A Cross-Sectional Survey Study among Hand Surgeons in the United States on Standardizing Microsurgery Training

Raman Mehrzad; Adnan Prsic; Marten Basta; Reena Bhatt

doi:10.1055/s-0038-1669365

Journal of Hand and Microsurgery, Inhaltsverzeichnis

J Hand Microsurg 2019; 11(01): 035-044
DOI: 10.1055/s-0038-1669365

Original Article

Thieme Medical and Scientific Publishers Private Ltd.

A Cross-Sectional Survey Study among Hand Surgeons in the United States on Standardizing Microsurgery Training

Autor*innen

Raman Mehrzad

¹Department of Plastic and Reconstructive Surgery, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, Rhode Island, United States
Adnan Prsic

¹Department of Plastic and Reconstructive Surgery, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, Rhode Island, United States
Marten Basta

¹Department of Plastic and Reconstructive Surgery, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, Rhode Island, United States
Reena Bhatt

¹Department of Plastic and Reconstructive Surgery, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, Rhode Island, United States

Abstract

Although microsurgery plays a more expansive role in hand surgery, microsurgery training systems may not have followed the same evolution, as have other operative techniques. A cross-sectional survey study with 13 multiple choice questions was administered to the members of the American Society for Surgery of the Hand; 503 out of 3,395 responded to the survey (14.8% response rate), and 58% did not have a microsurgical laboratory in their institution, whereas 42% did. Of the institutions that had a microsurgical laboratory, 32.4% also had a microsurgical rat laboratory. Of all respondents, 78% agreed or strongly agreed that their training program should have microsurgery training outside of the operating room, and 53% agreed or strongly agreed that their curriculum needed improvement; 65.6% agreed or strongly agreed that training should be standardized across the nation. Our results indicate that the training needs standardization and that institutional training curriculum needs to be improved. This is a Level III study.

Keywords

microsurgery - hand and upper extremity surgery - training - curriculum - education

Volltext

Referenzen

References
1 Porter ME. What is value in health care?. N Engl J Med 2010; 363 (26) 2477-2481
2 Cigna E, Bistoni G, Trignano E, Tortorelli G, Spalvieri C, Scuderi N. Microsurgical teaching: our experience. J Plast Reconstr Aesthet Surg 2010; 63 (06) e529-e531
3 Chan WY, Srinivasan JR, Ramakrishnan VV. Microsurgery training today and future. J Plast Reconstr Aesthet Surg 2010; 63 (06) 1061-1063
4 Kakar S, Bakri K, Shin AY. Survey of hand surgeons regarding their perceived needs for an expanded upper extremity fellowship. J Hand Surg Am 2012; 37 (11) 2374-2380
5 Shurey S, Akelina Y, Legagneux J, Malzone G, Jiga L, Ghanem AM. The rat model in microsurgery education: classical exercises and new horizons. Arch Plast Surg 2014; 41 (03) 201-208
6 Schneider LF, Barr J, Saadeh PB. A nationwide curriculum analysis of integrated plastic surgery training: is training standardized?. Plast Reconstr Surg 2013; 132 (06) 1054e-1062e
7 Mittal VK. Global standardization of surgical training. Indian J Surg 2014; 76 (05) 341-342
8 Shore EM, Lefebvre GG, Husslein H, Bjerrum F, Sorensen JL, Grantcharov TP. Designing a standardized laparoscopy curriculum for gynecology residents: a Delphi approach. J Grad Med Educ 2015; 7 (02) 197-202
9 Lio J, Dong H, Ye Y, Cooper B, Reddy S, Sherer R. Standardized residency programs in China: perspectives on training quality. Int J Med Educ 2016; 7: 220-221
10 Sun T, Wang Y. Standardized training for resident doctors in China. J Biomed Res 2014; 28 (03) 155-156
11 Mariano ER, Harrison TK, Kim TE. et al; ADAPT (Anesthesiology-Directed Advanced Procedural Training) Research Group. Evaluation of a standardized program for training practicing anesthesiologists in ultrasound-guided regional anesthesia skills. J Ultrasound Med 2015; 34 (10) 1883-1893
12 Jacobsson T. Implementation of Process-Flow Solutions in Healthcare. Vol. 1. Gothenburg, Sweden: Chalmers University of Technology; 2010: 1-142
13 Kaplan RS, Porter ME. How to solve the cost crisis in health care. Harv Bus Rev 2011; 89 (09) 46-52 54, 56–61 passim
14 Levinson KL, Barlin JN, Altman K, Satin AJ. Disparity between resident and attending physician perceptions of intraoperative supervision and education. J Grad Med Educ 2010; 2 (01) 31-36