The Influence of Microsurgical Training on the Practice of Hand Surgeons
Abstract Background The study aims to determine the effect of formal training on the long-term practice of microsurgery. Methods Hand surgeons completing a 1-year hand fellowship and a 5-day microsurgery rat-model training course from a single institution over a 15-year period (1996–2011) were sur...
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| Veröffentlicht in: | Journal of reconstructive microsurgery 2015-07, Vol.31 (6), p.442-449 |
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| container_end_page | 449 |
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| container_issue | 6 |
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| container_title | Journal of reconstructive microsurgery |
| container_volume | 31 |
| creator | Christensen, Thomas J. Anding, William Shin, Alexander Y. Bishop, Allen T. Moran, Steven L. |
| description | Abstract
Background
The study aims to determine the effect of formal training on the long-term practice of microsurgery.
Methods
Hand surgeons completing a 1-year hand fellowship and a 5-day microsurgery rat-model training course from a single institution over a 15-year period (1996–2011) were surveyed. Patency rates (at 24 hours), additional days spent in the laboratory, and training (orthopedic [OS] vs. plastic surgery [PS]) were correlated with the questionnaire responses regarding microsurgical confidence and practice spectrum.
Results
Data were obtained for 100% (61/61) of former fellows. PSs were 4.7 and 7.6 times more likely to perform replants and free flaps than OSs, respectively. Training patency rates and days in the laboratory were fair predictors of current practice of free flaps and replants.
Conclusion
PSs are more likely to perform replants and free flaps than OSs. Successful completion of a microsurgical skills course can be used as a predictor of those who will ultimately practice microsurgery. Broader application of microsurgical skills labs may be a technique to increase the practice of microsurgery among all hand surgeons. |
| doi_str_mv | 10.1055/s-0035-1549443 |
| format | Article |
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Background
The study aims to determine the effect of formal training on the long-term practice of microsurgery.
Methods
Hand surgeons completing a 1-year hand fellowship and a 5-day microsurgery rat-model training course from a single institution over a 15-year period (1996–2011) were surveyed. Patency rates (at 24 hours), additional days spent in the laboratory, and training (orthopedic [OS] vs. plastic surgery [PS]) were correlated with the questionnaire responses regarding microsurgical confidence and practice spectrum.
Results
Data were obtained for 100% (61/61) of former fellows. PSs were 4.7 and 7.6 times more likely to perform replants and free flaps than OSs, respectively. Training patency rates and days in the laboratory were fair predictors of current practice of free flaps and replants.
Conclusion
PSs are more likely to perform replants and free flaps than OSs. Successful completion of a microsurgical skills course can be used as a predictor of those who will ultimately practice microsurgery. Broader application of microsurgical skills labs may be a technique to increase the practice of microsurgery among all hand surgeons.</description><identifier>ISSN: 0743-684X</identifier><identifier>EISSN: 1098-8947</identifier><identifier>DOI: 10.1055/s-0035-1549443</identifier><identifier>PMID: 25893631</identifier><language>eng</language><publisher>333 Seventh Avenue, New York, NY 10001, USA: Thieme Medical Publishers</publisher><subject>Animals ; Clinical Competence ; Fellowships and Scholarships ; Hand - surgery ; Humans ; Microsurgery - education ; Models, Animal ; Original Article ; Orthopedics - education ; Rats, Sprague-Dawley ; Replantation ; ROC Curve ; Vascular Patency</subject><ispartof>Journal of reconstructive microsurgery, 2015-07, Vol.31 (6), p.442-449</ispartof><rights>Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c333t-93b24cbfa69a8711ae032b10d808a94c4c5995d59cb1107abd1caeffbbb88fa63</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0035-1549443.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><linktohtml>$$Uhttps://www.thieme-connect.de/products/ejournals/html/10.1055/s-0035-1549443$$EHTML$$P50$$Gthieme$$H</linktohtml><link.rule.ids>314,776,780,3003,3004,27903,27904,54538,54539</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25893631$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Christensen, Thomas J.</creatorcontrib><creatorcontrib>Anding, William</creatorcontrib><creatorcontrib>Shin, Alexander Y.</creatorcontrib><creatorcontrib>Bishop, Allen T.</creatorcontrib><creatorcontrib>Moran, Steven L.</creatorcontrib><title>The Influence of Microsurgical Training on the Practice of Hand Surgeons</title><title>Journal of reconstructive microsurgery</title><addtitle>J reconstr Microsurg</addtitle><description>Abstract
Background
The study aims to determine the effect of formal training on the long-term practice of microsurgery.
Methods
Hand surgeons completing a 1-year hand fellowship and a 5-day microsurgery rat-model training course from a single institution over a 15-year period (1996–2011) were surveyed. Patency rates (at 24 hours), additional days spent in the laboratory, and training (orthopedic [OS] vs. plastic surgery [PS]) were correlated with the questionnaire responses regarding microsurgical confidence and practice spectrum.
Results
Data were obtained for 100% (61/61) of former fellows. PSs were 4.7 and 7.6 times more likely to perform replants and free flaps than OSs, respectively. Training patency rates and days in the laboratory were fair predictors of current practice of free flaps and replants.
