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Related Experiment Video

Updated: May 18, 2026

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
09:51

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators

Published on: March 21, 2018

Tracking the learning curve in microsurgical skill acquisition.

Jesse C Selber1, Edward I Chang, Jun Liu

  • 1Houston, Texas From the Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center.

Plastic and Reconstructive Surgery
|September 29, 2012
PubMed
Summary

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The Structured Assessment of Microsurgery Skills questionnaire effectively measures and improves microsurgical skills in fellows. This validated tool offers individualized feedback to enhance surgical training and reduce errors.

Area of Science:

  • Surgical Education
  • Microsurgery Training
  • Skill Assessment

Background:

  • Microsurgery training traditionally relies on an apprenticeship model.
  • Objective skill assessment is needed to enhance current training methods.
  • The Structured Assessment of Microsurgery Skills (SAMS) was applied to evaluate fellows.

Purpose of the Study:

  • To evaluate skill acquisition in microsurgical fellows using the SAMS.
  • To determine if targeted feedback can improve the microsurgical training model.
  • To hypothesize measurable performance improvement and inter-evaluator consistency.

Main Methods:

  • Seven fellows underwent evaluation across 118 cases with 16 evaluators over three periods.
  • The SAMS questionnaire assessed dexterity, visuospatial ability, operative flow, and judgment.

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Step By Step: Microsurgical training method combining two nonliving animal models
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Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve
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Related Experiment Videos

Last Updated: May 18, 2026

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
09:51

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators

Published on: March 21, 2018

Step By Step: Microsurgical training method combining two nonliving animal models
05:25

Step By Step: Microsurgical training method combining two nonliving animal models

Published on: May 9, 2015

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve
08:21

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve

Published on: August 15, 2025

  • Laboratory-based microsurgical anastomoses were assessed pre- and post-study for validation.

    • Main Results:

    • Significant improvements in all skill areas and overall performance were observed between the first two evaluation periods.
    • Operative errors significantly decreased from 81 to 36 (p < 0.05).
    • Laboratory assessments showed significant or marginal skill improvements; inter-evaluator reliability was acceptable (α = 0.67).

    Conclusions:

    • The SAMS questionnaire is a valid instrument for assessing microsurgical skills.
    • The tool provides individualized feedback with acceptable inter-evaluator reliability.
    • Implementation of the SAMS is expected to enhance microsurgical training programs.