Nicholas Rebecca Spenser, Madada-Nyakauru Rudo N, Irri Renu Anita, Myers Simon Richard, Ghanem Ali Mahmoud
Department of Plastic Surgery, Royal London Hospital, London, UK.
Imperial College London, London, UK.
Arch Plast Surg. 2014 May;41(3):218-24. doi: 10.5999/aps.2014.41.3.218. Epub 2014 May 12.
Plastic surgery training worldwide has seen a thorough restructuring over the past decade, with the introduction of formal training curricula and work-based assessment tools. Part of this process has been the introduction of revalidation and a greater use of simulation in training delivery. Simulation is an increasingly important tool for educators because it provides a way to reduce risks to both trainees and patients, whilst facilitating improved technical proficiency. Current microsurgery training interventions are often predicated on theories of skill acquisition and development that follow a 'practice makes perfect' model. Given the changing landscape of surgical training and advances in educational theories related to skill development, research is needed to assess the potential benefits of alternative models, particularly cross-training, a model now widely used in non-medical areas with significant benefits. Furthermore, with the proliferation of microsurgery training interventions and therefore diversity in length, cost, content and models used, appropriate standardisation will be an important factor to ensure that courses deliver consistent and effective training that achieves appropriate levels of competency. Key research requirements should be gathered and used in directing further research in these areas to achieve on-going improvement of microsurgery training.
在过去十年中，全球整形外科培训经历了全面重组，引入了正规培训课程和基于工作的评估工具。这一过程的一部分是引入重新认证，并在培训中更多地使用模拟。模拟对于教育工作者来说是一种越来越重要的工具，因为它提供了一种降低学员和患者风险的方法，同时有助于提高技术熟练程度。当前的显微外科培训干预措施通常基于遵循“熟能生巧”模式的技能获取和发展理论。鉴于外科培训环境的变化以及与技能发展相关的教育理论的进步，需要进行研究以评估替代模式的潜在益处，特别是交叉培训，这是一种目前在非医疗领域广泛使用且具有显著益处的模式。此外，随着显微外科培训干预措施的激增，以及所使用的长度、成本、内容和模式的多样性，适当的标准化将是确保课程提供一致且有效的培训以达到适当能力水平的重要因素。应收集关键研究要求并用于指导这些领域的进一步研究，以实现显微外科培训的持续改进。
