L. Robbins, M. Bostrom, E. Craig, and T.P. Sculco reply:
We agree that teaching residents how to teach early on in their training through well-defined methods has the potential to be effective in enabling us to face today's challenges in orthopaedic education. The Dreyfus developmental model that takes the learner from novice to master is well suited for a five-year training program and, like similar models, should incorporate electronic education media and other state-of-the-art evaluation tools that help teachers and learners benchmark education outcomes. Orthopaedic surgery programs continue to discuss the efficacy of evaluation and outcomes, and we could not agree more that now is the time for action.