Utility of a Validated Rating Scale for Self-Assessment in Microsurgical Training

Grant, Aaron; Temple‐Oberle, Claire

doi:10.1016/j.jsurg.2016.08.017

Cited by 17 publications

(13 citation statements)

References 18 publications

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“…Although a common tool for educational assessment, and particularly so in cultural competency assessment, 26,27,29,40,46,47 self-assessment can vary in reliability. 48 There is also the possibility of recall bias in reporting past medical training related to the skills. We surveyed a single residency program at one point in time; therefore, our results may have limited generalizability.…”

Section: Discussionmentioning

confidence: 99%

Implicit Bias and Caring for Diverse Populations: Pediatric Trainee Attitudes and Gaps in Training

Doucet

Ward

Johnson

et al. 2021

Clin Pediatr (Phila)

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The objective of this study was to determine the attitudes, skill level, and preferred educational interventions of pediatric residents related to implicit bias and caring for diverse patient populations. A cross-sectional survey of pediatric residents at a single, large urban residency program was utilized. Surveys were completed by 88 (55%) residents who were 69% female and 35% non-White or mixed race. Almost all residents felt that it was very or extremely important to receive training on health disparities, diverse patient populations, and implicit bias. Self-assessment of skill level revealed that residents felt confident in areas often covered by cultural competency curricula, such as interpreter use, but were less confident in other areas. The top 3 areas identified for further training included implicit bias, working with transgender and gender nonconforming patients, and weight bias. For the majority of diversity and bias-related skills, prior training was significantly correlated with higher skill level ( P < .05).

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Section: Discussionmentioning

confidence: 99%

Implicit Bias and Caring for Diverse Populations: Pediatric Trainee Attitudes and Gaps in Training

Doucet

Ward

Johnson

et al. 2021

Clin Pediatr (Phila)

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“…Grant and Temple-Oberle reported that self-evaluation scores of UWOMSA correlate well with preceptor scores and surgical residents likely benefit from repetitive training. 28 Furthermore, Satterwhite et al suggested better improvement in the performance of microsurgical tasks among residents who use the web-based microsurgical curriculum, especially among those with smaller prior microsurgical experience. 9 Virtual training and video teaching have become more frequent due to the spread of the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 99%

Video-Based Microsurgical Education versus Stationary Basic Microsurgical Course: A Noninferiority Randomized Controlled Study

Dąbrowski

Stogowski

et al. 2022

J Reconstr Microsurg

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Background Repetitive training is essential for microsurgical performance. This study aimed to compare the improvement in basic microsurgical skills using two learning methods: stationary microsurgical course with tutor supervision and self-learning based on digital instructional materials. We hypothesized that video-based training provides noninferior improvement in basic microsurgical skills. Methods In this prospective study, 80 participants with no prior microsurgical experience were randomly divided into two groups: the control group, trained under the supervision of a microsurgical tutor, and the intervention group, where knowledge was based on commonly available online instructional videos without tutor supervision. Three blinded expert microsurgeons evaluated the improvement in basic microsurgical skills in both groups. The evaluation included an end-to-end anastomosis test using the Ten-Point Microsurgical Anastomosis Rating Scale (MARS10) and a six-stitch test on a latex glove. Statistically significant differences between groups were identified using standard noninferiority analysis, chi-square, and t-tests. Results Seventy-seven participants completed the course. Baseline test scores did not differ significantly between groups. After the 4-day microsurgical course, both groups showed statistically significant improvement in microsurgical skills measured using the MARS10. The performed tests showed that data for self-learning using digital resources provides noninferior data for course with surpervision on the initial stage of microsurgical training (7.84; standard deviation [SD], 1.92; 95% confidence interval [CI], 7.25–8.44) to (7.72; SD, 2.09; 95% CI, 7.07–8.36). Conclusion Video-based microsurgical training on its initial step provides noninferior improvement in microsurgical skills to training with a dedicated instructor.

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“…This fact is reflected, for instance, in the increasing need to quantify microsurgery training by using scales that attempt to measure these subjective parameters. Despite of the fact that there is still a lack of standardization, some of the main scales compile the following issues ( 5 , 11 ): self-confidence, theoretical knowledge [Global Rating Scale (GRS) and Northwestern Objective Microanastomosis Assessment Tool (NOMAT)], subjective self-assessment or by a third party [Objective Structured Assessment of Technical Skills (OSATS), University of Western Ontario microsurgical skills acquisition/assessment (UWOMSA), GRS, and NOMAT] ( 66 ), objective motion control (The Stanford Microsurgery and Resident Training (SMaRT)) ( 67 ), analysis of the final result of the anastomosis (UWOMSA, GRS, and NOMAT), time to complete anastomosis (UWOMSA, GRS) and transferability.…”

Section: Discussionmentioning

confidence: 99%

Beyond Classic Anastomoses Training Models: Overview of Aneurysm Creation in Rodent Vessel Model

et al. 2022

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Nowadays, due to the decline in the number of microsurgical clippings for cerebral aneurysms and revascularization procedures, young neurosurgeons have fewer opportunities to participate and train on this type of surgery. Vascular neurosurgery is a demanding subspecialty that requires skills that can only be acquired with technical experience. This background pushes the new generations to be ready for such challenging cases by training hard on different available models, such as synthetic tubes, chicken wings, or placenta vessels. Although many training models for vascular neurosurgery have been described worldwide, one of the best is the rodent vessels model. It offers pulsation, coagulation, and real blood flow conditions in a physiologic atmosphere that mimics perfectly the intracranial human vessels environment, especially in terms of size. However, the current differences in governmental different regulations about the use of living animals in medical experimentation and the social awareness, as well as the lack of financial support, cause more difficulties for neurosurgeons to start with that kind of training. In this review, we describe the tools and techniques as basic steps for vascular microsurgery training by using rodent models, that provide an accurate copy of brain vessels environment under stable conditions. The initial three classical known microanastomoses for neurosurgeons are end-to-end, end-to-side, and side-to-side, but in literature, there have been described other more complex exercises for training and investigation, such as aneurysm models. Although there is still little data available, we aim to summarize and discuss aneurysm's training models and reviewed the current literature on the subject and its applications, including a detailed description of the techniques.

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Utility of a Validated Rating Scale for Self-Assessment in Microsurgical Training

Cited by 17 publications

References 18 publications

Implicit Bias and Caring for Diverse Populations: Pediatric Trainee Attitudes and Gaps in Training

Implicit Bias and Caring for Diverse Populations: Pediatric Trainee Attitudes and Gaps in Training

Video-Based Microsurgical Education versus Stationary Basic Microsurgical Course: A Noninferiority Randomized Controlled Study

Beyond Classic Anastomoses Training Models: Overview of Aneurysm Creation in Rodent Vessel Model

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