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Mitigating Surgical Skill Decay in Orthopaedics Using Virtual Simulation Learning.

Ryan Lohre1, Jon J P Warner, Bernard R Morrey

  • 1From the Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada (Dr. Lohre and Dr. Goel); the Massachusetts General Hospital-Boston Shoulder Institute, Boston, MA (Dr. Warner); the Department of Orthopaedic Surgery, University of Texas Health San Antonio, San Antonio, TX (Dr. B. R. Morrey); the Western University, Schulich School of Medicine and Dentistry, London, ON, Canada (Dr. Athwal); the Mayo Clinic Department of Orthopaedic Surgery, Rochester, MN (Dr. M. E. Morrey); and the Department of Orthopaedic Surgery, UConn Health, Farmingham, CT (Dr. Mazzocca).

Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews
|October 12, 2021
PubMed
Summary
This summary is machine-generated.

Orthopaedic surgical skill decay can occur rapidly during training cessation. This study proposes an evidence-based curriculum utilizing immersive virtual reality (iVR) to mitigate skill loss and maintain surgical competency.

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Area of Science:

  • Orthopaedic Surgery
  • Medical Education
  • Surgical Simulation

Background:

  • The COVID-19 pandemic significantly disrupted orthopaedic training.
  • Surgical skill decay is a concern during periods of inactivity.
  • Maintaining surgical proficiency requires proactive strategies.

Purpose of the Study:

  • To develop an evidence-based curriculum to prevent orthopaedic skill decay.
  • To integrate immersive virtual reality (iVR) into surgical training.
  • To address skill loss during training cessations and beyond.

Main Methods:

  • Literature review on orthopaedic surgical skill decay.
  • Gathered insights from faculty and program directors experienced in virtual training.
  • Utilized qualitative narrative group opinion to formulate the curriculum.

Main Results:

  • Skill decay can manifest within days to months, varying with initial skill level.
  • A novel curriculum incorporating e-learning, virtual meetings, and iVR simulators was developed.
  • The curriculum adheres to competency-based standards for continuing medical education.

Conclusions:

  • Skill decay mitigation requires evidence-based technologies and advanced learning structures.
  • Immersive virtual reality (iVR) simulators offer a potential cost-effective solution for surgical training.
  • The proposed virtual curriculum can support ongoing competency in orthopaedic surgery.