Evidence map›Paper›PMID 41964089›Full record

ArticleAdvances in simulation (London, England)2026

Rethinking real-time learning in debriefing: liminality, microgenesis, and semiotic borders.

José Luis Medina, Gabriel Hervas, Isaac Calduch, Patricia Silva, Esther León

Erratum issuedAbstract readLetter
In one paragraph

Article in Advances in simulation (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

José Luis MedinaDepartment of Didactics and Educational Organization, Faculty of Education, University of Barcelona, Barcelona, Spain. jlmedina@ub.edu.
Gabriel HervasDepartment of Didactics and Educational Organization, Faculty of Education, University of Barcelona, Barcelona, Spain.
Isaac CalduchDepartment of Didactics and Educational Organization, Faculty of Education, University of Barcelona, Barcelona, Spain.
Patricia SilvaDepartment of Didactics and Educational Organization, Faculty of Education, University of Barcelona, Barcelona, Spain.
Esther LeónClinical Simulation Laboratory, Faculty of Medicine, University of Barcelona, Barcelona, Spain.

Funding

Ministry of Science and Innovation of the Spanish government (PID2021-12563NB-100)
6 · The paper itself

Abstract

We offer a new interpretive framework to analyze and explain learning processes in real time during discursive interactions in clinical simulation, especially in debriefing. First, we question the computational metaphor of the mind, where the mind is conceptualized as a closed system that processes symbols linearly, typical of traditional cognitivist learning approaches with profound practical implications over debriefing. This approach is insufficient to explain the complexity of learning in situated, uncertain, and dynamic contexts such as debriefing. During debriefing, participants do not simply remember data or assimilate external conceptual structures ready to be used, but rather undergo more complex processes. They experience discontinuities, oscillations, and ambiguities in their thinking, while negotiating tensions and facing moments of cognitive and emotional instability. To capture this dynamic, we need a richer, more flexible, and more responsive approach to lived experience.Given these limitations, new interpretative proposals are emerging that seek to explain learning in debriefing by describing both the logic behind the configuration of the participants’ interpretive frames and the intra-subjective and intersubjective dynamics that modulate them in real time. The goal is to provide theoretical models that help us to elucidate a phenomenon that cannot be understood through linear schemes or unidirectional causalities, as it unfolds in the non-linear flow of brief temporal sequences loaded with meaning.To this end, we present a new interpretive framework in which we have integrated three fundamental theoretical concepts: liminality, microgenesis, and semiotic border. Although these concepts come from different theoretical traditions, we have united them in a conceptual framework that allows us to understand how frames of reference are configured during debriefing, without reducing them to fixed or pre-established conceptual structures, preserving their dynamic, contingent, and situated nature. Each of these concepts addresses, from different theoretical traditions, how meanings are constituted under conditions of structural instability and on very short time scales.Finally, we present empirical indicators that allow us to identify these complex and “elusive” phenomena in practice, providing guidance for supporting debriefers’ practice in noticing and interpreting learning, and a key methodological tool for research analysis as an emerging qualitative coding scheme.

Identifiers

PMID41964089
PMCPMC13067597

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.