Surgical skills simulation in trauma and orthopaedic training

Journal of Orthopaedic Surgery and Research

Nicholas A Ferran²  Thomas L Lewis¹  Euan RB Stirling³ 

[1] General Surgery, Kingston Hospital, Galsworthy Road, Kingston-upon-Thames KT2 7QB, UK;Shoulder Fellow, Prince of Wales Private Hospital, Randwick NSW 2031, Australia;Orthopaedic Department, Northampton General Hospital, Cliftonville, Northampton NN1 5BD, UK

关键词: Arthroscopy;    Computer simulation;    Clinical competence;    Surgical education;    Medical education;    Trauma;    Orthopaedics;    Training;    Simulation;   

Others  :  1144316
DOI  :  10.1186/s13018-014-0126-z

 received in 2014-11-21, accepted in 2014-11-21,  发布年份 2014

【 摘 要 】

Changing patterns of health care delivery and the rapid evolution of orthopaedic surgical techniques have made it increasingly difficult for trainees to develop expertise in their craft. Working hour restrictions and a drive towards senior led care demands that proficiency be gained in a shorter period of time whilst requiring a greater skill set than that in the past. The resulting conflict between service provision and training has necessitated the development of alternative methods in order to compensate for the reduction in ‘hands-on’ experience. Simulation training provides the opportunity to develop surgical skills in a controlled environment whilst minimising risks to patient safety, operating theatre usage and financial expenditure. Many options for simulation exist within orthopaedics from cadaveric or prosthetic models, to arthroscopic simulators, to advanced virtual reality and three-dimensional software tools. There are limitations to this form of training, but it has significant potential for trainees to achieve competence in procedures prior to real-life practice. The evidence for its direct transferability to operating theatre performance is limited but there are clear benefits such as increasing trainee confidence and familiarity with equipment. With progressively improving methods of simulation available, it is likely to become more important in the ongoing and future training and assessment of orthopaedic surgeons.

【 授权许可】

   
2014 Stirling et al.; licensee BioMed Central.

【 图 表 】

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