, ▁bru ise ▁and ▁ble ed . ▁The ▁system ▁generates ▁a ▁detailed ▁evaluation ▁after ▁each ▁session , ▁en abling ▁users ▁and ▁super vis ors ▁to ▁measure ▁the ▁success ▁of ▁sim ulated ▁procedures . ▁ ▁Bar riers ▁to ▁instruction al ▁simulation ▁in ▁medicine ▁ ▁Sim ulations ▁in ▁medicine ▁have ▁been ▁in ▁use ▁as ▁early ▁as ▁the ▁ 1 6 th ▁century ▁when ▁the ▁use ▁of ▁training ▁man ne qu ins ▁helped ▁to ▁reduce ▁the ▁high ▁mat ernal ▁and ▁infant ▁mort ality ▁rates . ▁Today ▁they ▁have ▁evol ved , ▁to ▁include ▁IV Es , ▁C AV E , ▁robot ic ▁surg ery , ▁etc ., ▁but ▁they ▁are ▁still ▁relatively ▁limited ▁in ▁their ▁use ▁by ▁the ▁health ▁industry . ▁Medicine ▁is ▁a ▁profession ▁that ▁uses ▁very ▁advanced ▁technical , ▁high ▁risk , ▁as ▁well ▁as ▁behavior al ▁skills . ▁However , ▁unlike ▁other ▁areas ▁with ▁similar ▁requirements ▁( such ▁as ▁av iation ), ▁medicine ▁has ▁not ▁totally ▁emb rac ed ▁the ▁use ▁of ▁simulations ▁to ▁assist ▁with ▁necessary ▁medical ▁training . ▁The ▁limited ▁use ▁of ▁simulations ▁for ▁training ▁in ▁the ▁medical ▁field ▁can ▁be ▁explained ▁by ▁several ▁factors , ▁including ▁cost ▁control , ▁relatively ▁limited ▁model ing ▁of ▁the ▁human ▁body , ▁lack ▁of ▁scientific ▁evidence ▁of ▁effect iveness , ▁and ▁resistance ▁to ▁change ▁by ▁professional ▁in ▁the ▁field . ▁( Z iv , ▁et ▁al . ▁ 2 0 0 3 ). ▁A ▁later ▁study , ▁conducted ▁by ▁Am al ber ti ▁et ▁al .( 2 0 0 5 ), ▁points ▁to ▁