers should consider the use of behavioral simulation to improve understanding of health service reform and development of leadership skills in clinicians, who readily adopt skills from simulation into everyday practice.

Item Type: Journal Article
Divisions: Faculty of Social Sciences > Warwick Business School > Behavioural Science
Faculty of Social Sciences > Warwick Business School
Journal or Publication Title: Health Care Management Review
Publisher: Lippincott Williams & Wilkins
ISSN: 0361-6274
Official Date: 7 September 2019
Dates:
DateEvent
7 September 2019Published
22 May 2017Accepted
11 May 2017Available
Volume: 44
Number: 3
Page Range: pp. 246-255
DOI: 10.1097/HMR.0000000000000162
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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