The changes in education, secondary to the demand for health care in the 21 st century, have exploited different strategies to improve the quality of training of health professionals, simulation in health care has had a boom in recent decades and the branch of Orthopedics has not been exempt. There are different approaches that can be reached with simulation in orthopedics, from simulation management and simulators or virtual reality programs to influence the learning curve and improve technical and non-technical skills, classify the level of those skills, assess and certify professional competencies, among others. Most studies in orthopedics focus on surgical areas, leaving aside the approach of clinical and non-technical skills, as well as undergraduate, so one of the challenges of simulation within the area of orthopedics is to expand the vision towards these areas, since it has been demonstrated that at all levels, the simulation generates significant improvements in the training and performance of health personnel, generating a direct impact on patient safety.