Evidence map›Paper›PMID 31565441›Full record

ReviewAdvances in orthopedics2019

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

Kivanc Atesok, Shepard Hurwitz, Donald D Anderson, Richard Satava, Geb W Thomas, Ted Tufescu, Michael J Heffernan, Efstathios Papavassiliou, Steven Theiss, J Lawrence Marsh

Open access · goldAbstract readReview
In one paragraph

Review in Advances in orthopedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Evaluation of a 3D-Printed Model for Simulating Closed Reduction and Percutaneous Pinning of Unstable Distal Radius Fractures.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026
    Article
  5. Review
  6. Article
  7. Simulation-based learning in orthopaedics:Journal of clinical orthopaedics and trauma · 2025
    Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Validation of an endoscopic flavectomy training model.Revista do Colegio Brasileiro de Cirurgioes · 2021
    Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 2 countries.

Kivanc AtesokHarvard University, Beth Israel Deaconess Medical Center, Department of Neurosurgery, Boston, MA, USA.ORCID https://orcid.org/0000-0002-7689-873X
Shepard HurwitzUniversity of North Carolina, Department of Orthopaedic Surgery, Chapel Hill, NC, USA.ORCID https://orcid.org/0000-0001-7813-8075
Donald D AndersonUniversity of Iowa, Department of Orthopaedics and Rehabilitation, Iowa City, IA, USA.ORCID https://orcid.org/0000-0002-1640-6107
Richard SatavaUniversity of Washington, Department of Surgery, Seattle, WA, USA.
Geb W ThomasUniversity of Iowa, Department of Orthopaedics and Rehabilitation, Iowa City, IA, USA.
Ted TufescuUniversity of Manitoba, Section of Orthopaedic Surgery, Winnipeg, MB, Canada.ORCID https://orcid.org/0000-0003-2549-1566
Michael J HeffernanChildren's Hospital of New Orleans, LSU Health Science Center, Department of Orthopaedic Surgery, New Orleans, LA, USA.
Efstathios PapavassiliouHarvard University, Beth Israel Deaconess Medical Center, Department of Neurosurgery, Boston, MA, USA.ORCID https://orcid.org/0000-0002-8146-4872
Steven TheissUniversity of Alabama at Birmingham, Department of Orthopaedic Surgery, Birmingham, AL, USA.
J Lawrence MarshUniversity of Iowa, Department of Orthopaedics and Rehabilitation, Iowa City, IA, USA.
University of Iowa · USBeth Israel Deaconess Medical Center · USChildren's Hospital of New Orleans · USUniversity of Alabama at Birmingham · USUniversity of Manitoba · CAUniversity of North Carolina at Chapel Hill · USUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Identifiers

PMID31565441
PMCPMC6745149
OpenAlexW2971429922

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.