Rajesh Aggarwal

TL;DR: Simulation based training scenarios for the surgical team enable technical and non-technical performance of the surgeon and circulating staff to be assessed by experts situated in an adjacent control room, and provides an opportunity for constructive feedback.

TL;DR: The case is made for placing real human "patients" (played by actors) within simulation environments, thereby ensuring that the training experience remains rooted in actual practice and for curriculum redesign to ensure that simulator-based technical skills training and assessment take place within an authentic context that reflects the wider elements of clinical practice.

TL;DR: The review focuses on simulation research and implementation of existing knowledge and explores possible future directions for the field, including the cost-effectiveness of SBT and its impact on patient outcomes.

TL;DR: Video-based technical skills evaluation in the operating room is feasible, valid and reliable, and global rating scales hold promise for summative assessment, though further work is necessary to elucidate the value of procedural rating scales.

TL;DR: An instant, objective, valid, and reliable mode of assessment of laparoscopic performance in the operating room has been defined and may serve to reduce the time taken for technical skills assessment, and subsequently lead to accurate and efficient audit and credentialing of surgeons for independent practice.