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Microsurgery Training Resource Variation among US Integrated Plastic Surgery Residency Programs.

Melissa A Mueller1, Navid Pourtaheri2, Gregory R D Evans1

  • 1Department of Plastic and Aesthetic Surgery, University of California Irvine School of Medicine, Orange, California.

Journal of Reconstructive Microsurgery
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Surgical skills labs are vital for resident education. This study found significant variation in microsurgery training opportunities across integrated plastic surgery programs, with many desiring a formal curriculum.

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Area of Science:

  • Plastic Surgery Education
  • Surgical Skills Training
  • Microsurgery Techniques

Background:

  • Competency-based surgical training and work-hour limitations necessitate robust surgical skills laboratories.
  • Microsurgery training is a critical component of integrated plastic surgery residency programs.

Purpose of the Study:

  • To investigate the availability of educational opportunities in microsurgery within integrated plastic surgery residency programs.
  • To assess current resources and curricula for microsurgical skills development.

Main Methods:

  • A survey was distributed to senior residents (PGY 4-6) at integrated plastic surgery programs during the 2016-2017 academic year.
  • Data collected included access to training microscopes, anastomosis models, skills assessment tools, and formal curricula.
  • Statistical analysis, including chi-squared tests, was used to compare programs based on size and the presence of microsurgery fellows.

Main Results:

  • 53% of eligible programs responded, revealing varied access to training microscopes and anastomosis models.
  • A significant majority of programs utilize nonliving prosthetics, living biologics, or nonliving biologics for anastomosis training.
  • Programs without microsurgery fellows more frequently reported a need for a formal microsurgery curriculum (90% vs. 58%).

Conclusions:

  • There is considerable variability in microsurgery training resources and structured curricula among integrated plastic surgery residency programs.
  • A formal microsurgical training curriculum is highly desired, especially in programs lacking dedicated microsurgery fellows.
  • Findings highlight the need for standardized microsurgical education to ensure consistent resident competency.