Kania Kasia, Chang Daniel K, Abu-Ghname Amjed, Reece Edward M, Chu Carrie K, Maricevich Marco, Buchanan Edward P, Winocour Sebastian
Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex.
Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Tex.
Plast Reconstr Surg Glob Open. 2020 Jul 17;8(7):e2898. doi: 10.1097/GOX.0000000000002898. eCollection 2020 Jul.
Advances in surgical instruments, magnification technology, perforator dissection techniques, and vascular imaging over the past decades have facilitated exponential growth in the field of microsurgery. With wide application potential including but not limited to limb salvage, breast reconstruction, lymphedema treatment, and sex affirmation surgery, microsurgery represents a critical skill set that powerfully augments the reconstructive armamentarium of plastic surgeons. Accordingly, microsurgical training is now a critical component of the plastic surgery residency education curriculum. Trainees must meet minimum microsurgery case requirements in addition to the core competencies outlined by the Accreditation Council for Graduate Medical Education. Through the use of simulation models, residency programs increasingly incorporate early skills development and assessment in microsurgery in the laboratory. Beyond residency, microsurgery fellowships offer additional exposure and refinement by offering volume, complexity, autonomy, and possible focused specialization. With continued refinement in technology and advances in knowledge, new types of simulation training models will continue to be developed and incorporated into microsurgery training curricula.
在过去几十年里，手术器械、放大技术、穿支皮瓣解剖技术以及血管成像技术的进步推动了显微外科领域呈指数级增长。显微外科具有广泛的应用潜力，包括但不限于肢体挽救、乳房重建、淋巴水肿治疗以及性别肯定手术，它代表了一组关键技能，有力地增强了整形外科医生的重建手段。因此，显微外科培训如今是整形外科住院医师教育课程的重要组成部分。除了研究生医学教育认证委员会概述的核心能力外，学员还必须满足最低显微外科病例要求。通过使用模拟模型，住院医师培训项目越来越多地在实验室中纳入显微外科早期技能发展和评估。住院医师培训结束后，显微外科进修项目通过提供手术量、复杂性、自主性以及可能的专注专业化，提供了更多的实践机会和技能提升。随着技术的不断完善和知识的进步，新型模拟训练模型将继续被开发并纳入显微外科培训课程。
