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Educational impact of a structured simulation-based orthopedic training program on technical and non-technical
Ionut Dudau1, Dumitru Sutoi2,3,4, Bogdan Chiu4
1Doctoral School, Faculty of General Medicine, Victor Babes University of Medicine and Pharmacy Timisoara, Timisoara, Romania.
Journal of Medicine and Life
|April 10, 2026
Summary
Simulation-based learning (SBL) significantly enhances orthopedic education for medical students. This hands-on workshop improved technical skills, non-technical competencies, and confidence in musculoskeletal trauma management.
Area of Science:
- Orthopedic Surgery Education
- Medical Simulation
- Surgical Skills Training
Background:
- Orthopedic education faces challenges like reduced clinical exposure and increased complexity.
- Traditional training models are being supplemented by simulation-based learning (SBL) for structured practice.
- SBL enables competency-based assessment and patient safety focus in surgical training.
Purpose of the Study:
- To evaluate the educational impact of a structured, simulation-based orthopedic workshop.
- To assess improvements in technical and non-technical competencies among medical students.
- To measure changes in self-confidence, motivation, and knowledge related to orthopedics.
Main Methods:
- Prospective pre-post interventional study with 70 medical students (all training years).
- Assessments included self-confidence, perceived technical skills, non-technical skills (communication, teamwork, situational awareness), motivation, and theoretical knowledge.
- Non-parametric statistical tests and effect size calculations (r = Z/√N) were used.
Main Results:
- Significant improvements (P < 0.001) observed across all evaluated domains with large effect sizes (r > 0.5).
- Greatest increase noted in confidence for musculoskeletal trauma management (median 4 to 9).
- Theoretical knowledge improved; senior students scored higher than junior cohorts.
Conclusions:
- Structured simulation-based orthopedic workshops yield substantial multidimensional educational benefits.
- The intervention enhanced perceived technical competence, non-technical skills, confidence, and knowledge acquisition.
- SBL is a valuable tool for modern orthopedic training, addressing current educational limitations.
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