Advancing Simulation-Based Orthopaedic Surgical Skills Training: An Analysis of the Challenges to Implementation

Simulation-based surgical skills training is recognized as a valuable method to improve trainees’ performance and broadly perceived as essential for the establishment of a comprehensive curriculum in surgical education. However, there needs to be improvement in several areas for meaningful integrati...

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Main Authors: Kivanc Atesok, Shepard Hurwitz, Donald D. Anderson, Richard Satava, Geb W. Thomas, Ted Tufescu, Michael J. Heffernan, Efstathios Papavassiliou, Steven Theiss, J. Lawrence Marsh
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Advances in Orthopedics
Online Access:http://dx.doi.org/10.1155/2019/2586034
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author Kivanc Atesok
Shepard Hurwitz
Donald D. Anderson
Richard Satava
Geb W. Thomas
Ted Tufescu
Michael J. Heffernan
Efstathios Papavassiliou
Steven Theiss
J. Lawrence Marsh
author_facet Kivanc Atesok
Shepard Hurwitz
Donald D. Anderson
Richard Satava
Geb W. Thomas
Ted Tufescu
Michael J. Heffernan
Efstathios Papavassiliou
Steven Theiss
J. Lawrence Marsh
author_sort Kivanc Atesok
collection DOAJ
description Simulation-based surgical skills training is recognized as a valuable method to improve trainees’ performance and broadly perceived as essential for the establishment of a comprehensive curriculum in surgical education. However, there needs to be improvement in several areas for meaningful integration of simulation into surgical education. The purpose of this focused review is to summarize the obstacles to a comprehensive integration of simulation-based surgical skills training into surgical education and board certification and suggest potential solutions for those obstacles. First and foremost, validated simulators need to be rigorously assessed to ensure their feasibility and cost-effectiveness. All simulation-based courses should include clear objectives and outcome measures (with metrics) for the skills to be practiced by trainees. Furthermore, these courses should address a wide range of issues, including assessment of trainees’ problem-solving and decision-making abilities and remediation of poor performance. Finally, which simulation-based surgical skills courses will become a standard part of the curriculum across training programs and which will be of value in board certification should be precisely defined. Sufficient progress in these areas will prevent excessive development of training and assessment tools with duplicative effort and large variability in quality.
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institution Kabale University
issn 2090-3464
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spelling doaj-art-081b5690f0844c8b8dfafac4a95777a92025-02-03T06:13:29ZengWileyAdvances in Orthopedics2090-34642090-34722019-01-01201910.1155/2019/25860342586034Advancing Simulation-Based Orthopaedic Surgical Skills Training: An Analysis of the Challenges to ImplementationKivanc Atesok0Shepard Hurwitz1Donald D. Anderson2Richard Satava3Geb W. Thomas4Ted Tufescu5Michael J. Heffernan6Efstathios Papavassiliou7Steven Theiss8J. Lawrence Marsh9Harvard University, Beth Israel Deaconess Medical Center, Department of Neurosurgery, Boston, MA, USAUniversity of North Carolina, Department of Orthopaedic Surgery, Chapel Hill, NC, USAUniversity of Iowa, Department of Orthopaedics and Rehabilitation, Iowa City, IA, USAUniversity of Washington, Department of Surgery, Seattle, WA, USAUniversity of Iowa, Department of Orthopaedics and Rehabilitation, Iowa City, IA, USAUniversity of Manitoba, Section of Orthopaedic Surgery, Winnipeg, MB, CanadaChildren’s Hospital of New Orleans, LSU Health Science Center, Department of Orthopaedic Surgery, New Orleans, LA, USAHarvard University, Beth Israel Deaconess Medical Center, Department of Neurosurgery, Boston, MA, USAUniversity of Alabama at Birmingham, Department of Orthopaedic Surgery, Birmingham, AL, USAUniversity of Iowa, Department of Orthopaedics and Rehabilitation, Iowa City, IA, USASimulation-based surgical skills training is recognized as a valuable method to improve trainees’ performance and broadly perceived as essential for the establishment of a comprehensive curriculum in surgical education. However, there needs to be improvement in several areas for meaningful integration of simulation into surgical education. The purpose of this focused review is to summarize the obstacles to a comprehensive integration of simulation-based surgical skills training into surgical education and board certification and suggest potential solutions for those obstacles. First and foremost, validated simulators need to be rigorously assessed to ensure their feasibility and cost-effectiveness. All simulation-based courses should include clear objectives and outcome measures (with metrics) for the skills to be practiced by trainees. Furthermore, these courses should address a wide range of issues, including assessment of trainees’ problem-solving and decision-making abilities and remediation of poor performance. Finally, which simulation-based surgical skills courses will become a standard part of the curriculum across training programs and which will be of value in board certification should be precisely defined. Sufficient progress in these areas will prevent excessive development of training and assessment tools with duplicative effort and large variability in quality.http://dx.doi.org/10.1155/2019/2586034
spellingShingle Kivanc Atesok
Shepard Hurwitz
Donald D. Anderson
Richard Satava
Geb W. Thomas
Ted Tufescu
Michael J. Heffernan
Efstathios Papavassiliou
Steven Theiss
J. Lawrence Marsh
Advancing Simulation-Based Orthopaedic Surgical Skills Training: An Analysis of the Challenges to Implementation
Advances in Orthopedics
title Advancing Simulation-Based Orthopaedic Surgical Skills Training: An Analysis of the Challenges to Implementation
title_full Advancing Simulation-Based Orthopaedic Surgical Skills Training: An Analysis of the Challenges to Implementation
title_fullStr Advancing Simulation-Based Orthopaedic Surgical Skills Training: An Analysis of the Challenges to Implementation
title_full_unstemmed Advancing Simulation-Based Orthopaedic Surgical Skills Training: An Analysis of the Challenges to Implementation
title_short Advancing Simulation-Based Orthopaedic Surgical Skills Training: An Analysis of the Challenges to Implementation
title_sort advancing simulation based orthopaedic surgical skills training an analysis of the challenges to implementation
url http://dx.doi.org/10.1155/2019/2586034
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