As exemplified by the medical residency maxim "see one, do one, teach one," there has been little emphasis on learning in a simulated environment prior to clinical encounters.
The growing complexities of patient care require doctors to master not only knowledge and procedural skills but also the ability to effectively communicate with patients and other health care providers and also to coordinate a variety of patient care activities.
One of the first recorded surgical simulation was the use of leaf and clay models in India around 600 B.C. to conceptualize nasal reconstruction with a forehead flap.