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Validated specialty-specific models for multi-disciplinary microsurgery training laboratories: a systematic review.

Gareth Crouch1,2, Gerald Wong1,3, Jonathan Hong2,4

  • 1Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.

ANZ Journal of Surgery
|March 15, 2021
PubMed
Summary
This summary is machine-generated.

This systematic review found many specialty-specific microsurgery simulation models exist. However, the evidence supporting their effectiveness is limited, highlighting a need for better-quality validation studies.

Keywords:
educational modelmedical educationmicrosurgerysimulation trainingsurgical specialty

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Area of Science:

  • Medical Education
  • Surgical Simulation
  • Microsurgery Training

Background:

  • Laboratory simulation is crucial for microsurgical skills development.
  • Multi-disciplinary training labs enhance resource efficiency.
  • Specialty-specific, higher-order skill simulations are essential for maximal benefit.

Purpose of the Study:

  • To systematically review validated microsurgical training models.
  • To appraise the evidence supporting various laboratory simulation models.
  • To guide the selection of effective microsurgery training adjuncts.

Main Methods:

  • Systematic review conducted per Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
  • Searched EMBASE, MEDLINE, Cochrane, and PubMed for validated, microscope-based, specialty-specific simulations.
  • Assessed evidence levels using a modified Oxford Centre for Evidence-Based Medicine classification.

Main Results:

  • Identified 141 papers on specialty-specific microsimulation models; 49 had validation evidence.
  • Models were distributed across neurosurgery (11), otolaryngology/head and neck surgery (21), urology/gynecology (2), and plastic/reconstructive surgery (15).
  • Simulation materials included synthetic models (19), cadaveric animals (10), live animals (12), and human cadaveric material (10).

Conclusions:

  • Numerous specialty-specific microsurgery simulation models are available.
  • The quality of evidence supporting these models is generally poor.
  • Multi-specialty simulation labs can promote broader use while allowing specific skills training.