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<p>This editorial argues that surgical simulation must shift from a “nice‑to‑have” orientation tool to a mandatory gatekeeper for operative privilege. Drawing on evidence of genuine transfer and efficiency gains, it proposes step‑specific, proficiency‑based micro‑credentials, accreditation of curricula, and linking simulation performance to OR outcomes and privileging. It adds two guardrails: (1) a caution against proliferating low‑value courses without validated objectives or demonstrated transfer, resources should favor programs with clear outcomes and evidence; and (2) pairing mandates with motivation, clear goals, progressive challenge, rapid feedback, and gamified design to sustain engagement and prevent burnout.</p>

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From orientation to obligation: making advanced simulation the gatekeeper of operative privilege

  • 期刊论文

  • 发表日期：

    2026年2月2日

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  • Julián Varas

摘要

This editorial argues that surgical simulation must shift from a “nice‑to‑have” orientation tool to a mandatory gatekeeper for operative privilege. Drawing on evidence of genuine transfer and efficiency gains, it proposes step‑specific, proficiency‑based micro‑credentials, accreditation of curricula, and linking simulation performance to OR outcomes and privileging. It adds two guardrails: (1) a caution against proliferating low‑value courses without validated objectives or demonstrated transfer, resources should favor programs with clear outcomes and evidence; and (2) pairing mandates with motivation, clear goals, progressive challenge, rapid feedback, and gamified design to sustain engagement and prevent burnout.