Evidence map›Paper›PMID 40922996›Full record

ReviewJB & JS open access

Simulation-Based Training of Surgical and Nonsurgical Skills in Orthopaedic Residency (Symposium Presented at the 2024 Summer CORD Conference).

Steven Long, Donald D Anderson, Gregg Nicandri, Robert A Gallo, J Lawrence Marsh, Matthew Karam

Abstract readReview
In one paragraph

Review in JB & JS open access. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

6 authors.

Steven LongDepartment of Orthopedics and Rehabilitation, University of Iowa, Iowa City, Iowa.ORCID https://orcid.org/0000-0002-8693-989X
Donald D AndersonDepartment of Orthopedics and Rehabilitation, University of Iowa, Iowa City, Iowa.ORCID https://orcid.org/0000-0002-1640-6107
Gregg NicandriDepartment of Orthopaedics & Physical Performance, University of Rochester Medical Center, Rochester, New York.ORCID https://orcid.org/0000-0001-9917-1317
Robert A GalloDepartment of Orthopaedics and Rehabilitation, Penn State Health, Milton S. Hershey Medical Center, Hershey, Pennsylvania.ORCID https://orcid.org/0000-0003-2399-0804
J Lawrence MarshDepartment of Orthopedics and Rehabilitation, University of Iowa, Iowa City, Iowa.ORCID https://orcid.org/0000-0002-3494-6289
Matthew KaramDepartment of Orthopedics and Rehabilitation, University of Iowa, Iowa City, Iowa.ORCID https://orcid.org/0000-0002-3187-2229

Funding

AHRQ HHS R18 HS025353AHRQ HHS R18 HS028778
6 · The paper itself

Abstract

Introduction: Modern orthopaedic residency training increasingly integrates knowledge, skills, and behavior (KSB), in line with updated American Board of Orthopaedic Surgery (ABOS) and Accreditation Council for Graduate Medical Education (ACGME) guidelines. Developments in simulation technology-including high-fidelity simulators, virtual reality, and data-driven assessment tools-enable programs to target both technical and non-technical competencies. This paper examines how innovations in simulation, curriculum design, and performance assessment are shaping the future of orthopaedic education. Methods: This work synthesizes institutional practices, peer-reviewed literature, and consensus discussions from a 2024 Summer CORD Conference symposium to outline simulation-based training (SBT) and performance assessment strategies in orthopaedic residency. Results: A structured, PGY-level curriculum leverages a range of simulation tools-from low-fidelity models to virtual reality (VR)-to develop foundational and advanced technical skills. Programs like FAST and CROWNS, supported by data-driven feedback, improve arthroscopy and wire navigation proficiency without patient risk. Traditional cadaveric and sawbones training further reinforces skills in realistic settings. Objective and subjective assessments, such as procedure time, fluoroscopy use, OSATS, and the ABOS-mandated OP Score, offer complementary insight into resident progression. Benchmark testing, as seen in the University of Iowa's CROWNS program, may enhance competency before affording clinical autonomy. Non-surgical (clinical) skill is enhanced through assessment exercises like OSCEs, 360 evaluations, and video assessments. These tools assess communication, professionalism, and decision-making in reproducible, structured scenarios. OSCEs offer real-time feedback in simulated patient interactions, while video review promotes resident self-reflection and faculty-guided learning. Conclusion: Despite challenges-particularly cost, faculty time, and integration of advanced technologies-simulation-based and competency-driven training models demonstrate potential to reduce reliance on live cases for skill acquisition, improve patient safety, and provide a framework for resident evaluation. Aligning simulation, assessment, and educational innovation prepares orthopaedic residents to meet the demands of surgical practice with technical excellence and sound clinical judgment.

Identifiers

PMID40922996
PMCPMC12412731

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.