This research examines the integration of medical simulators into medical education. Training on a haptic-enabled surgery simulator has been observed with an eye to the context of the medical apprenticeship. Videotape of simulations and ethnographic observations at the simulator center are analyzed using the theoretical tools of legitimate peripheral practice and identity construction. In doing so, it becomes apparent that simulations are much more than just a forum for the transfer of specific medical skills. Although they may be designed to (...) facilitate discrete aspects of surgical practice, when in use, the simulators are surrounded by the rich and varied social interactions that make up the medical apprenticeship. These social aspects contribute to the creation of medical practices out of simulator practices, so that working on the simulator can still be experienced as part of the situated learning otherwise conducted during the internship of medical training. (shrink)

This article begins with an ethnographically documented incident whereby nursing students dissected a medical human simulator model and rearranged it so that the “male” head and torso was attached to the “female” lower half. They then joked about the embodiment of the model, thus staging a scene of anti-trans ridicule. The students’ lack of ability, or purposeful refusal, to recognize morphological biodiversity in medical settings indicates a lacuna in clinical imaginaries. Even as trans-identified and gender nonconforming people increasingly access care (...) in the clinic, the lacuna of transsex—as a proxy term for non-binary embodiment—persists at the heart of clinical practice. This article concludes that we might engage in more ethical clinical practice if we recognize and affirm the trace of multiple forms of human being in the non-human simulator. (shrink)

This article presents a sociomaterial account of simulation in higher education. Sociomaterial approaches change the ontological and epistemological bases for understanding learning and offer valuable tools for addressing important questions about relationships between university education and professional practices. Simulation has grown in many disciplines as a means to bring the two closer together. However, the theoretical underpinnings of simulation pedagogy are limited. This paper extends the wider work of applying sociomaterial approaches to educational phenomena, taking up Schatzki’s practice theory as (...) a distinctive basis for doing so. The question ‘What is being simulated?’ is posed, prompting discussion of multiple bodies, performances and experiences. The potential of adopting such a framework for understanding simulation as a pedagogic practice that brings the classroom and workplace together is illustrated with reference to clinical education in nursing. (shrink)

Biomechanical engineering is marked by highly experimental efforts to craft mechanical devices that might one day alleviate the scarcity of transplantable organs in the USA. A pronounced desire among bioengineers involves melding humans with machines, bearing the promise of perfecting the natural yet messy flaws of the ‘natal’ body. Not all bodies are considered equal within this field, however. Visual renderings of heart devices — as an unusual sort of body prosthesis — foreground a specialized aesthetic, where the well-toned male (...) form defines an idealized generic of beauty and perfection. This analysis considers the moral underpinnings of the embodied aesthetic in specific reference to engineers’ efforts to fabricate implantable ‘artificial’ hearts. Of central concern are the sociomoral consequences of a standardized male beauty, set alongside the striking absence — or invisibility — of the female form within this rarified field of science. (shrink)