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Resident Perceptions of Virtual Reality Versus Dry Lab Simulation for Advanced Shoulder Arthroscopy Resident Training
Jessica C Rivera1,2, Anthony E Johnson1,3, Travis C Burns1
1Department of Orthopaedic Surgery, Brooke Army Medical Center, San Antonio, TX, USA.
Surgical Innovation
|October 26, 2023
Summary
Orthopaedic surgery residents found virtual reality simulation beneficial for general arthroscopy skills, while senior residents preferred traditional dry lab methods. Most residents desired more simulation training.
Area of Science:
- Orthopaedic Surgery
- Medical Simulation
- Surgical Education
Background:
- Traditional surgical residency learning has limitations.
- Simulation-based training offers a solution to bridge these gaps.
- Virtual reality (VR) and dry lab simulators are emerging training tools.
Purpose of the Study:
- To compare orthopaedic surgery residents' preference between VR and dry lab arthroscopy simulation.
- To evaluate the perceived learning gains and attitudes associated with each simulation type.
- To identify factors influencing simulator preference among residents.
Main Methods:
- 38 orthopaedic surgery residents were randomized to VR or dry lab simulation for shoulder arthroscopy.
- Residents trained on their assigned simulator.
- Post-training, participants reported on their preferences and perceived learning outcomes.
Main Results:
- Junior residents showed a preference for VR simulation (62.5%) over dry lab.
- Simulator preference was not linked to subspecialty interest, prior experience, or simulator familiarity.
- VR simulation correlated with positive attitudes and perceived learning gains in general arthroscopic understanding.
Conclusions:
- Simulation is a valuable addition to orthopaedic resident training in arthroscopy.
- VR platforms may offer greater benefits for junior residents' foundational skills.
- Senior residents favored dry lab simulation, potentially due to hands-on instrument and implant practice.

