• David A McClusky and C Daniel Smith.
• Department of Surgery, Mayo Clinic, Jacksonville, 4500 San Pablo Road, Jacksonville, Florida 32224, USA.
• World J Surg. 2008 Feb 1; 32 (2): 171-81.

BackgroundA number of significant changes have forced surgical educators to re-evaluate the adequacy of traditional forms of surgical skills training.MaterialsA review of the literature reveals that surgical simulation has emerged as a useful adjunct to help educators adjust to the demands of an ever-changing surgical practice environment. As such, integration of simulation technology into a busy surgical training program has now become a priority for training programs worldwide.ResultsSuccessful integration requires a disciplined and dedicated approach to the appropriate use of all forms of available simulation in a well-designed curriculum.ConclusionThis manuscript provides a discussion of how this can be achieved using a sequential, modular, criterion-based framework, providing details of the rationale behind such an approach and current examples of how it can be integrated.

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