Abstract
The traditional, time intensive apprenticeship model of surgical skill acquisition has become impracticable in the current era of working hour restrictions limiting the total hours available for surgical training. Trainees feel 'hands on' operative exposure has reduced, impacting on training as well as patient safety. While working hour restrictions persist, simply increasing the length of surgical training will not adequately overcome reduced exposure to operative training. Improving quality and efficiency of training must therefore utilise learning outside the operating theatre; simulation training could form part of this.
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