Why simulators, task trainers & models are less expensive and consistantly outperform cadavers (or live subjects)

Programs adopt simulation to improve consistency, safety, capacity, and ethics—often at a lower total cost once cadaver procurement, storage, and waste handling are included.

Repeatable & scalable Safer & cleaner labs Ethical (3Rs-aligned) Lower total cost Anytime/anywhere practice

Better skill acquisition & consistency

Simulation-based learning supports deliberate practice and standardized exposure to critical variants—no two cadavers are alike, but simulators can be. Syntheses of simulation-based medical education report gains in knowledge, skills, and transfer to clinical performance compared with traditional methods, especially when practice is structured and feedback-rich.

See references #1 and #3 for accessible program overviews and evidence summaries.

Ethics first: the 3Rs

Modern animal and human-subject policies emphasize Replacement, Reduction, and Refinement (the 3Rs). Where valid alternatives exist, replacing live animals or reducing cadaver dependence is encouraged—both to minimize harm and to align with evolving regulatory and societal expectations.

  • Use non-animal alternatives where they can achieve learning objectives.
  • Reduce numbers when animals or human remains must be used.
  • Refine procedures to minimize suffering/exposure.

See references #2 (NC3Rs) and #1 (AVMA overview).

Safety & logistics

  • No formaldehyde/fixative exposure (reduced respiratory/dermal risks and lab controls).
  • No biohazard blood/tissue management and fewer PPE/cleanup burdens.
  • “Any rotation, any time”—no refrigeration scheduling, thaw time, or specimen scarcity.

Total cost favors simulation over cadaver use

Even when donors/families aren’t charged, schools and labs bear real costs for receiving, storing, preparing, using, and disposing of biological materials—plus compliance and staff time. Consider recurring line items:

  • Travel to harvest and dispose
  • Work hours for preparation, perserving / embalming, thawing, staging.
  • Personal Protective Equipment for all participants.
  • Time and cost to disinfect and sterilize workspaces
  • Cold-storage & ventilation (energy & maintenance)
  • Biohazardous waste and sharps
  • Regulated medical waste disposal (often billed per pound)
  • Hazard communication & monitoring, spill kits, training time

Example: one university’s infectious waste pricing lists ~$1.21 per pound (before transport/containers), a recurring cost with each lab. See reference #4.

When cadavers (or live tissue) are still appropriate

There remain objectives—especially complex anatomical variation, tactile pathology, or multi-system dissections—where cadavers offer unique value. A pragmatic approach blends models for core psychomotor skills and repetition with select cadaver labs for advanced integrative experience, reducing total specimens while maintaining curricular rigor.

Practical budgeting: demonstrate savings

References

  1. American Veterinary Medical Association (AVMA). From the Cover: Simulators and models in veterinary education. Link
  2. NC3Rs. The 3Rs—Replacement, Reduction and Refinement. Link
  3. UMKC School of Medicine. What is Health Care Simulation? Link
  4. University of Massachusetts Lowell EHS. Medical/Regulated Waste Management (pricing example). Link (PDF)
  5. Maryland State Anatomy Board. Donor Packet FAQ. Link (PDF)
  6. Albany Medical College—Anatomical Gift Program. Program overview. Link
  7. University of Kentucky—Willed Body Program. FAQs. Link

Want a deeper, method-specific bibliography (e.g., suturing, airway, ultrasound)? We can compile a targeted list on request.