Obstacles faced in the classical training system; Why is there a need for newer systems?- Needs and wishes from the arthroscopic community? Simulation: Traditional wet labs (animal and human cadavers) including industry involvement -- Box trainers & anatomic bench models -- Virtual reality simulators -- Simulator Validation -- Guidelines for use of simulators. Objective  performance tracking: Psychomotor learning applied to arthroscopy -- What measures represent performance?- What thresholds are evidence-based?- Preclinical training strategies -- Guidelines for preclinical performance tracking. Monitoring training in the OR: Theory on learning strategies applied to arthroscopy -- Global rating scales -- (Video) tools for objective monitoring in OR -- Guidelines for use in OR -- Concluding remarks.