DOI QR코드

DOI QR Code

Towards a Global Understanding and Standardisation of Education and Training in Microsurgery

  • Leung, Clement Chi Ming (Academic Plastic Surgery Group, Barts and The London School of Medicine and Dentistry) ;
  • Ghanem, Ali M. (Academic Plastic Surgery Group, Barts and The London School of Medicine and Dentistry) ;
  • Tos, Pierluigi (Department of Reconstructive Microsurgery, Orthopaedic and Trauma Centre-CTO Hospital) ;
  • Ionac, Mihai (Division of Vascular Surgery and Microsurgery, Victor Babes University of Medicine and Pharmacy) ;
  • Froschauer, Stefan (Microsurgical Training and Research Centre, Centre for Biomedical Technology and Research) ;
  • Myers, Simon R. (Academic Plastic Surgery Group, Barts and The London School of Medicine and Dentistry)
  • 투고 : 2013.02.10
  • 심사 : 2013.04.16
  • 발행 : 2013.07.15

초록

With an increasing emphasis on microsurgery skill acquisition through simulated training, the need has been identified for standardised training programmes in microsurgery. We have reviewed microsurgery training courses available across the six continents of the World. Data was collected of relevant published output from PubMed, MEDLINE (Ovid), and EMBASE (Ovid) searches, and from information available on the Internet of up to six established microsurgery course from each of the six continents of the World. Fellowships and courses that concentrate on flap harvesting rather than microsurgical techniques were excluded. We identified 27 centres offering 39 courses. Total course length ranged from 20 hours to 1,950 hours. Student-to-teacher ratios ranged from 2:1 to 8:1. Only two-thirds of courses offered in-vivo animal models. Instructions in microvascular end-to-end and end-to-side anastomoses were common, but peripheral nerve repair or free groin flap transfer were not consistently offered. Methods of assessment ranged from no formal assessment, where an instructor monitored and gave instant feedback, through immediate assessment of patency and critique on quality of repair, to delayed re-assessment of patency after a 12 to 24 hours period. Globally, training in microsurgery is heterogeneous, with variations primarily due to resource and regulation of animal experimentation. Despite some merit to diversity in curricula, there should be a global minimum standard for microsurgery training.

키워드

피인용 문헌

  1. Regenerative effect of the polydeoxyribonucleotide after sciatic nerve transection in mouse vol.12, pp.6, 2013, https://doi.org/10.1007/s13770-015-0023-5
  2. Twelve tips for postgraduate or undergraduate medics building a basic microsurgery simulation training course vol.38, pp.9, 2013, https://doi.org/10.3109/0142159x.2016.1150978
  3. Frankfurt microsurgery course: the first 175 trainees vol.43, pp.3, 2013, https://doi.org/10.1007/s00068-016-0759-1
  4. The microsurgical training programme in Gothenburg, Sweden: early experiences vol.51, pp.3, 2017, https://doi.org/10.1080/2000656x.2016.1213735
  5. The Role of Living Models in the Spending Review Era: How Do You Make the Most of a Rat? vol.44, pp.4, 2017, https://doi.org/10.5999/aps.2017.44.4.349
  6. Experiences with basic microsurgical training programs and skill assessment methods at the University of Debrecen, Hungary vol.33, pp.9, 2013, https://doi.org/10.1590/s0102-865020180090000013
  7. Fast-track teaching in microsurgery vol.106, pp.4, 2013, https://doi.org/10.1016/j.otsr.2020.02.009
  8. Submerged vascular anastomosis. A technique for vascular suturing in experimental microsurgery vol.36, pp.8, 2021, https://doi.org/10.1590/acb360807
  9. Microsurgical Anastomosis Rating Scale (MARS10): A Final Product Scoring System for Initial Microsurgical Training vol.29, pp.4, 2013, https://doi.org/10.1177/2292550320969649