Evaluation of a Microsurgery Training Curriculum

Area of Science:

• Surgical Education
• Microsurgery Training
• Medical Simulation

Background:

• Microsurgery presents a significant educational challenge due to its steep learning curve.
• Existing microsurgery curricula primarily focus on technical skills.
• This study evaluates a validated microsurgery curriculum using the Kirkpatrick model.

Purpose of the Study:

• To evaluate the efficacy of a well-established microsurgery training curriculum.
• To assess participant feedback, skill development, and long-term impact.
• To identify areas for curriculum improvement.

Main Methods:

• A 5-day curriculum covered microscopic field manipulation, knot tying, non-dominant hand use, 3-D models, anastomosis, and tissue handling.
• The Kirkpatrick model assessed participant reactions, learning (Global Assessment Score, CUSUM charts), and behavior/results (skill retention).

Main Results:

• 155 participants trained over 5,425 hours; >75% rated the course excellent.
• Significant improvements in anastomosis scores and reduced errors were observed (p<0.00170).
• 88.5% applied learned skills, with 76.9% applying them within 6 months.

Conclusions:

• Curriculum evaluation in microsurgery training demonstrates efficacy in reducing errors and improving technical skills.
• Skills acquired through the curriculum can positively impact clinical practice.
• The evaluation process drives refinement of microsurgery training programs.