“…[43][44][45][46] It is in this area of transferability that supportive evidence is lacking when compared to other surgical specialties. Multiple studies have demonstrated a 'real-world' benefit from the use of Knee arthroscopic ability on a cadaver knee in a simulated intra-operative environment using the validated Global Rating Scale, 49 arthroscopic checklist, and procedural time -for both diagnostic examination and probing examination; additionally, participants were given an untrained task (partial medial meniscectomy) to assess skill transfer, which was assessed using the same metrics as above VR-trained participants outperformed both lowfidelity trained and control groups when assessed with the GRS, for diagnostic examination, probe examination, and partial medial meniscectomy; no difference was observed between arthroscopic checklist completion between the VR and lowfidelity trained groups for the diagnostic and probe examinations, although both groups outperformed the untrained controls; 31% of participants were able to complete the partial meniscectomy vs 0% in the low-fidelity and control groups; VR-trained and low-fidelity groups showed significantly lower procedural times vs controls, but were not significantly different from each other.…”