Agents of change -- Simulations for procedural training -- Human factors in acquiring medical skills; perception and cognition -- Human factors in acquiring medical skills; learning and skill acquisition in surgery -- Metrics for the measurement of skill -- Metric-based simulation training -- Validation of metrics coupled to simulation training -- Metric-based training to proficiency: what is it and how is it done? -- Didactic education and training for improved intra-operative performance: e-learning comes of age -- Simulation training for improved procedural performance -- Simulation in and for medicine: where next? -- Proficiency-based progression simulation training: a to-do list for medicine

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