Microsurgery Workout: A Novel Simulation Training Curriculum Based on Nonliving Models

摘要: BACKGROUND Currently, there are no valid training programs based solely on nonliving models. The authors aimed to develop and validate a microsurgery program models assess the transfer of skills live rat model. METHODS Postgraduate year-3 general surgery residents were assessed in 17-session program, performing arterial venous end-to-end anastomosis ex vivo chicken Procedures recorded rated by two blinded experts using validated global specific scales (objective structured assessment technical skills) checklist. Operating times patency rates assessed. Hand-motion analysis was used measure economy movements. After training, performed an rats. Results compared six experienced surgeons same Values p < 0.05 considered statistically significant. RESULTS Learning curves achieved. Ten improved their median objective scores for artery [10 (range, 8 10) versus 28 27 29), 0.05; 7 9) 28), 0.05] vein [8 11) 0.05]. Checklist also both procedures (p 0.05). Trainees slower less efficient than In living rat, at 30 minutes 100 percent 50 vein, respectively. CONCLUSIONS Significant acquisition microsurgical achieved trainees level similar that surgeons. Acquired transferred more complex