Preoperative Preparatory Talk (PPT): Developing Operative Expertise of Plastic Surgery Trainees by Three Rounds of
Madhubari Vathulya1, Arush Pasricha1, Devi Prasad Mohapatra2
1Department of Burns and Plastic Surgery, AIIMS, Rishikesh, Uttarakhand, India.
Summary
Preoperative preparatory talks (PPT) enhance plastic surgery training by improving trainee orientation and surgical skills. This method significantly reduces operative time and increases patient safety during free flap surgeries.
Area of Science:
- Plastic Surgery
- Surgical Education
- Microsurgery
Background:
- Plastic surgery training necessitates hands-on experience for skill development.
- Traditional training methods increase complication risks and operative duration.
- A novel training approach is needed to enhance patient safety and learning.
Purpose of the Study:
- To evaluate the efficacy of preoperative preparatory talks (PPT) in plastic surgery training.
- To assess the impact of PPT on operative times and trainee performance.
- To determine if PPT improves patient safety in free flap surgeries.
Main Methods:
- A three-phase preoperative preparatory talk (PPT) was implemented.
- Operative times for free flap surgeries were compared with and without PPT.
- Objective Structured Assessment of Technical Skill (OSATS) scores were analyzed.
Main Results:
- PPT significantly reduced operative times in three of four free flap surgery stages.
- Trainee orientation and on-table performance improved, as evidenced by higher OSATS scores.
- Statistical analysis confirmed the significant impact of PPT on surgical efficiency and skill.
Conclusions:
- Preoperative preparatory talks enhance resident learning and surgical team orientation.
- PPT contributes to improved patient safety and reduced operative times in free flap procedures.
- Incorporating PPT into plastic surgery curricula is recommended for optimizing training outcomes.
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