RT Journal A1 Holt, Graeme A1 Nunn, Tom A1 Gregori, Alberto T1 Ethical Dilemmas in Orthopaedic Surgical Training JF The Journal of Bone & Joint Surgery JO The Journal of Bone & Joint Surgery YR 2008 FD December 1 VO 90 IS 12 SP 2798 OP 2803 DO 10.2106/JBJS.H.00910 UL http://dx.doi.org/10.2106/JBJS.H.00910 AB The involvement of surgical trainees in surgical procedures forms an integral part of traditional orthopaedic surgical education. While the need to train surgeons is unquestioned, a patient may not necessarily benefit from receiving treatment from an inexperienced surgeon and, indeed, may suffer a poorer outcome as a consequence1-7. As such, the process of orthopaedic surgical training is one that highlights a number of important ethical issues. While the ethical implications of clinical research have been the subject of extensive discussion and guideline development, the ethics of surgical training has received comparatively little attention8-10. Both clinical research and surgical training are analogous in that each involves participation in a process that, while potentially benefiting society as a whole, may result in harm to the individual. In this paper, we discuss the ethical issues that are salient to orthopaedic surgical training and examine how recent technological innovations may offer a potential solution to such issues.