title: Education in wrist arthroscopy: past, present and future.
abstract: OBJECTIVE
  Arthroscopy has assumed an important place in wrist surgery. It requires specific operative skills that are now mainly acquired in the operating room. In other fields of endoscopic surgery, e-learning and virtual reality (VR) have introduced new perspectives in teaching skills. This leads to the following research question: Could the current way of teaching wrist arthroscopy skills be supported using new educational media, such as e-learning and simulator training?
  
  
  METHODS
  The literature was searched for available methods of teaching endoscopic skills. Articles were assessed on the evidence of validity. In addition, a survey was sent to all members of the European Wrist Arthroscopy Society (EWAS) to find out whether hand surgeons express a need to embrace modern educational tools such as e-learning or simulators for training of wrist arthroscopy skills.
  
  
  RESULTS
  This study shows that the current way of teaching wrist arthroscopy skills can be supported using new educational media, such as e-learning and simulator training. Literature indicates that e-learning can be a valuable tool for teaching basic knowledge of arthroscopy and supports the hypothesis that the use of virtual reality and simulators in training enhances operative skills in surgical trainees. This survey indicates that 55 out of 65 respondents feel that an e-learning program would be a valuable asset and 62 out of the 65 respondents are positive on the additional value of wrist arthroscopy simulator in training.
  
  
  CONCLUSIONS
  Study results support the need and relevance to strengthen current training of wrist arthroscopy using e-learning and simulator training.
  
  
  METHODS
  V.
authors.affiliation: Department of Plastic, Reconstructive and Hand Surgery, Academic Medical Center, University of Amsterdam, P.O. Box 22660, 1100 DD, Amsterdam, The Netherlands. m.c.obdeijn@amc.uva.nl.
authors.forename: M C
authors.initials: MC
authors.lastname: Obdeijn
authors.affiliation: Department of Plastic, Reconstructive and Hand Surgery, Academic Medical Center, University of Amsterdam, P.O. Box 22660, 1100 DD, Amsterdam, The Netherlands.
authors.forename: N
authors.initials: N
authors.lastname: Bavinck
authors.affiliation: Institut de la Main, Clinique Jouvenet, Paris, France.
authors.forename: C
authors.initials: C
authors.lastname: Mathoulin
authors.affiliation: Department of Plastic, Reconstructive and Hand Surgery, Academic Medical Center, University of Amsterdam, P.O. Box 22660, 1100 DD, Amsterdam, The Netherlands.
authors.forename: C M A M
authors.initials: CMAM
authors.lastname: van der Horst
authors.affiliation: Department of Surgery, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
authors.forename: M P
authors.initials: MP
authors.lastname: Schijven
authors.affiliation: Department of Biomechanical Engineering, Delft University of Technology, Delft, The Netherlands.|Department of Orthopedic Surgery, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
authors.forename: G J M
authors.initials: GJM
authors.lastname: Tuijthof
mesh_terms: D001182:Arthroscopy / Q000193:education*; D002983:Clinical Competence; D003198:Computer Simulation; D004502:Education, Medical, Continuing / Q000639:trends*; D006801:Humans; D009985:Orthopedics / Q000193:education*; D014955:Wrist Joint / Q000601:surgery*