Mixed Reality vs. Traditional Arthroscopic Simulation

This randomized controlled trial evaluates and compares the educational effectiveness of two arthroscopic training platforms: a traditional physical bench-model simulator and an immersive Mixed Reality (MR) simulator. Medical students and residents undergo a baseline assessment on a physical knee simulator and are then randomized into either the Traditional Simulator Group (TSG) or the Mixed Reality Simulator Group (MRSG). Participants complete a three-session training protocol focusing on basic psychomotor skills. Trainees are then evaluated on an anatomical knee task to measure true clinical skill transfer. Performance is video-recorded and scored by independent, blinded physicians using the validated Arthroscopic Surgical Skill Evaluation Tool (ASSET).

Inclusion Criteria: * Participants aged 18 years or older. * Medical students or junior orthopedic surgery trainees. * Novices in arthroscopic procedures (no prior practical experience in arthroscopy). * Voluntary agreement to participate and sign the informed consent form. Exclusion Criteria: * Any visual, cognitive, or physical impairment that prevents the proper execution of the simulated psychomotor tasks or the use of the MR glasses. * Inability to attend all three scheduled training sessions.