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Regular feedback during simulation training is not only a tool for motivation but is also essential for skills acquisition and retention. As already discussed, motion metrics serve as instant feedback during VR training and are likely one of the most important advantages to that type of simulation training. However, verbal feedback from experts has been shown more effective than motion metrics [44]. Specific and individualized feedback and subsequent training tailored to address that feedback have been shown to greatly improve OR performance [45].

Currently, the opportunity for simulation training is severely limited for veterinary surgeons and residents. Hopefully, veterinary surgery will show a similar development to that occurring over the past decade among MD surgeons. In 2006, only 55% of residency programs had training laboratories [12], but by 2008, such laboratories became a requirement [9]. In 2019, approximately 36% of ACVS resident training programs had access to a simulator [15]. Unfortunately, as many as 48% of residents perceived that training was not encouraged by senior faculty [15]. Despite lacking support from senior faculty, 88% of ACVS residents thought that simulation training increases OR performance [15].