Learning Curves in Arthroplasty in Orthopedic Trainees

The NHS is adapting to a changing environment, in which economical constraints have forced theatres to maximise efficiency. An environment in which working hours and surgical exposure has been reduced and outcomes are being published. Litigation is high, and patients are living longer with higher demands. We ask, will traditional methods of apprentiship type training suffice in producing competent arthroplasty surgeons when hands on experience is falling. We review learning curves and assessment tools available to accurately assess competency and support trainee orthopaedic surgeons in their acquisition of surgical proficiency.