Training and assessment in gynaecologic surgery: the role of simulation.

The paradigm of surgical education is changing. Surgical residencies are now required to have skills laboratories so that varying degrees of surgical training and skills acquisition can occur outside of the operating room. There is mounting evidence that surgeons can learn many fundamental skills and specific procedures with simulators. Evidence also supports the theory that surgeons trained initially with simulators perform better in the operating room than those who are not. Currently, there are many different simulators available for obstetrics/gynaecology procedures, both high and low fidelity. Less-expensive models are often as effective for training as low-fidelity models. Developing an effective surgical simulation programme requires a commitment to the concept and finding the time and space. Most importantly, it requires desire on the part of the trainees to devote the hours of practise needed to make themselves accomplished surgeons.