Department of Trauma and Orthopaedics, King's College Hospital, London, UK.
Department of Trauma and Orthopaedics, Imperial College London, London, UK.
Br J Hosp Med (Lond). 2023 Sep 2;84(9):1-8. doi: 10.12968/hmed.2022.0360. Epub 2023 Sep 21.
Surgical competence is the ability to successfully apply academic knowledge, clinical skills and professional behaviour to inpatient care. Along with ensuring patient safety, the ability to communicate effectively, collaborative teamwork and probity, and achieving satisfactory competencies form the fundamental principles of good medical practice. Current strategies to develop surgical competencies include a range of formative and summative assessments. The cancellation of traditional face-to-face meetings and training opportunities during the COVID-19 pandemic had a profound impact on the delivery of medical education and opportunities to achieve surgical competencies. Simulation learning has been used since before the pandemic to deliver surgical training across all grades and specialities, including orthopaedic surgery. Simulation-based training provides a safe, controlled environment to develop skill acquisition. Simulated surgery using virtual reality has evolved following developments in software and hardware. This article explores the role of high-fidelity virtual reality simulation to assess competencies in orthopaedic training in the post-COVID-19 era, and examines whether simulation could be used within the curriculum to augment and improve training.
手术能力是将学术知识、临床技能和专业行为成功应用于住院患者治疗的能力。除了确保患者安全外，有效沟通、协作团队合作和正直诚实的能力以及达到令人满意的能力水平构成了良好医疗实践的基本原则。目前培养手术能力的策略包括一系列形成性和总结性评估。在 COVID-19 大流行期间，传统的面对面会议和培训机会被取消，这对医学教育的开展和获得手术能力的机会产生了深远的影响。模拟学习早在大流行之前就被用于各个年级和专业的外科培训，包括矫形外科。基于模拟的培训提供了一个安全、可控的环境来发展技能获取。随着软件和硬件的发展，虚拟现实模拟手术也在不断发展。本文探讨了高保真虚拟现实模拟在后 COVID-19 时代评估矫形外科培训能力的作用，并探讨了模拟是否可以在课程中使用，以增强和改善培训。
