New Paradigms in Reconstructive Microsurgery Education

Masià, Jaume; Sanchez-Porro, Lídia; Vega, Carmen; Farhadi, Jian; Suominem, Sinikka; Kolb, F.; Garusi, Cristina; Landuyt, Koenraad Van; Santamaría, Eric; Innocenti, Marco

doi:10.1097/sap.0000000000001825

Cited by 7 publications

(14 citation statements)

References 18 publications

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“…As far as operative experience, although the number of free DIEP flaps in which fellows were the primary surgeons or first assist was wide ranging (60-230), the increase in comfort and the comfort score upon completion of fellowship for the ability to independently perform a free DIEP flap was not different between fellows who participated in less free flaps and those who participated in more. The score for independent performance of a DIEP flap procedure increased from 2.7 to 4.8 from beginning to end of the year (validated Likert scale [1][2][3][4][5]. This indicates that the ability to perform a basic free flap was a skill the fellows were appropriately trained for by the end of the year.…”

Section: Discussionmentioning

confidence: 99%

Microsurgery Fellows' Impression of Clinical and Educational Offerings during Fellowship Year

Sullivan

Maliha

Henderson

2019

J reconstr Microsurg

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Background Acquisition of microsurgical skill and clinical knowledge is the primary goal of a microsurgery fellowship. There has yet to be any comprehensive reporting in the literature of how American microsurgery fellows viewed their curricula and training at the conclusion of their fellowship year. Methods An anonymous, electronic survey was developed and distributed to all 2016 to 2017 microsurgery fellows (n = 37) at the U.S.-based microsurgery fellowship programs (n = 23). Qualitative questions were assessed using either a Likert-type scale of 1 (not at all) to 5 (very), multiple choice, or free response. Results Twenty-six of 37 fellows (70%) responded to the survey. Respondents reported a mean of 14.4 lectures offered, with a range of 0 to 100. Dry laboratory simulation training was formally incorporated into 32% of microsurgery fellowships and live animal simulation training was formally incorporated into 12%. The median number of free deep inferior epigastric perforator flap cases performed was 112.5, ranging from 60 to 230. A majority felt that an organized microsurgical educational curriculum would be “beneficial,” with 42% reporting that an organized microsurgery curriculum would be “very beneficial.” Twenty-six of the respondents (100%) said that they would choose to do a microsurgery fellowship again if given the choice. Conclusion Respondent data show that microsurgery fellows are satisfied with training, clinical experience is variable but adequate, educational experiences and opportunities vary from program to program, simulation skills training are perceived to be underutilized, and a program-organized microsurgery curriculum is believed to be advantageous to optimize development of technical and clinical skills.

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Section: Discussionmentioning

confidence: 99%

Microsurgery Fellows' Impression of Clinical and Educational Offerings during Fellowship Year

Sullivan

Maliha

Henderson

2019

J reconstr Microsurg

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“…В клинической практике хирурги сталкиваются с такими сложными вызовами, когда в результате травм или широких онкологических резекций формируются мягкотканевые дефекты и объемные дефекты костной части скелета. Именно навыки специалистов в реконструктивной микрохирургии позволяют решать проблему восстановления утраченных покровных и костных тканей скелета в один этап с наибольшей эффективностью, а также проводить реплантацию конечностей или их частей [2,4,5].…”

Section: Financial Disclosureunclassified

“…In clinical practice, surgeons face such complex challenges when, as a result of injuries or extensive oncological resections, not only soft tissue defects are formed, but also volumetric defects of the bone part of the skeleton, which provides a support function. It is the skills of specialists in reconstructive microsurgery that make it possible to solve the problem of restoring the lost integumentary and bone tissues of the skeleton in one stage with the greatest efficiency, as well as to carry out replantation of limbs or their parts [2,4,5].…”

