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Orthopaedic education in the era of surgical simulation: Still at the crawling stage

World Journal of Orthopedics 2017年第4期8卷 290-294页

作者： Kivanc Atesok Peter Mac Donald Jeff Leiter James Dubberley Richard Satava ann van heest Shepard Hurwitz J Lawrence Marsh Department of Surgery Section of Orthopaedic SurgeryUniversity of Manitoba Department of Surgery University of Wash-ington Department of Orthopaedic Surgery University of Minnesota Department of Orthopaedic Surgery University of North Carolina Department of Orthopedics and Rehabilitation University of Iowa

Surgical skills education is in the process of a crucial transformation from a master-apprenticeship model to simulation-based training. Orthopaedic surgery is one of the surgical specialties where simulation-based skills training needs to be integrated into the curriculum efficiently and urgently. The reason for this strong and pressing need is that orthopaedic surgery covers broad human anatomy and pathologies and requires learning enormously diverse surgical procedures including basic and advanced skills. Although the need for a simulationbased curriculum in orthopaedic surgery is clear, several obstacles need to be overcome for a smooth transformation. The main issues to be addressed can be summarized as defining the skills and procedures so that simulation-based training will be most effective; choosing the right time period during the course of orthopaedic training for exposure to simulators; the right amount of such exposure; using objective, valid and reliable metrics to measure the impact of simulation-based training on the development and progress of surgical skills; and standardization of the simulation-based curriculum nationwide and internationally. In the new era of surgical education, successful integration of simulation-based surgical skills training into the orthopaedic curriculum will depend on efficacious solutions to these obstacles in moving forward.

关键词： Surgical simulation Orthopaedic surgery Education Skills training

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