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Gaba, David M. MD

Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare: February 2011 - Volume 6 - Issue 1 - p 1
doi: 10.1097/SIH.0b013e31820fabe4

From the Center for Immersive and Simulation-based Learning, Stanford University School of Medicine, Palo Alto, CA.

Reprints: David M. Gaba, MD, VA Palo Alto Health Care System, Anesthesia Service, 112A, 3801 Miranda Avenue, Palo Alto, CA (e-mail:

The author declares no conflict of interest.

In this issue of Simulation in Healthcare, we have an interesting set of point, counterpoint, and editorial concerning certain terminology, in particular the term “nontechnical skills.” Nestel et al contacted me some months ago to see if we would be interested in an article that addressed the problems perceived with the term “nontechnical skills” as used in healthcare in general and in simulation-based research, assessment, and training in particular. I suggested that this sounded of interest and would be sure to stir up debate and discussion. I also indicated to them my intent to invite a counterpoint by one or more of the promulgators of the term “nontechnical skills,” and I reserved the right as Editor-in-Chief (and as an early pioneer of simulation to address skills other than medical diagnosis and treatment) to compose an editorial giving my own views on the matter. Thus, what follows is exactly that sequence of articles. It is my hope that this combination of articles, each interesting in its own right, will stimulate discussion—even argument—among the various stakeholders in the enterprise of simulation in healthcare. Such discussion can only advance our collective wisdom and improve our efforts in our chosen field.

© 2011 Society for Simulation in Healthcare