The role of simulation in certification by the American Board of Surgery is in flux. Until 2010, there was no formal requirement for simulation of any kind in the certification process. Starting in 2010, successful completion of Fundamentals of Laparoscopic Surgery as well as Advanced Trauma Life Support and Advanced Cardiovascular Life Support is required for certification. Development of additional simulation measures is desirable, but standardization, validation, accessibility, and affordability all need to be addressed.
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