Arch Plast Surg.  2014 May;41(3):218-224. 10.5999/aps.2014.41.3.218.

Research Priorities in Light of Current Trends in Microsurgical Training: Revalidation, Simulation, Cross-Training, and Standardisation

Affiliations
  • 1Department of Plastic Surgery, Royal London Hospital, London, UK.
  • 2Imperial College London, London, UK.
  • 3Academic Plastic Surgery Group, Barts and the London School of Medicine and Dentistry, London, UK. a.ghanem@qmul.ac.uk

Abstract

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.

Keyword

Surgery, plastic; Microsurgery; Inservice training; Patient simulation; Education

MeSH Terms

Curriculum
Education
Humans
Inservice Training
Microsurgery
Patient Simulation
Surgery, Plastic
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