Simulation Center

Today's residents must learn a multitude of complex and diverse technical skills. ;Simulation based learning is an invaluable tool for acquiring and practicing skills in a risk-free environment. Our simulation curriculum affords residents the opportunity to acquire and refine abilities outside the operating room using cadaver models, synthetic bones and tissues, software tools, and computerized simulators.

Residents participate in weekly skills sessions at our state-of-the-art Center for Clinical Simulation, which includes high fidelity robotic mannequins and multiple task trainers that enhance surgical, arthroscopic, and bedside skills. Our center houses two dedicated arthroscopy stations where residents master basic and advanced arthroscopic techniques in the shoulder, elbow, wrist, knee and ankle, utilizing both cadaveric and simulated tissues. Residents hone their microscopic surgical techniques on our high-fidelity teaching microscope. The scope has multiple wide-field oculars for optimal one-to-one mentoring by faculty. Additionally, an endless supply of synthetic bones is available on which residents refine their skills for open reduction and internal fixation of basic to highly complex fractures.

The curriculum is simulation-supported as opposed to simulation-based in order to enhance the situated learning that is already taking place in orthopedic training. This curriculum is based on ABOS recommended modules for PGY-1s with advancement throughout the other years. The simulation training will scaffold residents' experience of assisting in procedures to actively performing them. At the culmination of each simulation module, residents demonstrate their mastery of skills and techniques through either a summative or formative assessment depending on the content. This assessment provides the orthopedic team with a measure of confidence of the resident's skill level before allowing him or her greater clinical autonomy, both in and out of the OR.

In addition to advancing technical proficiency, this curriculum fosters conscious competency for procedures and clinical reasoning in that it requires residents to manifest the following higher-order decision-making and practical skills:

Articulating the steps prior to performing a procedure and the reasoning behind each one

  1. Producing multiple strategies for accomplishing a procedure and analyzing the trade-offs of each
  2. Thinking through the consequences of decisions
  3. Performing the procedure with minimal hesitation and with economy of motion
  4. Making consistent and accurate decisions

 

The curriculum includes:

  • Laparoscopic Surgery
  • Resuscitation Skills
  • Sterile Technique and Orthopaedic Room Set up
  • Fluoroscopy Training
  • Soft Tissue Handling, Suturing Skills, and Knot Tying
  • Casting and Splinting Techniques
  • Skeletal Traction
  • Joint Aspiration and Injection
  • Compartment Syndrome
  • Arthroscopy Training
  • Anatomy Dissection
  • Microsurgery
  • Arthroplasty
  • Trauma
    • Basic Skills:
      • Bone Handling Techniques
      • Principles and Techniques of Fracture Reduction)
      • Basic Techniques of Internal fixation
      • K-Wire Techniques
      • External Fixation
    • Advance Techniques in Different Regions