Validated Microsurgical Training Programmes: A Systematic Review of the Current Literature

Area of Science:

• Medical Education
• Surgical Training
• Microsurgery

Background:

• Microsurgical skill acquisition is complex due to steep learning curves and training limitations.
• Simulation-based training offers potential solutions but lacks robust evidence.
• This review assesses the evidence supporting validated microsurgical training programs.

Purpose of the Study:

• To systematically review and evaluate the scientific evidence for validated microsurgical training programs.
• To assess the quality and extent of evidence backing these training interventions.

Main Methods:

• A systematic literature review adhering to PRISMA guidelines.
• Searched multiple databases (Web of Science, Medline, Embase, ERIC).
• Assessed study quality using MERSQI and validity using established frameworks; evaluated Level of Evidence (LoE) and Recommendation (LoR) using OCEBM.

Main Results:

• 25 studies met inclusion criteria, classifying programs as intensive courses or longitudinal curricula.
• Face, content, and construct validity were commonly assessed; predictive validity was under-evaluated.
• Most studies (96%) reported skill improvement, but limitations included small sample sizes and lack of long-term follow-up.

Conclusions:

• Validated microsurgical training programs effectively enhance skill acquisition.
• Standardization, cost-effectiveness, and predictive validity require further investigation.
• Future research should focus on skill maintenance and standardized objective assessment tools.