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J Reconstr Microsurg 2025; 41(04): 312-317
DOI: 10.1055/s-0044-1788547
Original Article

A Microsurgical Skills Curriculum to Develop Unconscious Competence

Jeremy V. Lynn 
1   Section of Plastic Surgery, Michigan Medicine, Ann Arbor, Michigan
,
Christine S. W. Best
1   Section of Plastic Surgery, Michigan Medicine, Ann Arbor, Michigan
,
Nicholas L. Berlin
1   Section of Plastic Surgery, Michigan Medicine, Ann Arbor, Michigan
,
Theodore A. Kung
1   Section of Plastic Surgery, Michigan Medicine, Ann Arbor, Michigan
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Abstract

The attainment of microsurgical competency is an important milestone for plastic surgery trainees. Technical skill and a practiced disposition are required to successfully perform microsurgical procedures. Microsurgical skills curricula may foster both proficiency with technical movements and facilitate performance with minimal cognitive burden while using the operating microscope. The microsurgical skills curriculum presented in this article focuses on three fundamental principles: intrinsic muscle strength, accuracy and precision of movement, and supervised practice. Progressive operative entrustment of trainees is earned through successful completion of deliberate microsurgical exercises rather than timed anastomosis trials. The overarching goal of this curriculum is to develop unconscious competence in microsurgery.

Keywords

intrinsic strength - unconscious competence - supervised practice


Publikationsverlauf

Eingereicht: 17. April 2024

Angenommen: 22. Juni 2024

Artikel online veröffentlicht:
22. Juli 2024

© 2024. Thieme. All rights reserved.

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