Conclusion
PSs are more likely to perform replants and free flaps than OSs. Successful completion of a microsurgical skills course can be used as a predictor of those who will ultimately practice microsurgery. Broader application of microsurgical skills labs may be a technique to increase the practice of microsurgery among all hand surgeons.</description><subject>Animals</subject><subject>Clinical Competence</subject><subject>Fellowships and Scholarships</subject><subject>Hand - surgery</subject><subject>Humans</subject><subject>Microsurgery - education</subject><subject>Models, Animal</subject><subject>Original Article</subject><subject>Orthopedics - education</subject><subject>Rats, Sprague-Dawley</subject><subject>Replantation</subject><subject>ROC Curve</subject><subject>Vascular Patency</subject><issn>0743-684X</issn><issn>1098-8947</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEFPwyAAhYnRuDm9ejQ9emFCgRaOZlG3RKOJM_FGgNKNpaUT2oP_XpZOb57e5XsveR8A1xjNMWLsLkKECIOYUUEpOQFTjASHXNDyFExRSQksOP2cgIsYdwhhKnB-DiY544IUBE_Bcr212crXzWC9sVlXZy_OhC4OYeOMarJ1UM47v8k6n_UJfQvK9G4kl8pX2XsibefjJTirVRPt1TFn4OPxYb1YwufXp9Xi_hkaQkgPBdE5NbpWhVC8xFhZRHKNUcURV4IaapgQrGLCaIxRqXSFjbJ1rbXmPLXIDNyOu_vQfQ029rJ10dimUd52Q5S4EChPEnKS0PmIHg7FYGu5D65V4VtiJA_2ZJQHe_JoLxVujtuDbm31h__qSgAcgX7rbGvlrhuCT2__G_wBXiV4Mg</recordid><startdate>20150701</startdate><enddate>20150701</enddate><creator>Christensen, Thomas J.</creator><creator>Anding, William</creator><creator>Shin, Alexander Y.</creator><creator>Bishop, Allen T.</creator><creator>Moran, Steven L.</creator><general>Thieme Medical Publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150701</creationdate><title>The Influence of Microsurgical Training on the Practice of Hand Surgeons</title><author>Christensen, Thomas J. ; Anding, William ; Shin, Alexander Y. ; Bishop, Allen T. ; Moran, Steven L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c333t-93b24cbfa69a8711ae032b10d808a94c4c5995d59cb1107abd1caeffbbb88fa63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Animals</topic><topic>Clinical Competence</topic><topic>Fellowships and Scholarships</topic><topic>Hand - surgery</topic><topic>Humans</topic><topic>Microsurgery - education</topic><topic>Models, Animal</topic><topic>Original Article</topic><topic>Orthopedics - education</topic><topic>Rats, Sprague-Dawley</topic><topic>Replantation</topic><topic>ROC Curve</topic><topic>Vascular Patency</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Christensen, Thomas J.</creatorcontrib><creatorcontrib>Anding, William</creatorcontrib><creatorcontrib>Shin, Alexander Y.</creatorcontrib><creatorcontrib>Bishop, Allen T.</creatorcontrib><creatorcontrib>Moran, Steven L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of reconstructive microsurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Christensen, Thomas J.</au><au>Anding, William</au><au>Shin, Alexander Y.</au><au>Bishop, Allen T.</au><au>Moran, Steven L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Influence of Microsurgical Training on the Practice of Hand Surgeons</atitle><jtitle>Journal of reconstructive microsurgery</jtitle><addtitle>J reconstr Microsurg</addtitle><date>2015-07-01</date><risdate>2015</risdate><volume>31</volume><issue>6</issue><spage>442</spage><epage>449</epage><pages>442-449</pages><issn>0743-684X</issn><eissn>1098-8947</eissn><abstract>Abstract
Background
The study aims to determine the effect of formal training on the long-term practice of microsurgery.
Methods
Hand surgeons completing a 1-year hand fellowship and a 5-day microsurgery rat-model training course from a single institution over a 15-year period (1996–2011) were surveyed. Patency rates (at 24 hours), additional days spent in the laboratory, and training (orthopedic [OS] vs. plastic surgery [PS]) were correlated with the questionnaire responses regarding microsurgical confidence and practice spectrum.
Results
Data were obtained for 100% (61/61) of former fellows. PSs were 4.7 and 7.6 times more likely to perform replants and free flaps than OSs, respectively. Training patency rates and days in the laboratory were fair predictors of current practice of free flaps and replants.
Conclusion
PSs are more likely to perform replants and free flaps than OSs. Successful completion of a microsurgical skills course can be used as a predictor of those who will ultimately practice microsurgery. Broader application of microsurgical skills labs may be a technique to increase the practice of microsurgery among all hand surgeons.</abstract><cop>333 Seventh Avenue, New York, NY 10001, USA</cop><pub>Thieme Medical Publishers</pub><pmid>25893631</pmid><doi>10.1055/s-0035-1549443</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0743-684X |
| ispartof | Journal of reconstructive microsurgery, 2015-07, Vol.31 (6), p.442-449 |
| issn | 0743-684X 1098-8947 |
| language | eng |
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| source | MEDLINE; Thieme Connect Journals |
| subjects | Animals Clinical Competence Fellowships and Scholarships Hand - surgery Humans Microsurgery - education Models, Animal Original Article Orthopedics - education Rats, Sprague-Dawley Replantation ROC Curve Vascular Patency |
| title | The Influence of Microsurgical Training on the Practice of Hand Surgeons |
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