A Proficiency-Based Progression Simulation Training Curriculum to Acquire the Skills Needed in Performing Arthroscopic Bankart and Rotator Cuff Repairs—Implementation and Impact

Arthroscopic Versus Open Rotator Cuff Repair: Fellowship-Trained Orthopaedic Surgeons Prefer Arthroscopy and Self-Report a Lower Complication Rate

“…The use of arthroscopic simulator training models has been demonstrated to improve arthroscopic technique performance. [17][18][19][20][21][22] This may translate to increased competency in the operating room and is a potential avenue to gain skill throughout residency training. 23 Although previous literature did not establish a definitive difference in outcomes between arthroscopic versus open/mini-open RCR repair, 9,[24][25][26][27] the use of the ABOS database demonstrated that arthroscopic RCR is increasingly performed over open RCR and has a lower complication rate.…”

“…The use of arthroscopic simulator training models has been demonstrated to improve arthroscopic technique performance. 17 , 18 , 19 , 20 , 21 , 22 This may translate to increased competency in the operating room and is a potential avenue to gain skill throughout residency training. 23 …”

A Novel Device to Prevent Undesired Arthroscopic Camera Rotation

“…To date, the first steps in AT are generally performed in conventional or virtual simulators, artificial models or cadaveric specimens [4][5][6]. Cadaveric training has shown effectiveness, even in not technically simple procedures such as Bankart lesion repairs in the shoulder [7]. However, virtual simulators and cadaveric specimens are expensive, and generally not accessible in every centre with learning surgeons, who have to travel elsewhere to put their hands on them.…”

Proficiency-Based Progression Surgical Training: Preparation for Finishing School

“…1 The commentary was regarding our original scientific article, "A Proficiency-Based Progression Simulation Training Curriculum to Acquire the Skills Needed in Performing Arthroscopic Bankart and Rotator Cuff RepairsdImplementation and Impact." 2 We agree with Dr. Frank's perspective but would like to bring clarity to the role of a proficiency-based progression (PBP) curriculum for surgical skills training. Fundamental arthroscopic skills (telescoping, triangulation, debridement, drilling, knot tying, and so on) as well as the knowledge of the specific steps to perform (in the proper order) and errors to avoid for a particular procedure should be acquired before participating in surgery on patients.…”

“…This hurdle, however, is a relatively small burden when balanced against the reduced morbidity and mortality that almost certainly would follow superior PBP skills training. 2 Furthermore, there is a growing body of evidence that demonstrates that the skill of the operating surgeon is linked to patient outcomes, 4 even for cancer surgery. 5 In summary, a PBP curriculum is a very effective approach to surgical skills training, but it is only a preparatory phase that should develop pre-trained novices who are ready to acquire the clinical wisdom that experience alone can provide.…”