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논문 기본 정보

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학술저널
저자정보
Komatsu, Seiji (Department of Plastic and Reconstructive Surgery, Okayama University Hospital) Yamada, Kiyoshi (Department of Plastic and Reconstructive Surgery, Okayama University Hospital) Yamashita, Shuji (Department of Plastic and Reconstructive Surgery, Okayama Saiseikai General Hospital) Sugiyama, Narushi (Department of Plastic and Reconstructive Surgery, Okayama University Hospital) Tokuyama, Eijiro (Department of Plastic and Reconstructive Surgery, Okayama University Hospital) Matsumoto, Kumiko (Department of Plastic and Reconstructive Surgery, Okayama University Hospital) Takara, Ayumi (Department of Plastic and Reconstructive Surgery, Okayama University Hospital) Kimata, Yoshihiro (Department of Plastic and Reconstructive Surgery, Okayama University Hospital)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제40권 제3호
발행연도
2013.1
수록면
214 - 219 (6page)

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Background We established the Microvascular Research Center Training Program (MRCP) to help trainee surgeons acquire and develop microsurgical skills. Medical students were recruited to undergo the MRCP to assess the effectiveness of the MRCP for trainee surgeons. Methods Twenty-two medical students with no prior microsurgical experience, who completed the course from 2005 to 2012, were included. The MRCP comprises 5 stages of training, each with specific passing requirements. Stages 1 and 2 involve anastomosing silicone tubes and blood vessels of chicken carcasses, respectively, within 20 minutes. Stage 3 involves anastomosing the femoral artery and vein of live rats with a 1-day patency rate of >80%. Stage 4 requires replantation of free superficial inferior epigastric artery flaps in rats with a 7-day success rate of >80%. Stage 5 involves successful completion of one case of rat replantation/transplantation. We calculated the passing rate for each stage and recorded the number of anastomoses required to pass stages 3 and 4. Results The passing rates were 100% (22/22) for stages 1 and 2, 86.4% (19/22) for stage 3, 59.1% (13/22) for stage 4, and 55.0% (11/20) for stage 5. The number of anastomoses performed was $17.2{\pm}12.2$ in stage 3 and $11.3{\pm}8.1$ in stage 4. Conclusions Majority of the medical students who undertook the MRCP acquired basic microsurgical skills. Thus, we conclude that the MRCP is an effective microsurgery training program for trainee surgeons.
#Microsurgery #Program evaluation #Tissue transplantation

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참고문헌 (24)

참고문헌 신청
Martin JA / 1997 / Objective structured assessment of technical skill (OSATS) for surgical residents / Br J Surg 84:273~278 google schola Nugent E / 2012 / Factors influencing microsurgical skill acquisition during a dedicated training course / Microsurgery 32:649~656 google schola Selber JC / 2012 / Tracking the learning curve in microsurgical skill acquisition / Plast Reconstr Surg 130:551e~558e google schola Balasundaram I / 2010 / Development of a training curriculum for microsurgery / Br J Oral Maxillofac Surg 48:598~606 google schola Temple CL / 2011 / A new, validated instrument to evaluate competency in microsurgery: the University of Western Ontario Microsurgical Skills Acquisition/Assessment instrument / Plast Reconstr Surg 127:215~222 google schola

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