Expert Performance on a Hip Wire Navigation Simulator Provides a Basis for Establishing Benchmarks to Define Skill Proficiency

Objective, simulation-based proficiency standards-such as attaining an IDEA score of 0.5 for hip fracture pinning-can guide competency-based progression, ensuring that residents achieve the technical skill required for safe operating room performance. Future research should evaluate how such benchmarks translate to real-world outcomes and whether they can be optimized to further improve surgical training and patient safety.