TY - JOUR T1 - Hospex and Concepts of Simulation JF - Journal of the Royal Army Medical Corps JO - J R Army Med Corps SP - 202 LP - 205 DO - 10.1136/jramc-154-03-19 VL - 154 IS - 3 AU - S Arora AU - Nick Sevdalis Y1 - 2008/09/01 UR - http://militaryhealth.bmj.com/content/154/3/202.abstract N2 - 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 second level, meso-simulation aims to train clinicians to work more effectively and efficiently as part of a clinical team. At the third level, macro-simulation aims to assess organisational fitness for 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. ER -