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Undergraduate microsurgical training: a preliminary experience.

Andrzej Zyluk1, Zbigniew Szlosser1, Piotr Puchalski1

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Summary

This study presents an undergraduate microsurgical training model for medical students. The program effectively equips students with essential microsurgical skills, competence, and confidence.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Microsurgery

Background:

  • Microsurgical training is typically reserved for postgraduate surgical residents.
  • There is a need for accessible microsurgical training models for medical students.
  • Current training models often lack undergraduate-specific curricula.

Purpose of the Study:

  • To introduce and evaluate an undergraduate microsurgical training model for clinical-year medical students.
  • To assess the effectiveness of a structured curriculum in developing microsurgical skills.
  • To determine if this training enhances student confidence and competence.

Main Methods:

  • A 15-week, 30-hour undergraduate microsurgical training program was developed.
  • The curriculum included basic (suturing, neurovascular bundle preparation) and advanced (anastomosis, nerve repair) modules.
  • Training utilized a chicken thigh model and a "6-stitches test" for skill assessment.

Main Results:

  • Participants completed 31 anastomoses over the course of the program.
  • The "6-stitches test" indicated successful acquisition of microsurgical skills.
  • Students demonstrated increased competence and confidence in microsurgical techniques.

Conclusions:

  • Undergraduate microsurgical training is feasible and effective.
  • This facultative program successfully imparts crucial microsurgical skills to medical students.
  • The developed model provides a valuable foundation for future surgeons.