We read with interest the paper by Ferarra et al. [1]. Reduction in surgical exposure has in fact affected surgical training both in direct surgical skills acquisition and as well as observational surgical learning. Were herein share an example of our recent innovation using animated video to complement surgical simulation.

Peyton’s four steps (demonstration, deconstruction, comprehension and performance) is one of the most common methods used in practical skill training [2, 3]. Using animated video, new knowledge (in this case, PCR) is demonstrated. Following video demonstration, trainees can be asked to deconstruct and perform PCR management using a virtual reality eye simulator and a simulated patient for communication skill practice.

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