Section: Financial Disclosurementioning

confidence: 99%

“…Однако дефицит подобных специалистов, способных восстановить микрососуды, нервы и лимфатические коллекторы, является общепризнанным [4,6]. По данным S. Inchauste и соавт., именно отсутствие такой узкоспециализированной реконструктивной помощи при травмах, ожогах, врожденных аномалиях и других хирургических заболеваниях приводит к росту инвалидизации и смертности, на которую приходится 30% глобального бремени национальной службы здравоохранения.…”

Section: Financial Disclosureunclassified

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Current aspects of training Ukrainian doctors for reconstructive microsurgery

Sliesarenko¹,

Badiul

Galich

et al. 2021

ВХ

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Modern technologies and the skills of specialists in reconstructive microsurgery make it possible to solve the problem of restoring the lost cover tissues and bone tissues of the skeleton in one stage with the greatest efficiency, as well as to carry out replantation of limbs or their parts. However, the shortage of such specialists is widely recognized, leading to an increase in disability and death, which account for up to 30% of the global burden of the national health service. In the work, which prepared by specialists from the centres of the cities Dnipro and Kiev, the issue of mastering the skills of reconstructive microsurgery by young specialists is considered. The authors conduct a comparative analysis of teaching methods at two bases in Ukraine and two bases in the European Union.At the current level of development of international educational programs of a specialized online community (international microsurgery club), it is possible to improve or master new techniques for a surgeon of any level of basic training. According to the price-quality criterion and geographical location, the Pius Branzeu Center laboratory (Romania), in the context of the globalization of the world economy and the integration of the European Union countries, can be considered as optimal centre for teaching basic skills for residents and young doctors. However, after obtaining these skills, the microsurgeon must continue training in the real clinical conditions of existing centres in Ukraine for obtain practical experience.

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“…This course is delivered via 11 modules over the course of 2 years; these modules consist of clinic, live surgery modules, and laboratory modules at various locations in Europe. 29 It will require continued consideration, collaboration, and creativity to cultivate optimal microsurgery training in the Unites States.…”

Section: Developing a Clinical Curriculum For Microsurgerymentioning

confidence: 99%

The Ideal Microsurgery Fellowship: A Survey of Fellows and Fellowship Directors

Reghunathan

Zaldana-Flynn

Rose

et al. 2020

J Reconstr Microsurg

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Background Although microsurgery fellowships have existed since the 1980s, there is no established curriculum. Microsurgery fellowships vary greatly in clinical caseload, case diversity, and training resources, and there is no consensus on the appropriate composition of a microsurgery fellowship. This study surveys fellowship directors (FD) and recent microsurgery fellows (MFs), graduates, to describe the ideal microsurgery fellowship program. Methods A 15-item questionnaire was sent to 38 FDs and 90 recent microsurgery fellowship graduates. This questionnaire addressed program attributes, case volumes and compositions, ideal experiences, and time allocation to different fellowship experiences. Data were analyzed using descriptive statistics, t-tests, and Chi-squared tests. Results The FD and MF surveys had a response rate of 47 and 49%, respectively. Both MF and FD agreed that exposure to microsurgical breast reconstruction is the most important characteristic of a microsurgery fellowship (p = 0.94). MF ranked replantation and supermicro/lymphatic surgery as the next most important microsurgical cases, while FD ranked the anterolateral thigh (ALT) flap and free fibula flap (p < 0.001). Both agreed that revisional surgery after microsurgical reconstruction is a very valuable fellowship experience (p = 0.679). Both agreed that 1 day of clinic a week is sufficient. Conclusion Microsurgical training programs vary in quality and resources. The ideal microsurgery fellowship prioritized breast reconstruction, head and neck reconstruction, and lower extremity reconstruction. Although microsurgical technical expertise is important, a fellowship should also train in revisional surgeries and clinical decision making.

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New Paradigms in Reconstructive Microsurgery Education

Cited by 7 publications

References 18 publications

Microsurgery Fellows' Impression of Clinical and Educational Offerings during Fellowship Year

Microsurgery Fellows' Impression of Clinical and Educational Offerings during Fellowship Year

Current aspects of training Ukrainian doctors for reconstructive microsurgery

The Ideal Microsurgery Fellowship: A Survey of Fellows and Fellowship Directors

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