Decision-making with computer simulation and simulation in teams are two of five learning steps that make up Laerdal's Circle of Learning. This methodology is designed for healthcare providers to serve as a bridge between cognitive and skills-based learning, and real-life clinical experience. Together, the steps create a system for achieving maximum competency and continuous improvement.
When treating virtual patients, learners develop clinical decision-making skills by making a number of choices related to their patients’ care, from assessments to interventions and diagnostics. These skills may benefit learners in the next phase of the Circle of Learning, simulation in teams. During simulation in teams, learners need to be already prepared to make decisions as individuals throughout the scenario in order to work successfully as a team. Seventy percent of patient harm stems from a breakdown in communication8; in order to reduce risk, learners need to be trained in how to communicate with their teammates effectively.