Simulation is a well-established training tool for many different industries.
Aviation: "Simulators combined with aircraft training consistently produced improvements in training for jets compare to aircraft training only."
(Hays et al., 1992)
"Simulation reduces costs while increasing safety, visibility of event, and reproducibility of actions"
(Fletcher, et al. 2009)
"Game-based training has been reported to offer [...] improvements in physical fitness and performance."
(Gabbett, et al., 2009)
"Simulation-based education in gastrointestinal endoscopy is associated with improved performance in a test setting and in clinical practice, and improved patient outcomes compares with no intervention."
(Singh et al.,2014)
Three critical elements of safe surgery are judgement, knowledge and dexterity; first two can be improved through cognitive based training.
(Darzi and Mackay 2001)
Comparison to gold standard training
This study evaluated traditional methods of cognitive learning versus Touch Surgery. The Touch Surgery group demonstrated a significantly better post-intervention improvement over traditional methods.