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A Microsurgical Skills Curriculum to Develop Unconscious Competence.
Jeremy V Lynn1, Christine S W Best1, Nicholas L Berlin1
1Section of Plastic Surgery, Michigan Medicine, Ann Arbor, Michigan.
Journal of Reconstructive Microsurgery
|July 22, 2024
Summary
This microsurgery curriculum for plastic surgery trainees emphasizes muscle strength, precision, and supervised practice. It aims to develop unconscious competence through deliberate exercises, not timed trials.
Area of Science:
- Microsurgery
- Plastic Surgery Training
- Surgical Education
Background:
- Microsurgical competency is crucial for plastic surgery trainees.
- Performing microsurgery requires technical skill and a practiced disposition.
- Effective curricula can improve technical proficiency and reduce cognitive load during microsurgery.
Purpose of the Study:
- To present a microsurgical skills curriculum for plastic surgery trainees.
- To focus on developing fundamental principles of microsurgical proficiency.
- To foster unconscious competence in microsurgery.
Main Methods:
- Curriculum focuses on intrinsic muscle strength, accuracy, and precision.
- Incorporates supervised practice and deliberate microsurgical exercises.
- Employs progressive operative entrustment based on exercise completion.
Main Results:
- The curriculum aims to enhance technical skill and reduce cognitive burden.
- Trainees progress through deliberate exercises rather than timed anastomosis trials.
- The goal is to achieve unconscious competence in microsurgical procedures.
Conclusions:
- This curriculum effectively trains plastic surgery residents in microsurgery.
- Focusing on fundamental principles leads to improved surgical performance.
- Developing unconscious competence is achievable through deliberate practice.
