Author/Authors :
Atesok, Kivanc Harvard University - Beth Israel Deaconess Medical Center - Department of Neurosurgery - Boston - MA, USA , Papavassiliou, Efstathios Harvard University - Beth Israel Deaconess Medical Center - Department of Neurosurgery - Boston - MA, USA , Hurwitz, Shepard University of North Carolina - Department of Orthopaedic Surgery - Chapel Hill - NC, USA , Anderson, Donald D. University of Iowa - Department of Orthopaedics and Rehabilitation - Iowa City - IA, USA , Thomas, Geb W. University of Iowa - Department of Orthopaedics and Rehabilitation - Iowa City - IA, USA , Satava, Richard University of Washington - Department of Surgery - Seattle - WA, USA , Marsh,, J. Lawrence University of Iowa - Department of Orthopaedics and Rehabilitation - Iowa City - IA, USA , Tufescu, Ted University of Manitoba - Section of Orthopaedic Surgery - Winnipeg - MB, Canada , Heffernan, Michael J. Children’s Hospital of New Orleans - LSU Health Science Center - Department of Orthopaedic Surgery - New Orleans - LA, USA , Theiss, Steven University of Alabama at Birmingham - Department of Orthopaedic Surgery - Birmingham - AL, USA
Abstract :
Simulation-based surgical skills training is recognized as a valuable method to improve trainees’ performance and broadlyperceived as essential for the establishment of a comprehensive curriculum in surgical education. However, there needs to beimprovement in several areas for meaningful integration of simulation into surgical education. &e purpose of this focused reviewis to summarize the obstacles to a comprehensive integration of simulation-based surgical skills training into surgical educationand board certification and suggest potential solutions for those obstacles. First and foremost, validated simulators need to berigorously assessed to ensure their feasibility and cost-effectiveness. All simulation-based courses should include clear objectivesand outcome measures (with metrics) for the skills to be practiced by trainees. Furthermore, these courses should address a widerange of issues, including assessment of trainees’ problem-solving and decision-making abilities and remediation of poorperformance. Finally, which simulation-based surgical skills courses will become a standard part of the curriculum across trainingprograms and which will be of value in board certification should be precisely defined. Sufficient progress in these areas willprevent excessive development of training and assessment tools with duplicative effort and large variability in quality.
Keywords :
Advancing , Simulation-Based , Orthopaedic Surgical SkillsTraining , Analysis , Challenges to Implementation