Imperial College, London.
Microsurgery. 2013 Jul;33(5):406-15. doi: 10.1002/micr.22111. Epub 2013 May 24.
In the last decade surgical training is being revolutionized by two novel concepts that have been introduced to almost all branches of surgery including and most recently to microsurgery. These two concepts are: objective assessments of surgical skills and the nurturing of surgical skills in a simulation laboratory setting. Acquiring surgical skills in the laboratory setting can help move the microsurgical learning curve from the patient to the laboratory and this will in turn improve patient safety. In order to optimize microsurgical training through a competency based training programme, it is imperative for microsurgical educators to understand microsurgical skill acquisition. This requires accurate objective assessment tools that can define and quantify microsurgical competency. This article aims to review the current literature on the various objective assessment tools adapted for microsurgery and attempt to identify the gaps that need to be addressed by research in microsurgical education to establish the ideal objective assessment tool.
在过去的十年中，两个新的概念彻底改变了外科培训，这两个概念已经被引入到包括最近的微创手术在内的几乎所有外科领域。这两个概念是：手术技能的客观评估和在模拟实验室环境中培养手术技能。在实验室环境中获得手术技能可以帮助将微创手术的学习曲线从患者转移到实验室，这反过来又将提高患者的安全性。为了通过基于能力的培训计划优化微创手术培训，微创手术教育者必须了解微创手术技能的获取。这需要准确的客观评估工具，可以定义和量化微创手术能力。本文旨在回顾目前关于适应微创手术的各种客观评估工具的文献，并试图确定微创手术教育研究中需要解决的差距，以建立理想的客观评估工具。
