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DOI: 10.1055/s-0038-1668160
Microsurgery Training Resource Variation among US Integrated Plastic Surgery Residency Programs
Publikationsverlauf
22. März 2018
08. Juli 2018
Publikationsdatum:
18. August 2018 (online)
![](https://www.thieme-connect.de/media/jrm/201903/lookinside/thumbnails/10-1055-s-0038-1668160_180049-1.jpg)
Abstract
Background Given emerging focus on competency-based surgical training and work-hour limitations, surgical skills laboratories play an increasingly important role in resident education. This study was designed to investigate educational opportunities in microsurgery across integrated residency programs.
Methods Senior residents (PGY 4–6) at integrated plastic surgery programs were surveyed during the 2016 to 2017 academic year to determine each program's access to: training microscopes and anastomosis models, video-based skills assessment, pre-requisite skills exams, flap courses, or a formal microsurgical training curriculum. Programs were stratified based on large size (>18 residents) and presence of microsurgery fellows. Chi-squared analysis was performed with p < 0.05 to assess statistical significance.
Results Survey responses were collected from 32 of 60 eligible programs (53% response rate). Sixty-nine percent provide access to one to two training microscopes, 25% provide three or more, and 6% provide none. Sixty-nine percent of programs train anastomosis with nonliving prosthetics, 66% with living biologics, and 50% with nonliving biologics. Large program size or having microsurgical fellows was not associated with increased access to training microscopes or specific anastomosis models. Programs without microsurgery fellows reported more often that a formal microsurgery curriculum would be helpful (90 vs. 58% of programs with fellows, p = 0.0003). Respondents who indicated that creating a formal curriculum would not be helpful elaborated that their program already has a formal curriculum or a high volume of microsurgery cases.
Conclusion This study demonstrates the current variation in microsurgery training at integrated plastic surgery residency programs. A formal microsurgical training curriculum is commonly viewed as being helpful, particularly at programs without microsurgery fellows.
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References
- 1 Al-Bustani S, Halvorson EG. Status of microsurgical simulation training in plastic surgery: a survey of United States Program Directors. Ann Plast Surg 2016; 76 (06) 713-716
- 2 Hashmi A, Khan FA, Herman F. , et al. A survey of current state of training of plastic surgery residents. BMC Res Notes 2017; 10 (01) 234
- 3 Satterwhite T, Son J, Carey J. , et al. Microsurgery education in residency training: validating an online curriculum. Ann Plast Surg 2012; 68 (04) 410-414
- 4 Dumestre D, Yeung JK, Temple-Oberle C. Evidence-based microsurgical skill-acquisition series part 1: validated microsurgical models--a systematic review. J Surg Educ 2014; 71 (03) 329-338
- 5 Evgeniou E, Walker H, Gujral S. The role of simulation in microsurgical training. J Surg Educ 2018; 75 (01) 171-181
- 6 Balasundaram I, Aggarwal R, Darzi LA. Development of a training curriculum for microsurgery. Br J Oral Maxillofac Surg 2010; 48 (08) 598-606
- 7 Leclère FM, Trelles M, Lewbart GA, Vögelin E. Is there good simulation basic training for end-to-side vascular microanastomoses?. Aesthetic Plast Surg 2013; 37 (02) 454-458
- 8 Willis RE, Wiersch J, Adams AJ, Al Fayyadh MJ, Weber RA, Wang HT. Development and evaluation of a simulation model for microvascular anastomosis training. J Reconstr Microsurg 2017; 33 (07) 493-501
- 9 Satterwhite T, Son J, Carey J. , et al. The Stanford Microsurgery and Resident Training (SMaRT) Scale: validation of an on-line global rating scale for technical assessment. Ann Plast Surg 2014; 72 (Suppl. 01) S84-S88
- 10 Dumestre D, Yeung JK, Temple-Oberle C. Evidence-based microsurgical skills acquisition series part 2: validated assessment instruments--a systematic review. J Surg Educ 2015; 72 (01) 80-89
- 11 Ramachandran S, Ghanem AM, Myers SR. Assessment of microsurgery competency-where are we now?. Microsurgery 2013; 33 (05) 406-415
- 12 Alrasheed T, Liu J, Hanasono MM, Butler CE, Selber JC. Robotic microsurgery: validating an assessment tool and plotting the learning curve. Plast Reconstr Surg 2014; 134 (04) 794-803
- 13 McGoldrick RB, Davis CR, Paro J, Hui K, Nguyen D, Lee GK. Motion analysis for microsurgical training: objective measures of dexterity, economy of movement, and ability. Plast Reconstr Surg 2015; 136 (02) 231e-240e
- 14 Theman TA, Labow BI. Is there bias against simulation in microsurgery training?. J Reconstr Microsurg 2016; 32 (07) 540-545
- 15 Taylor JB, Binenbaum G, Tapino P, Volpe NJ. Microsurgical lab testing is a reliable method for assessing ophthalmology residents' surgical skills. Br J Ophthalmol 2007; 91 (12) 1691-1694
- 16 Fundamentals of Laparoscopic Surgery. Jan 23, 2018. Available at: https://www.flsprogram.org/news/abog-announces-new-eligibility-requirement-board-certification/ . Accessed June 7, 2018