Factors influencing microsurgical skill acquisition during a dedicated training course
Factors influencing microsurgical skill acquisition during a dedicated training course
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DOI：
10.1002/micr.22047
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发表时间：
2012-11-01
期刊：
影响因子：
2.1
通讯作者：
Carroll, Sean
中科院分区：
文献类型：
--
作者：
Nugent, Emmeline;Joyce, Cormac;Carroll, Sean
背景：熟练的显微外科技术被认为是整形和重建外科的基本技能。专门课程为受训者提供提高技术技能的机会。受训者的资质可能在受训者获得熟练技能的能力方面发挥重要作用，因为个人具有不同的基本能力。我们提供了为期5天的显微外科强化培训课程。我们客观地评估了课程对显微外科技能获得的影响，以及用心理测量测试评估的能力是否与手术表现有关。方法：16名外科实习生（男10名，女6名）参加了培训。受训者的视觉空间，知觉和心理能力进行了评估，在第一天的课程。在第2天和第5天评估受训者的端端动脉吻合术性能。通过客观结构化技术技能评估（OSATS）和完成任务的时间评估手术性能。结果如下：受训者在第2天至第5天的OSATS评分（P < 0.001）和完成吻合所需时间（P < 0.001）方面均有显著改善。能力倾向分数与客观评估的显微外科技能表现男性学员，但不为女性。结论：我们证明，参加显微外科培训课程的结果显着改善客观评估的微血管手术技能。技能提高的程度与男性受训者的心理能力评估分数密切相关。(c)2012 Wiley Periodicals，Inc.
Background: Proficient microsurgical skills are considered essential in plastic and reconstructive surgery. Specialized courses offer trainees opportunity to improve their technical skills. Trainee aptitude may play an important role in the ability of a trainee to acquire proficient skills as individuals have differing fundamental abilities. We delivered an intensive 5-day microsurgical training course. We objectively assessed the impact of the course on microsurgical skill acquisition and whether aptitudes as assessed with psychometric tests were related to surgical performance. Methods: Sixteen surgical trainees (male = 10 and female = 6) participated in the courses. Trainees' visual spatial, perceptual, and psychomotor aptitudes were assessed on day 1 of the course. The trainees' performance of an end-to-end arterial anastomosis was assessed on days 2 and 5. Surgical performance was assessed with objective structured assessment of technical skills(OSATS) and time to complete the task. Results: The trainees showed a significant improvement in OSATS scores from days 2 to 5 (P < 0.001) and the time taken to complete the anastomosis (P < 0.001). Aptitude scores correlated strongly with objectively assessed microsurgical skill performance for male trainees but not for females. Conclusions: We demonstrated that participating in a microsurgical training course results in significant improvement in objectively assessed microvascular surgical skills. The degree of skills improvement was strongly correlated with psychomotor aptitude assessments scores for male trainees. (c) 2012 Wiley Periodicals, Inc.