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Correction: ‘Live Die Repeat’ simulation for medical students

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Brazil V, Shaghaghi S, Alsaba N. ‘Live Die Repeat’ simulation for medical students. BMJ Simul Technol Enhanc Learn 2020; 6: 247-9. DOI: 10.1136/bmjstel-2019-000485

Sunga K, Sandefur B, Asirvatham U, Cabrera D. LIVE. DIE. REPEAT: a novel instructional method incorporating recursive objective-based gameplay in an emergency medicine simulation curriculum. BMJ Simul Technol Enhanc Learn 2016; 2: 124-6; DOI: 10.1136/bmjstel-2016-000128

The Editor and Publisher of BMJ STEL wish to highlight that both of these papers reference an outdated version of the Simulation Effectiveness Tool (SET), published in 2012 by Elfrink et al. (

In the 2016 BMJ STEL paper by Sunga et al., the 2012 SET  was modified by the authors without attribution, and renamed as mSET. The 2020 paper by Brazil et al. built on the 2016 paper and referenced the mSET.

The authors of the original SET published a modified version of their tool (SET-M) in 2015 which replaced the 2012 SET:

Leighton K, Ravert P, Mudra V, Macintosh C. Updating the Simulation Effectiveness Tool: Item Modifications and Reevaluation of Psychometric Properties. Nurs Educ Perspect 2015; 36:317-23. DOI: 10.5480/15-1671.

The SET-M is currently the most up-to-date version of the SET and is the only version of the tool that should be used. Permission to revise the SET-M should be sought from the lead author, Dr Kim Leighton.

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