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I was a coauthor on a paper on that subject in the mid 90's. My opinion has not changed. A simulator is helpful in learning the basic techniques BUT it does not substitute for the operating room for the in depth learning

Norman
 
Norman McSwain MD
Professor, Tulane School of Medicine
Trauma Director, Charity Hospital Trauma Center
norman.mcswain at tulane.edu
504 988 5111

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of josemaya01
Sent: Thursday, May 07, 2009 1:50 PM
To: trauma-list at trauma.org
Subject: 

Ron, André and others:
In my opinion what bothers us the most is that we really don´t have the answer to all the questions that have arisen due to the changes that have ocurred in surgical training.  I myself would agree with Ron in the fact that no matter how good a simulator program is, it will never replace an OR scenario with a live patient, because even the mental state is not the same.
I think that a lot of work has to be done before we fall into a comfortable zone.
And yes, I consider myself a Jurassic specimen at this point.
José Mayagoitia, MD, FACS
Hospital General de Mexicali, México
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