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Pretest and Posttest Evaluation of a Longitudinal, Residency-Integrated Microsurgery Course
Miranda A Chacon, Paige L Myers, Alap U Patel1
1From the Division of Plastic Surgery, Department of Surgery, University of Rochester Medical Center, Rochester.
Annals of Plastic Surgery
|March 25, 2020
Summary
This residency-integrated microsurgery course significantly improved resident surgical skills and efficiency. The longitudinal, flexible training format offers a viable alternative to traditional intensive courses for surgical residents.
Area of Science:
- Surgical Education
- Microsurgery Training
- Residency Programs
Background:
- Traditional microsurgery courses are intensive, time-consuming, and costly, posing challenges for residents.
- A residency-integrated microsurgery course offers a flexible, longitudinal training model.
Purpose of the Study:
- To validate a novel residency-integrated microsurgery course.
- To assess its impact on resident microsurgical skill and efficiency.
Main Methods:
- Subjects underwent a 7-week course with 3 hours/week of training.
- Training progressed from synthetic models to in vivo rodent models.
- Performance was assessed using the Anastomosis Lapse Index and Stanford Microsurgery and Residency Training scale.
Main Results:
- Overall performance scores improved significantly (P = 0.006).
- The Anastomosis Lapse Index demonstrated a significant reduction in errors (P = 0.02).
- Time to completion decreased significantly (P = 0.003).
Conclusions:
- The residency-integrated microsurgery course effectively enhances resident microsurgical skills.
- This model provides quantifiable improvements in skill and efficiency.
- It presents a practical alternative for surgical resident training.
