Simulation in Pakistan: Turning Healthcare Educators into Simulation Champions

faisal ismail
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Simulation-based education is transforming healthcare training worldwide, offering safe, immersive, and high-impact learning opportunities. At Aga Khan University’s Centre for Innovation in Medical Education, the Clinical Simulation Educators Programme equips professionals from diverse regions and disciplines with the skills and confidence to teach through simulation. By empowering educators in low- and middle-income countries, this initiative strengthens patient safety, builds regional capacity, and creates a ripple effect of change in global healthcare education.

How many healthcare professionals around you are truly tapping into the power of simulation to level up their teaching? If you answered, “not many,” you’re not alone.

Why Healthcare Needs Simulation-Based Education 

Traditional teaching methods have their place, but in today’s high-stakes clinical environment, realism, repetition, and risk-free practice aren’t just nice-to-haves. They’re essential. That’s where simulation-based education comes in: immersive, interactive, and proven to improve patient safety, skill retention, and learner confidence.

And yet, despite its benefits, building capacity in simulation remains a critical challenge, particularly in low- and middle-income countries (LMICs). These regions often grapple with limited clinical exposure, under-resourced training environments, overburdened healthcare systems, and a shortage of experienced educators. Simulation has the power to bridge these gaps. It allows learners to practice safely, make mistakes without consequences, and develop both technical and non-technical skills before entering real-world scenarios.

That’s why it’s not just important – it’s urgent! – to invest in structured, accessible simulation trainings like the Clinical Simulation Educators Programme (CSEP).

While younger professionals jump into simulation with excitement, many senior clinicians are more hesitant, sticking to what they know and staying firmly in their comfort zones. Technophobia being a contributing factor for many. 

So, how do you turn seasoned educators into simulation champions? You put them in a room full of diverse healthcare professionals of all ages and professional levels, and take a deep dive into all things simulation.

Training Educators at AKU-CIME 

At the Aga Khan University Centre for Innovation in Medical Education (AKU-CIME), we recently wrapped up the 20th cohort of our Clinical Simulation Educators Programme, a 4-day immersive course covering everything from pre-briefing to debriefing, simulation scenario design, and tech confidence.

The course was designed to be both impactful and memorable. What made it all the more special was the exceptional diversity of participants, from varied geographies, age groups, and healthcare roles. We welcomed attendees from countries such as Afghanistan, UK, and across Pakistan, representing junior fellows, senior consultants, university leaders, nurses, allied health professionals, and even healthcare marketing specialists.

Why does this kind of diversity matter?

Because healthcare is not one-size-fits-all. By including emerging leaders, professionals of different ages, disciplines, ethnicities, and socio-economic backgrounds and voices from underrepresented regions like Afghanistan, we foster inclusive dialogue, build regional capacity, and create a ripple effect of change in communities that need it most. Diverse cohorts encourage cross-cultural learning and empower professionals from LMICs to return home with tools, confidence, and networks that support locally relevant simulation-based education.

At AKU-CIME, we believe that training educators should go beyond instruction: it should be an experience they carry with them. So, the Centre prioritized hospitality, creating a conducive learning environment where thoughtful details, from delicious meals to personalized mentorship and engaging discussions, left a lasting impression, especially for those who had traveled long distances.

Key Lessons Learned from Running CSEP

Simulation isn’t just about cool gadgets: it’s about pedagogy. Here’s the programme design that worked for us:

Pre-Briefing Skills

Before the action began, educators learned how to set the stage. Structured pre-briefing improved learner engagement and explored psychological safety, aligning expectations and setting the right mindset.

Scenario Design

Designing a scenario is both an art and a science. Participants were trained to align simulations with learning objectives for maximum impact, creating scenarios that felt as real as possible. We even incorporated actors playing anxious patient attendants intruding between procedures!

Tech Confidence

Whether it was high-fidelity manikins or task trainers, educators were supported in building comfort with the tools. CIME’s advanced simulation wards were used to design and execute dry runs in carefully curated multidisciplinary teams.

Debriefing Mastery

Educators were equipped to lead reflective, high-impact conversations that unpack the simulation experience. Unsurprisingly, this module turned out to be one of the most-loved parts of the 4-day experience.

To ensure lasting impact, the CIME team provided digital resources, summary notes, and a growing online network that participants could plug into immediately. Most importantly, we listened. Post-course evaluations were central to our continuous improvement and helped us raise the bar for the next iteration.

Building Champions for the Future of Medical Education

Simulation as we know it is no longer the future of healthcare education: it’s the now. For LMICs, simulation can be a game changer, enabling quality training in contexts where patient safety, resource limitations, and faculty shortages are pressing concerns. Simulation centers have a golden opportunity to shape tomorrow’s clinical educators and raise the bar for medical teaching across the board. By investing in structured programmes, inviting collaboration, and embracing lifelong learning, sim centres can become the beating heart of transformative healthcare education.
The time to lead, inspire, and elevate is now and simulation is the tool that can make it happen.

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faisal ismail
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faisal ismail

The Aga Khan University Centre for Innovation in Medical Education (AKU-CIME), Pakistan View all Posts

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