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We make a case for studying simulation-based medical education as a cultural practice, situating it within a history of gaming and simulation, and which, by virtue of distinctive aesthetics, does not simply teach skills or reproduce professional practices but rather transforms how medicine can be made sense of. Three concepts from the field of game studies\u2014play, narrative, and simulation\u2014are deployed to interpret an ethnographic study of hospital-based simulation centers and describe underreported phenomena, including the cooperative work involved in maintaining a fictional world, the narrative conventions by which medical intervention are portrayed, and the political consequences of simulating the division of labor.<\/jats:p>","DOI":"10.1177\/1555412014568449","type":"journal-article","created":{"date-parts":[[2015,1,28]],"date-time":"2015-01-28T22:59:58Z","timestamp":1422485998000},"page":"365-389","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Playful Simulations Rather Than Serious Games"],"prefix":"10.1177","volume":"11","author":[{"given":"Caroline","family":"Pelletier","sequence":"first","affiliation":[{"name":"Department of Lifelong and Comparative Education, Institute of Education, University of London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roger","family":"Kneebone","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Surgery and Cancer, Imperial College, Clinical Skills Centre, St. Mary\u2019s Campus, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,1,27]]},"reference":[{"key":"bibr1-1555412014568449","doi-asserted-by":"publisher","DOI":"10.1016\/B978-012372531-8.50124-2"},{"key":"bibr2-1555412014568449","doi-asserted-by":"publisher","DOI":"10.1177\/1046878109355683"},{"key":"bibr3-1555412014568449","volume-title":"Rabelais and his world","author":"Bakhtin M.","year":"1984"},{"key":"bibr4-1555412014568449","doi-asserted-by":"publisher","DOI":"10.1177\/104687810103200203"},{"key":"bibr5-1555412014568449","doi-asserted-by":"publisher","DOI":"10.1080\/01421590601042335"},{"key":"bibr6-1555412014568449","doi-asserted-by":"publisher","DOI":"10.7551\/mitpress\/6997.001.0001"},{"key":"bibr7-1555412014568449","doi-asserted-by":"publisher","DOI":"10.7551\/mitpress\/5334.001.0001"},{"key":"bibr8-1555412014568449","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2929.2006.02394.x"},{"key":"bibr9-1555412014568449","volume-title":"Les jeux et les hommes","author":"Caillois R.","year":"1967"},{"key":"bibr10-1555412014568449","doi-asserted-by":"publisher","DOI":"10.1177\/1555412009360412"},{"key":"bibr11-1555412014568449","doi-asserted-by":"publisher","DOI":"10.1177\/1555412009354727"},{"key":"bibr12-1555412014568449","unstructured":"Chief Medical Officer (CMO) annual report. 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