Journal of the Royal Army Medical Corps
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A conceptual three-level framework is presented for understanding the aims, scope and potential outcomes of simulation in healthcare contexts. At the first level, micro-simulation aims at honing basic technical skills of individual clinicians. ⋯ At the third level, macro-simulation aims toassess organisational fitness fo r purpose at large scale. We discuss HOSPEX as an exemplar macro-simulation and argue for needs- and evidence-based implementation of simulation-based training at micro, meso and macro levels.
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To investigate the impact of Army life on soldiers' motivation for stopping smoking. ⋯ Whilst the numerous, previously identified barriers to stopping smoking exist within and outside the armed forces, specific additional barriers arise from the structure and culture of the Army. Changes in the structure of daily life within the Army may reduce the barriers to stop smoking. Army clinicians also play an important part in soldiers' stopping smoking and an increased understanding of the specific barriers to stopping smoking may help them to support soldiers more effectively.
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Comment Letter Case Reports
The Airtraq laryngoscope in severe ankylosing spondylitis.