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Updated: May 23, 2025

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Validating a Scalable Approach to Microsurgery Education in Resource-Limited Countries.

Halley Darrach1, Cameron Kneib2, Jeffrey Friedrich2

  • 1Division of Plastic and Reconstructive Surgery, Stanford University, Stanford, California.

Journal of Reconstructive Microsurgery
|May 21, 2025
PubMed
Summary
This summary is machine-generated.

Smartphones can be effective tools for microsurgery training in low-resource areas. Participants showed significant skill improvement after a workshop and maintained these gains six months later.

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Area of Science:

  • Microsurgery Training
  • Medical Simulation
  • Global Health

Background:

  • Microsurgery is limited in sub-Saharan Africa due to training and instrument scarcity.
  • Smartphones offer widespread, accessible magnification technology, even in low-resource settings.
  • Previous studies explored smartphone simulators, but skill acquisition over time remains under-researched.

Purpose of the Study:

  • To evaluate the effectiveness of smartphone-based simulation for microsurgery training.
  • To assess microsurgical skills acquisition and retention over time in Ethiopian participants.
  • To determine the utility of smartphones as a training tool in resource-limited environments.

Main Methods:

  • A cohort of 13 Ethiopian plastic surgery trainees participated in a microsurgery workshop.
  • Participants performed synthetic vessel repairs using smartphones for magnification before, after, and 6 months post-workshop.
  • Microsurgical skills were assessed using the validated Stanford Microsurgery and Resident Training (SMaRT) scale.

Main Results:

  • Overall SMaRT scores significantly improved from 2.05 to 2.72 post-workshop (p=0.001).
  • Scores further increased to 3.05 at 6 months, with improvements maintained.
  • Significant gains were observed in all SMaRT domains, with notable instrument handling improvement at 6 months.

Conclusions:

  • Smartphones are valuable tools for microsurgery training in low-resource settings.
  • Smartphone simulation training leads to significant short-term skill improvement and skill maintenance.
  • Further research is needed on the long-term impact on clinical outcomes in resource-limited areas.