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Learning Modern Laryngeal Surgery in a Dissection Laboratory
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Longitudinal Microsurgery Laboratory Training during Hand Surgery Fellowship.

Ricardo Ortiz1, Ravi F Sood1, Suzanne Wilkens2

  • 1Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, Massachusetts, United States.

Journal of Reconstructive Microsurgery
|May 30, 2019
PubMed
Summary

A longitudinal microsurgical training course improved hand surgery fellows' confidence and competence. This integrated curriculum offers a feasible, effective approach to developing microsurgical skills over time.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Microsurgery

Background:

  • Traditional microsurgery courses are limited by cost, accessibility, and lack of longitudinal follow-up.
  • This study addresses the need for a more integrated and sustained microsurgical training model.

Purpose of the Study:

  • To describe a longitudinal microsurgical training course integrated into a hand surgery fellowship curriculum.
  • To assess the impact of this course on trainee microsurgical confidence and competence.

Main Methods:

  • Six hand surgery fellows participated from 2016-2018.
  • A 3-day initial course included didactic, synthetic, and live rat models, with follow-up training at 6 and 12 months.
  • Trainee confidence, knowledge, and interest were assessed via questionnaires, and competence was evaluated using a global rating scale (GRS).

Main Results:

  • Significant increases in self-reported microsurgical confidence (4.3 to 6.2) and knowledge (4.7 to 6.5) were observed post-initial course.
  • Mean GRS scores demonstrated improvement in microsurgical competence at 6 and 12 months.
  • Interest in microsurgery remained high and stable throughout the training.

Conclusions:

  • A longitudinal, integrated microsurgical training course enhances hand surgery fellows' confidence and skill.
  • The described training approach is feasible and effective for developing sustained microsurgical competence.