The study aimed to develop and evaluate a cost-effective psychomotor training and assessment tool, the Fundamentals of Orthopaedic Surgery (FORS), designed to enhance the education of junior-level orthopaedic surgery residents. Utilizing materials sourced from a local hardware store, the FORS platform, costing under $350, assessed six key psychomotor skills relevant to surgical practice. Participants included medical students, residents, and attending physicians from three accredited orthopaedic residency programs. Over four weeks, twenty-five medical students underwent longitudinal training, showing significant improvement in four out of six tasks compared to junior residents.

The results indicated that the FORS simulator effectively enhances basic motor skills, demonstrating the potential to elevate junior participants' capabilities to that of senior residents. This tool offers a promising resource for residency education, aligning with patient safety initiatives and addressing current medicolegal trends in surgical training.