The Journal of Bone and Joint Surgery (American). 2006;88:1405-1411.
doi:10.2106/JBJS.F.00027
© 2006 The Journal of Bone and Joint Surgery, Inc.
Simulation in Orthopaedic Education: An Overview of Theory and Practice
James D. Michelson, MD1
1 Department of Orthopaedic Surgery, The George Washington University School of
Medicine and Health Sciences, George Washington University Hospital, 900 23rd
Street N.W., Room 6200, Washington, DC 20037. E-mail address:
OrthoPod@comcast.net
Investigation performed at the Clinical Learning and Simulation Skills
(CLASS) Center, The George Washington University School of Medicine and Health
Sciences, George Washington University Hospital, Washington, DC
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Introduction
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"When was the last time your airline pilot crashed?" The usual
response to that from non-aviation people is "I hope never!"
However, the true answer is "Within the last six months... in a
simulator." For over two decades, the aviation industry has recognized
that the only way to adequately train their pilots to react appropriately to
critical emergencies, which occur infrequently, is to expose them to those
emergencies in a simulated virtual reality environment. Not only is it less
expensive than crashing real planes, but it permits complete control over the
environment and provides the means to collect relevant data about what the
pilot does for subsequent educational feedback. Ultimately, it is used for
credentialing pilots to fly commercial airliners.
The critical nature and time pressures attendant to surgical and medical
procedures are similar to those faced by pilots. As physicians, the primary
goal of our education is to provide . . . [Full Text of this Article]

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