Technology transfer" has become a popular concept at the National Institutes of Health and at universities, including medical schools, which engage in research. In most cases, this transfer means that an invention or novel methodology is provided to a different user of the technology. More rarely, the transfer occurs among different fields of research or between different fields of application. This article provides information about the transfer of simulation technology from one applied field to another, specifically from earlier work on managerial decision making to at least three fields within the realm of medicine. With the publication of this article, the authors hope to (a) encourage others to consider using existing technologies from outside of medicine to advance medicine (without having to expend the time and money that is often needed to develop novel technologies) and (b) show how a single technique can be applied across multiple aspects of medicine.This article discusses the utilization of the Strategic Management Simulation (SMS) in medicine. The SMS is a complexity theory based technology (e.g., Streufert et al., 1965;) that has been developed, tuned, and validated over more than a quarter century. The technique not only captures a range of skills; it also focuses on a range of capabilities that allow flexible and creative, yet appropriate, behaviors that lead to the solution of difficult challenges. Several writers have described simulation techniques in general and the SMS in particular as the optimal means to effectively train the thinking strategies that are needed today (e.g., Breuer & Streufert, 1996;Satish, Streufert, & Eslinger, 1999). The SMSs have been especially effective as assessment and training techniques where professional task requirements are multi-faceted and complex.
What is competency?Competency is of utmost importance when we seek optimal performance, that is, when we search for the success that competency (in association with motivation)