Microsurgical Training With Fresh Chicken Legs

Jeong, Hii Sun; Moon, M L; Kim, Hyoung-Suk; Lee, Hye Kyung; Yi, Sang-Yeop

doi:10.1097/sap.0b013e31822f9931

Cited by 47 publications

(38 citation statements)

References 14 publications

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“…[30][31][32][33][34] In addition, many animal workshops and cadaver flap courses are now available electively but perhaps should be a routine part of residency curriculums. [35][36][37][38] Although fellowship training in microsurgery would be the ideal method of minimizing adverse events, the limited number of fellowships currently available may be a bottleneck. 39 Multiple findings suggest the presence of disparities in care for U.S. autologous breast reconstruction, with an opportunity for improvement.…”

Section: Discussionmentioning

confidence: 99%

A Nationwide Analysis of the Relationship between Hospital Volume and Outcome for Autologous Breast Reconstruction

Albornoz

Cordeiro

Hishon

et al. 2013

Plastic and Reconstructive Surgery

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Section: Discussionmentioning

confidence: 99%

A Nationwide Analysis of the Relationship between Hospital Volume and Outcome for Autologous Breast Reconstruction

Albornoz

Cordeiro

Hishon

et al. 2013

Plastic and Reconstructive Surgery

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“…16-18 Some studies have explored, with occasionally promising results, the use of simulators and surgical robots in microsurgery in an attempt to validate trainee competency with other instruments and parameters. 19,20 Although a variety of different models exist to assess surgical technique and operative skills, a validated, reliable, and reproducible assessment of the microsurgical anastomosis, per se , has not been conducted.…”

Section: Discussionmentioning

confidence: 99%

Tracking the Learning Curve in Microsurgical Skill Acquisition

Selber

Chang

et al. 2012

Plastic &Amp; Reconstructive Surgery

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Background Despite advances in surgical training, microsurgery is still based on an apprenticeship model. To evaluate skill acquisition and apply targeted feedback to improve our training model, we applied the Structured Assessment of Microsurgery Skills (SAMS) to microsurgical fellows training. We hypothesized that subjects would demonstrate measurable improvement in performance throughout the study period and consistently across evaluators. Methods Seven fellows were evaluated during 118 microsurgical cases by 16 evaluators over three 1-month evaluation periods in 1 year (2010-2011). Evaluators used SAMS, which consists of 12 items in four areas: dexterity, visuo-spatial ability, operative flow, and judgment. To validate the SAMS data, microsurgical anastomoses in rodents performed by the fellows in a laboratory at the beginning and end of the study period were evaluated by five blinded plastic surgeons using the SAMS questionnaire. Primary outcomes were change in scores between evaluation periods and inter-evaluator reliability. Results Between the first two evaluation periods, all skill areas and overall performance significantly improved. Between the second two periods, most skill areas improved, but only a few significantly. Operative errors decreased significantly between the first and subsequent periods (81 vs. 36; p<0.05). In the laboratory study, all skills were significantly (p<0.05) or marginally (0.05≤p<0.10) improved between time points. The overall inter-evaluator reliability of SAMS was acceptable (α=0.67). Conclusions SAMS is a valid instrument for assessing microsurgical skill, providing individualized feedback with acceptable inter-evaluator reliability. Between the first two evaluation intervals, the microsurgical fellows’ skills increased significantly, but they plateaued thereafter. The use of SAMS is anticipated to enhance microsurgical training.

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“…Among the nonliving models, the chicken thigh (Fig. ) has been demonstrated as a valid, relatively realistic, and easily acquired model …”

Section: Introductionmentioning

confidence: 99%

Microvascular anastomosis simulation using a chicken thigh model: Interval versus massed training

et al. 2017

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Microsurgical Training With Fresh Chicken Legs

Abstract: The femoral neurovascular bundles of chicken are an appropriate and effective model for teaching and practicing microsurgery.

Cited by 47 publications

References 14 publications

A Nationwide Analysis of the Relationship between Hospital Volume and Outcome for Autologous Breast Reconstruction

A Nationwide Analysis of the Relationship between Hospital Volume and Outcome for Autologous Breast Reconstruction

Tracking the Learning Curve in Microsurgical Skill Acquisition

Microvascular anastomosis simulation using a chicken thigh model: Interval versus massed training

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