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Beyond Borders: A Global Microsurgery Training and Case Exposure Survey.

Chad Chang1,2, Christopher Jones1, Juan Enrique Berner1

  • 1Department of Plastic and Reconstructive Surgery, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom.

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Global plastic surgery trainees show significant disparities in microsurgery training and case exposure. This highlights a need for standardized education to address healthcare inequalities in reconstructive surgery.

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Area of Science:

  • Microsurgery
  • Plastic Surgery Training
  • Global Health Disparities

Background:

  • Microsurgery is critical for reconstructive and plastic surgery.
  • Surgeon proficiency is key to successful microsurgical outcomes.
  • Global variations in microsurgery training quality were suspected but unproven.

Purpose of the Study:

  • To investigate global microsurgical training.
  • To assess clinical case exposure among plastic surgery trainees worldwide.

Main Methods:

  • An online survey was distributed to plastic surgery trainees globally.
  • Data collected on clinical caseload, microsurgical exposure, simulation training, and barriers.
  • Survey conducted from August 2020 to April 2021.

Main Results:

  • 202 responses received; most from formal training programs.
  • Regional variations in microsurgery case types and activity levels observed.
  • Asian trainees reported highest practical exposure; simulation training was limited (39.6% formal).
  • Barriers to practical experience include time constraints and procedure complexity; denials often lacked reasons.

Conclusions:

  • Significant global disparities exist in microsurgery training and exposure.
  • Addressing these training gaps is crucial for equitable healthcare.
  • Further research needed to develop strategies to improve microsurgical education globally.