Division of Plastic Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
J Reconstr Microsurg. 2023 Oct;39(8):648-654. doi: 10.1055/s-0043-1767678. Epub 2023 Apr 11.
The value of a fully trained microsurgeon dedicated to a laboratory setting at an academic institution is largely unknown. Microsurgery training lacks a national standard despite its highly complicated nature. Our study aims to evaluate the impact of a single laboratory-dedicated microsurgeon on the microsurgical training of integrated plastic surgery residents and collaborative efforts in research.
We devised a three-faceted microsurgical training curriculum, including a collaborative multi-institutional microsurgery course, novel high-fidelity simulator models, and a dedicated microsurgeon. We cataloged grant funding achieved through support to other divisions' protocols. Time, in hours, spent on training and the number of anastomoses completed with the microsurgical educator in a laboratory setting over a 4-year period (2017-2021) were evaluated. Resident independence scores were collected from attending microsurgeons to quantify the translation of microsurgical training.
Purchasing and maintenance costs of rats in our rodent facility decreased by $16,533.60 as 198 rats were replaced by our models. The residents who participated in our novel microsurgical training program were able to independently perform anastomoses in the OR by their postgraduate year 6. Additionally, the surgical support offered by our laboratory-dedicated microsurgeon led to a total of $24,171,921 in grant funding between 2017 and 2020.
Hiring an expert microsurgical educator to train residents in a laboratory has proved promising in accelerating microsurgical mastery. Novel training modules, alternatives to animal models, save resources in housing and animal costs. The addition of a research-oriented-microsurgeon has improved collaborative efforts to advance a range of surgical fields.
专门在学术机构的实验室环境中从事显微外科工作的训练有素的显微外科医生的价值在很大程度上是未知的。尽管显微外科技术非常复杂，但它缺乏全国性的标准。我们的研究旨在评估一位专门从事实验室工作的显微外科医生对综合整形住院医师的显微外科培训以及研究合作的影响。
我们设计了一个三方面的显微外科培训课程，包括合作的多机构显微外科课程、新颖的高保真模拟器模型和一位专门的显微外科医生。我们列出了通过支持其他部门的方案获得的资助资金。评估了在 4 年（2017-2021 年）内，在实验室环境中培训所花费的时间（以小时为单位）和与显微外科教育家完成的吻合数量。从主治显微外科医生那里收集住院医师的独立评分，以量化显微外科培训的转化。
由于我们的模型取代了 198 只老鼠，我们的啮齿动物设施中的老鼠购买和维护成本降低了 16533.60 美元。参加我们新型显微外科培训计划的住院医师在研究生第 6 年就能够在手术室独立进行吻合。此外，我们专门从事实验室工作的显微外科医生提供的手术支持在 2017 年至 2020 年间共获得了 24171921 美元的资助资金。
聘请一位专家显微外科教育家在实验室培训住院医师在加速显微外科技术掌握方面是有希望的。新颖的培训模块、替代动物模型的方法，节省了住房和动物成本方面的资源。增加一位以研究为导向的显微外科医生有助于提高一系列外科领域的合作努力。
