Microsurgery simulation training system and set up: An essential system to complement every training programme

Masud, Dhalia; Haram, Nadine; Moustaki, Margarita; Chow, Whitney; Saour, Samer; Mohanna, Pari Naz

doi:10.1016/j.bjps.2017.03.009

Cited by 37 publications

(39 citation statements)

References 25 publications

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“…These training curricula can be didactic lectures, online resources, and formal microsurgery courses. A validated training program by Masud et al 40 for trainee microsurgeons showed substantial improvement in microsurgical technique compared with the control. An initial didactic teaching session was attended by all trainees explaining all techniques and the use of a microscope.…”

Section: Microsurgery Training Modelsmentioning

confidence: 99%

Microsurgery Training in Plastic Surgery

Kania

Chang

Abu‐Ghname

et al. 2020

Plastic and Reconstructive Surgery - Global Open

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Summary: Advances in surgical instruments, magnification technology, perforator dissection techniques, and vascular imaging over the past decades have facilitated exponential growth in the field of microsurgery. With wide application potential including but not limited to limb salvage, breast reconstruction, lymphedema treatment, and sex affirmation surgery, microsurgery represents a critical skill set that powerfully augments the reconstructive armamentarium of plastic surgeons. Accordingly, microsurgical training is now a critical component of the plastic surgery residency education curriculum. Trainees must meet minimum microsurgery case requirements in addition to the core competencies outlined by the Accreditation Council for Graduate Medical Education. Through the use of simulation models, residency programs increasingly incorporate early skills development and assessment in microsurgery in the laboratory. Beyond residency, microsurgery fellowships offer additional exposure and refinement by offering volume, complexity, autonomy, and possible focused specialization. With continued refinement in technology and advances in knowledge, new types of simulation training models will continue to be developed and incorporated into microsurgery training curricula.

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Section: Microsurgery Training Modelsmentioning

confidence: 99%

Microsurgery Training in Plastic Surgery

Kania

Chang

Abu‐Ghname

et al. 2020

Plastic and Reconstructive Surgery - Global Open

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“…Critical to success for trainees in microsurgery is advancing through this steep learning curve. A simulation based training approach has been recognized as the most effective and appropriate learning environment in order to attain the learning curve and test technical proficiency in microsurgery (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

Determining the Effect of External Stressors and Cognitive Distraction on Microsurgical Skills and Performance

et al. 2020

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Introduction: Microsurgery is an essential element of Plastic Surgery practice. There is a paucity of studies assessing the impact of stress and cognitive distraction on technical microsurgical performance. The ability to complete cognitive and technical skills in parallel has not been assessed in a microsurgical setting. Aim: To test the hypothesis that cognitive distraction and external stressors negatively affect microsurgical performance in a high fidelity simulation setting. Materials/Methods: Fourteen surgeons across all levels of training undertook 2 microsurgical skills sessions, 1 month apart. Session one established baseline microsurgical skill. In session two, skills were assessed with the introduction of realistic operative room cognitive distractions (ORDIs). Outcome measures were efficiency and accuracy, measured by Time to Completion (TTC) and Anastomosis Lapse Index (ALI), respectively. Key Results: Fourteen participants (6 novices, 5 plastic surgery specialist trainees and 3 consultants) completed both microsurgical skills sessions. In total, 28-microvascular anastomosis were analyzed. Mean baseline TTC for the group was 20.36 min. With cognitive distraction and external stress mean TTC decreased to 17.87 min. Mean baseline ALI score for the group was 3.32 errors per anastomosis. The introduction of cognitive distraction and external stress increased the mean to 4.86 errors per anastomosis. Total errors per anastomosis increased from 91 errors at baseline to 137 errors with cognitive distraction and external stress. Under stress, participants were more efficient but had reduced anastomotic accuracy. Conclusion: Under stress, surgeons were more efficient, this translated into faster completion of a microsurgical anastomosis. Efficiency, however, came at the expense of accuracy.

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“…Furthermore, few training curricula have also been developed for training of the microsurgeons. The curricula used by Masud et al (), Rodriguez et al (), and Satterwhite et al () constitute important examples.…”

Section: Discussionmentioning

confidence: 99%

“…A few training curricula have been developed for the stepwise training of the novice microsurgeon. Masud et al () described a validated training program for trainee microsurgeons in which the group that undertook training showed significant improvement in the microsurgical technique compared to the control group. Microvascular Research Centre Training Program is another training program introduced by Komatsu et al ().…”

Section: Training Curriculamentioning

confidence: 99%

Current status of simulation and training models in microsurgery: A systematic review

et al. 2019

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With the prolific uptake of simulation-based training courses, this systematic review aims to identify the available microsurgical simulation and training models, their status of validation, associated studies, and levels of evidence (LoE) for each training model, thereby establishing a level of recommendation (LoR). MEDLINE, Embase, and the Cochrane Library databases were searched for English language articles, describing microsurgery simulators and/or validation studies. All studies were assessed for LoE, and each model was subsequently awarded a LoR using a modified Oxford Centre for Evidence-Based Medicine classification, adapted for education, with 1 being the highest and 4 the lowest score. A total of 86 studies were identified describing 64 models and simulators ranging from bench models, cadaveric animal tissue, cadaveric human tissue, live animal models, virtual reality simulators, and training curricula. Of these, 49 simulators had at least one validation study. Models were assessed for face (n = 42), content (n = 31), construct (n = 25), transfer (n = 10), and concurrent validity (n = 1) by these studies. The most commonly identified modality was bench models (n = 28) followed by cadaveric animal tissue (n = 24). The cryopreserved rat aorta model received the highest LoR followed by chicken wing, chicken thigh and practice cardboard models. Microsurgery simulation is a growing field and increasing numbers of models are being produced. However, there are still only a few validation studies with a high LoE. It is therefore imperative that training models and/or programs are evaluated for validity and efficacy in order to allow utilization in microsurgical skills acquisition.

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Microsurgery simulation training system and set up: An essential system to complement every training programme

Cited by 37 publications

References 25 publications

Microsurgery Training in Plastic Surgery

Microsurgery Training in Plastic Surgery

Determining the Effect of External Stressors and Cognitive Distraction on Microsurgical Skills and Performance

Current status of simulation and training models in microsurgery: A systematic review

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