Training program and learning curve in experimental microsurgery during the residency in plastic surgery
✍ Scribed by Ioan Lascar; Dumitru Totir; Adrian Cinca; Silviu Cortan; Andrei Stefanescu; Raluca Bratianu; George Udrescu; Nicolae Calcaianu; Dragos G. Zamfirescu
- Publisher
- John Wiley and Sons
- Year
- 2007
- Tongue
- English
- Weight
- 303 KB
- Volume
- 27
- Category
- Article
- ISSN
- 0738-1085
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✦ Synopsis
Abstract
This article presents a comparison of microsurgical training of groups with different background. A protocol based on the rat femoral arterial anastomoses was used to provide an objective representation of the microsurgical skills progress. The performance is assessed by consistent (×4) patency of a standardized anastomosis. Three groups of beginner residents with progressive microsurgical experience and one group of experienced surgeons were observed. The patency curve of the beginner‐groups was as an abrupt learning curve, and then a plateau was reached. There was no statistically significant difference in the patency rate between the beginner‐groups after their first 32 anastomoses. No statistically significant difference was noted when the patency of the advanced group was compared with beginner‐groups after different numbers of anastomoses (inverse proportional with their training experience). A slight or a plateau learning curve was found among the experienced group. The learning curve is a useful adjunct in the assessment of training. © 2007 Wiley‐Liss, Inc. Microsurgery 2007.