Simulation for Teaching Orthopaedic Residents in a Competency-based Curriculum: Do the Benefits Justify the Increased Costs?

Clinical Orthopaedics and Related Research
Markku NousiainenRanil R Sonnadara

Abstract

Although simulation-based training is becoming widespread in surgical education and research supports its use, one major limitation is cost. Until now, little has been published on the costs of simulation in residency training. At the University of Toronto, a novel competency-based curriculum in orthopaedic surgery has been implemented for training selected residents, which makes extensive use of simulation. Despite the benefits of this intensive approach to simulation, there is a need to consider its financial implications and demands on faculty time. This study presents a cost and faculty work-hours analysis of implementing simulation as a teaching and evaluation tool in the University of Toronto's novel competency-based curriculum program compared with the historic costs of using simulation in the residency training program. All invoices for simulation training were reviewed to determine the financial costs before and after implementation of the competency-based curriculum. Invoice items included costs for cadavers, artificial models, skills laboratory labor, associated materials, and standardized patients. Costs related to the surgical skills laboratory rental fees and orthopaedic implants were waived as a result of special...Continue Reading

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Citations

Apr 18, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Patrick Garfjeld RobertsJonathan L Rees
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Nov 10, 2021·The Journal of Bone and Joint Surgery. American Volume·Thomas G MyersVincent D Pellegrini

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