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Is There Bias against Simulation in Microsurgery Training?

Todd A Theman1, Brian I Labow1

  • 1Department of Plastic and Oral Surgery, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts.

Journal of Reconstructive Microsurgery
|April 15, 2016
PubMed
Summary
This summary is machine-generated.

Microsurgeons show skepticism towards virtual reality simulation despite its proven benefits for skills acquisition. Unfamiliarity with simulation technology may hinder its adoption in microsurgery training and assessment.

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Area of Science:

  • Microsurgery
  • Surgical Simulation
  • Medical Education

Background:

  • Microsurgery training has not widely adopted virtual reality (VR) simulation, unlike other surgical fields.
  • This lags behind advancements seen in other specialties.
  • There's a need to understand current perceptions within the microsurgical community.

Purpose of the Study:

  • To assess microsurgeons' opinions on the role of simulation in training.
  • To evaluate perceptions of simulation's utility for skills acquisition, teaching, and assessment.
  • To identify barriers to simulation adoption in microsurgery.

Main Methods:

  • A 21-question online survey was distributed to 675 faculty members of the American Society of Reconstructive Microsurgery.
  • The survey aimed to ascertain current usage and opinions regarding simulation in microsurgery.
  • A response rate of 13.2% (89 members) was achieved.

Main Results:

  • Most microsurgeons lack experience with high-fidelity simulation (94% in assessment).
  • Opinions on simulation's utility are inconsistent; 84% saw no reason for it to be useless, yet only 24% found it useful for clinical performance.
  • A significant majority (nearly 75%) were skeptical about simulation improving their skills.

Conclusions:

  • Despite evidence of simulation's efficacy in improving microsurgical skills, a lack of familiarity appears to foster bias against its use.
  • Failure to integrate simulation into training may disadvantage surgeons, especially if it becomes a requirement for recertification.
  • Adoption of simulation technology is crucial for the future of microsurgery training and assessment.