Microsurgery training today and future

Chan, Woan-Yi; Srinivasan, Jeyaram; Ramakrishnan, Venkat

doi:10.1016/j.bjps.2009.11.038

Cited by 17 publications

(20 citation statements)

References 3 publications

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“…Microsurgery forms a crucial component of plastic and reconstructive surgery training (Sauer et al 1987;Gu et al 1991;Chan et al 2010b). Trainees in microsurgery find themselves faced with a steep learning curve to acquire and develop their operative skills.…”

Section: Introductionmentioning

confidence: 99%

Twelve tips for postgraduate or undergraduate medics building a basic microsurgery simulation training course

et al. 2016

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Microsurgery is used in a variety of surgical specialties, including Plastic Surgery, Maxillofacial Surgery, Ophthalmic Surgery, Otolaryngology and Neurosurgery. It is considered one of the most technically challenging fields of surgery. Microsurgical skills demand fine, precise and controlled movements, and microsurgical skill acquisition has a steep initial learning curve. Microsurgical simulation provides a safe environment for skill acquisition before operating clinically. The traditional starting point for anyone wanting to pursue microsurgery is a basic simulation training course. We present twelve tips for postgraduate and undergraduate medics on how to set up and run a basic ex-vivo microsurgery simulation training course suitable for their peers.

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Section: Introductionmentioning

confidence: 99%

Twelve tips for postgraduate or undergraduate medics building a basic microsurgery simulation training course

et al. 2016

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“…It is supported by several studies that successful outcomes of surgical procedures are proportional to the experience and seniority of the performer (Chan, Srinivasan, & Ramakrishnan, ; Pohlenz et al., ). In the present study, 69.2% of the subjects judged themselves to be routined surgeons (self‐perceived proficiency) and 91.2% were, indeed, performing periodontal surgeries on a regular basis for more than 1 year (self‐reported experience).…”

Section: Discussionmentioning

confidence: 92%

How do visual‐spatial and psychomotor abilities influence clinical performance in periodontal plastic surgery?

Burkhardt

Hämmerle

Lang

2018

J Clinic Periodontology

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Aim We want to evaluate the relationship of self‐assessed experience and proficiency, manual dexterity and visual‐spatial ability with surgical performance. Material and methods A total of 26 professionals were included in the study which consisted of four parts: (a) self‐assessment by a questionnaire regarding proficiency and experience, (b) evaluation of visual‐spatial ability, (c) testing of manual dexterity assessed by validated psychomotor tests and (d) evaluation of surgical performance by Objective Structured Assessment of Technical Skills (OSATS). Results Self‐assessed proficiency and experience levels did not correlate with objectively evaluated surgical performances (OSATS). However, low‐level visual‐spatial ability tests strongly correlated with OSATS while intermediate‐ and high‐level tests did not. No correlation was found between psychomotor ability and clinical performance. Conclusions Self‐assessed proficiency is not a good predictor for surgical performance as experts tend to be overconfident. To evaluate and predict surgical performance, visual‐spatial ability tests seem to be more appropriate than measuring manual dexterity which failed to correlate with the surgical outcome.

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“…23 The high success rate of free flaps in Taiwan may be attributed to three potential factors: (1) the widespread use of free flaps, especially for the treatment of head and neck cancer, which is more prevalent in Taiwan 24 than in other countries; (2) incentivized national healthcare policies towards regionalization of care for complex surgeries such as free flaps; 25,26 and (3) high-quality and intense microsurgery training in Taiwan. 27,28 …”

Section: Discussionmentioning

confidence: 99%

Associations of Surgeon and Hospital Volumes with Outcome for Free Tissue Transfer by Using the National Taiwan Population Health Care Data from 2001 to 2012

Mahmoudi

Chang

et al. 2017

Plastic &Amp; Reconstructive Surgery

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Background Greater hospital case volumes are associated with improved outcomes for high-risk procedures. The hospital-outcome association for complex but low mortality procedures and the association between surgeon versus hospital case volume and surgical outcomes has been less explored. We examined the association between surgeon and hospital volume and the success for free tissue transfer (free flap) surgery. We hypothesized that there would be positive associations between hospital and surgeon volume, and the success of free flap surgery. Methods The study design was a cross-sectional analysis of adults 18–64 years of age who underwent free flap surgery. We used 100% of all free flap operations between 2001 and 2012 using Taiwan’s national data that cover the entire population of 23 million in the country. We applied hierarchical regression modeling to analyze volume-outcome associations. Results The association between hospital volume and a free flap success was small but positive (OR=1.007; CI=1.00–1.01). For surgeons, their years of experience had a positive association with success of the operation (OR=1.04; CI=1.02–1.06) rather than their annual case volume. Compared with low-volume surgeons (<11 annual cases) working in low-volume hospitals (<95 annual cases), high-volume surgeons (> 25 annual cases), working in high-volume hospitals (>156 annual cases) showed greater odds of operation success (OR=2.97; CI=1.21–7.29). Conclusions Higher volume hospitals and more experienced surgeons, regardless of their annual volume, showed better outcomes. Increasing demand for high-quality care and Taiwan’s national policies toward centralization of complex surgical procedures have increased competition among hospitals.

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Microsurgery training today and future

Cited by 17 publications

References 3 publications

Twelve tips for postgraduate or undergraduate medics building a basic microsurgery simulation training course

Twelve tips for postgraduate or undergraduate medics building a basic microsurgery simulation training course

How do visual‐spatial and psychomotor abilities influence clinical performance in periodontal plastic surgery?

Associations of Surgeon and Hospital Volumes with Outcome for Free Tissue Transfer by Using the National Taiwan Population Health Care Data from 2001 to 2012

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