Simulation Training in Fracture Surgery.

J Am Acad Orthop Surg · Nov 01 2020 · Review

Marchand LS, Sciadini MF

From the Department of Orthopaedic Surgery, University of Utah, Salt Lake City, MD (Dr. Sciadini)

Orthopaedic Trauma

SUMMARY — THE REDUCTIONThis review argues that simulation training can build the technical skills needed for fracture surgery as the apprenticeship model erodes, though better model integration and access are still needed.
Abstract, as published

The current surgical training environment has sparked a paradigm shift toward the use of surgical training simulation. An apprentice-based model has historically been used in surgical education, but current financial and practical constraints have led to a more variable training experience. Surgical simulation has demonstrated efficacy in many facets of orthopaedic training and has most recently been implemented to fine-tune surgical skill in reconstruction of traumatic skeletal injuries. Although some surgical skills learned during residency training are not fully used in later practice, most surgeons require a baseline level of competence in managing skeletal trauma. Fracture surgery is heavily dependent on technical skill. Trainee simulation use in skill acquisition has potential to improve proficiency during actual surgery. Furthermore, in a specialty where the standard axiom has been repetition matters, education augmentation with simulation provides overall benefit. Work remains to maximize the effectiveness of surgical simulation in fracture treatment through improved model integration and access.

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