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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
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 |
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| Journal or Publication Title: | Health Care Management Review | ||||||||
| Publisher: | Lippincott Williams & Wilkins | ||||||||
| ISSN: | 0361-6274 | ||||||||
| Official Date: | 7 September 2019 | ||||||||
| Dates: |
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| 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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