Results of a Pilot Virtual Microsurgery Course for Plastic Surgeons in LMICs
Background:. The Plastic Surgery Foundation’s Surgeons in Humanitarian Alliance for Reconstruction, Research and Education (SHARE) program seeks to expand surgical capacity worldwide through mentorship and training for local plastic surgeons. This study aims to define the need for microsurgery train...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2024-02-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005582 |
| _version_ | 1797292769153122304 |
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| author | Greta L. Davis, MD Metasebia W. Abebe, MD, FC (ECSA), MPH Raj M. Vyas, MD Christine H. Rohde, MD, MPH Michelle R. Coriddi, MD Andrea L. Pusic, MD Amanda A. Gosman, MD |
| author_facet | Greta L. Davis, MD Metasebia W. Abebe, MD, FC (ECSA), MPH Raj M. Vyas, MD Christine H. Rohde, MD, MPH Michelle R. Coriddi, MD Andrea L. Pusic, MD Amanda A. Gosman, MD |
| author_sort | Greta L. Davis, MD |
| collection | DOAJ |
| description | Background:. The Plastic Surgery Foundation’s Surgeons in Humanitarian Alliance for Reconstruction, Research and Education (SHARE) program seeks to expand surgical capacity worldwide through mentorship and training for local plastic surgeons. This study aims to define the need for microsurgery training among SHARE global fellows and describe results of a pilot course.
Methods:. Ten participants of the SHARE Virtual Microsurgical Skills Course were asked to complete an anonymous survey. Pre- and post-course response rates were 100% and 50.0%, respectively.
Results:. There was a high incidence of microsurgical problems encountered in the clinical setting. Resource availability was varied, with high access to loupes (100%), yet limited access to microsurgery instruments (50%), medications (40%), operating microscope (20%), skilled nursing (0%) and appropriate peri-operative care settings (0%). Participants identified vessel preparation, instrument selection, and suture handling as priority learning objectives for a microsurgery skills course. Post-course satisfaction with learning objectives was high (60% “very good,” 40% “excellent”). Participants reported high levels of improvement in suture handling (Likert 4.60±0.55), end-to-end anastomosis (4.40±0.55), instrument selection (4.20±0.45), vessel preparation (4.20±0.45), and economy of motion (4.20±0.45).
Conclusions:. This study demonstrates a high frequency of reconstructive problems encountered by global fellows yet low access to appropriate resources to perform microsurgical procedures. Initial results from a pilot virtual microsurgery course demonstrate very high satisfaction and high self-rated improvement in key microsurgical skills. The virtual course is an effective and accessible format for training surgeons in basic microsurgery skills and can be augmented by providing longitudinal opportunities for remote feedback. |
| first_indexed | 2024-03-07T20:02:20Z |
| format | Article |
| id | doaj.art-a0157981fc8c407e9eb2e8c7726d6cd1 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-03-07T20:02:20Z |
| publishDate | 2024-02-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-a0157981fc8c407e9eb2e8c7726d6cd12024-02-28T06:48:00ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742024-02-01122e558210.1097/GOX.0000000000005582202402000-00041Results of a Pilot Virtual Microsurgery Course for Plastic Surgeons in LMICsGreta L. Davis, MD0Metasebia W. Abebe, MD, FC (ECSA), MPH1Raj M. Vyas, MD2Christine H. Rohde, MD, MPH3Michelle R. Coriddi, MD4Andrea L. Pusic, MD5Amanda A. Gosman, MD6From * Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California, San Francisco, San Francisco, Calif.† Plastic and Reconstructive Surgery, Saint Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia‡ Department of Plastic Surgery, University of California, Irvine, Orange, Calif.§ Division of Plastic and Reconstructive Surgery, Department of Surgery, Columbia University Medical Center, New York, N.Y.¶ Plastic and Reconstructive Surgery Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, N.Y.‖ Division of Plastic and Reconstructive Surgery, Department of Surgery, Brigham Health, Boston, Mass.** Division of Plastic Surgery, Department of Surgery, University of California, San Diego, San Diego, Calif.Background:. The Plastic Surgery Foundation’s Surgeons in Humanitarian Alliance for Reconstruction, Research and Education (SHARE) program seeks to expand surgical capacity worldwide through mentorship and training for local plastic surgeons. This study aims to define the need for microsurgery training among SHARE global fellows and describe results of a pilot course. Methods:. Ten participants of the SHARE Virtual Microsurgical Skills Course were asked to complete an anonymous survey. Pre- and post-course response rates were 100% and 50.0%, respectively. Results:. There was a high incidence of microsurgical problems encountered in the clinical setting. Resource availability was varied, with high access to loupes (100%), yet limited access to microsurgery instruments (50%), medications (40%), operating microscope (20%), skilled nursing (0%) and appropriate peri-operative care settings (0%). Participants identified vessel preparation, instrument selection, and suture handling as priority learning objectives for a microsurgery skills course. Post-course satisfaction with learning objectives was high (60% “very good,” 40% “excellent”). Participants reported high levels of improvement in suture handling (Likert 4.60±0.55), end-to-end anastomosis (4.40±0.55), instrument selection (4.20±0.45), vessel preparation (4.20±0.45), and economy of motion (4.20±0.45). Conclusions:. This study demonstrates a high frequency of reconstructive problems encountered by global fellows yet low access to appropriate resources to perform microsurgical procedures. Initial results from a pilot virtual microsurgery course demonstrate very high satisfaction and high self-rated improvement in key microsurgical skills. The virtual course is an effective and accessible format for training surgeons in basic microsurgery skills and can be augmented by providing longitudinal opportunities for remote feedback.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005582 |
| spellingShingle | Greta L. Davis, MD Metasebia W. Abebe, MD, FC (ECSA), MPH Raj M. Vyas, MD Christine H. Rohde, MD, MPH Michelle R. Coriddi, MD Andrea L. Pusic, MD Amanda A. Gosman, MD Results of a Pilot Virtual Microsurgery Course for Plastic Surgeons in LMICs Plastic and Reconstructive Surgery, Global Open |
| title | Results of a Pilot Virtual Microsurgery Course for Plastic Surgeons in LMICs |
| title_full | Results of a Pilot Virtual Microsurgery Course for Plastic Surgeons in LMICs |
| title_fullStr | Results of a Pilot Virtual Microsurgery Course for Plastic Surgeons in LMICs |
| title_full_unstemmed | Results of a Pilot Virtual Microsurgery Course for Plastic Surgeons in LMICs |
| title_short | Results of a Pilot Virtual Microsurgery Course for Plastic Surgeons in LMICs |
| title_sort | results of a pilot virtual microsurgery course for plastic surgeons in lmics |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005582 |
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