Surgical Skills Training Using Simulation for Basic and Complex Hip and Knee Arthroplasty - 20/11/20

Doi : 10.1016/j.ocl.2020.08.001

Aresh Sepehri, MD, MSc ^a,^b, Philipp von Roth, MD ^c, Karl Stoffel, MD, PhD ^d, Yves Acklin, MD, DMedSc ^d, Sam Oussedik ^e, Bas Wijburg, MSc ^f, Arisa Wada ^g, Michael Cunningham, PhD ^h, Bassam A. Masri, MD, FRCSC ^i,^⁎
^a Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada
^b Department of Orthopaedics, Diamond Health Care Centre, 11th Floor - 2775 Laurel Street, Vancouver, British Columbia V5Z 1M9, Canada
^c Sporthopaedicum, Bahnhofplatz 27, Straubing, Germany
^d Department of Orthopaedics and Traumatology, University Hospital Basel, Spitalstrasse 21, Basel 4031, Switzerland
^e University College Hospital London, 235 Euston Road, Bloomsbury, London NW1 2BU, UK
^f AO Recon, Clavadelerstrasse 8, Davos Platz 7270, Switzerland
^g Education, AO Recon, Clavadelerstrasse 8, Davos Platz 7270, Switzerland
^h Curriculum Development, AO Foundation - AO Education Institute, Stettbachstrasse 6, Dübendorf 8600, Switzerland
ⁱ Department of Orthopaedics, Complex Joint Reconstruction Clinic, University of British Columbia, Gordon & Leslie Diamond Health Care Centre, 3rd Floor, 2775 Laurel Street, Vancouver, British Columbia V5Z 1M9, Canada

^∗Corresponding author.

Résumé

Skills training is important in an arthroplasty curriculum and can focus either on “part tasks” or on full procedures. The most commonly used simulations in orthopedics including arthroplasty are anatomic specimens, dry bone models, and virtual or other technology-enhanced systems. A course curriculum planning committee must identify the gaps to address, define what learners need to be able to do, and select the most appropriate simulation modality and assessment for delivery. Each simulation must have a clear structure with learning objectives, steps, and take-home messages. Feedback from learners and faculty must be integrated to improve processes and models for future learning.

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Keywords : Orthopedic surgery education, Arthroplasty, Skills training, Simulation