While simulation in general is probably prehistoric and a recent review traces crude elements
of simulation for healthcare purposes back thousands of years, in many respects the modern
era of simulation in healthcare is only about 25–30 years old. Much has happened in those
years. There are no de fi nitive metrics for growth of this endeavor. In fact, experts still debate
aspects of terminology, and even what quali fi es as a “simulation” differs greatly among those
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