Abstract: Objective To explore the application effect of full-scale simulation training in arthroscopic skill training for sports medicine physicians and explore a new teaching model for arthroscopy. Methods Based on Dewey's ″learning by doing″ educational principle and Jeffries' simulation theoretical framework, a full-scale simulation training method was introduced into a modular arthroscopic operation training course. A total of 12 sports medicine fellowship trainees undergoing sports medicine training at the First Affiliated Hospital of Zhejiang University School of Medicine from January to April 2024. Training effectiveness was evaluated through modular scoring assessments and questionnaires. Data were analyzed using t-tests to examine the improvement effect of full-scale simulation training on the operation scores of the specialized training physicians. Results After full-scale simulation training, the specialized training physicians' scores were as follows: arthroscopic control stability (14.50±2.71), accuracy in exploring anatomical structures within the joint cavity (14.75±3.27), accuracy in removing intra-articular loose bodies (15.50±2.84), accuracy in subacromial decompression (14.50±2.43), and operational fluency (15.08±2.53). All specialized training physicians (12/12) considered the objectives of the full-scale arthroscopic simulation training course clear and reasonable, and found the course content clinically relevant, enlightening, and practical. Conclusions The full-scale simulation training method improves the effectiveness of arthroscopic skill instruction, with high trainee satisfaction among specialized training physicians, and is worthy of adoption and broader implementation.

Key words: Arthroscopy, Full-scale Simulation Training, Sports medicine, Teaching and training