Microgrids: A Model for Basic Microsurgery Skills Training

Introduction: Microsurgery is a subspecialised field which requires high technical skill. Laboratory training offers good opportunity for novice surgeons to learn and repetitively practise their skills prior to hands-on clinical practice. Commonly, the training programme consists of models in a step...

Full description

Bibliographic Details
Main Authors: Gunasagaran J, Rasid RJ, Mappiare S, Devarajooh C, Ahmad TS
Format: Article
Language:English
Published: Malaysian Orthopaedic Association 2018-07-01
Series:Malaysian Orthopaedic Journal
Subjects:
Online Access:http://www.morthoj.org/2018/v12n2/microgrids.pdf
_version_ 1819349830910083072
author Gunasagaran J
Rasid RJ
Mappiare S
Devarajooh C
Ahmad TS
author_facet Gunasagaran J
Rasid RJ
Mappiare S
Devarajooh C
Ahmad TS
author_sort Gunasagaran J
collection DOAJ
description Introduction: Microsurgery is a subspecialised field which requires high technical skill. Laboratory training offers good opportunity for novice surgeons to learn and repetitively practise their skills prior to hands-on clinical practice. Commonly, the training programme consists of models in a stepwise increase in fidelity: from latex sheet to anaesthetised rat. We introduce microgrids model as a daily warm up procedure in a 5-day basic microsurgery course. The purpose of this study is to evaluate the correlation between microgrids colouring under magnification with microsuturing proficiency among novice surgeons. Materials and Methods: Participants were required to fill in microgrids under magnification everyday during their 5-day training as a starter test. The number of completely filled in microgrids in 20 seconds was recorded. A simulated cut on latex sheet was sutured and the time taken to apply five sutures was recorded. The sutures were evaluated with modified Global Rating Scale (GRS). Data was analysed with SPSS. Results: There was a statistically significant correlation between the number of microgrids coloured and the time taken to apply five sutures (p<0.01). An increase in number of microgrids coloured was significantly associated with the increase in quality of the suturing technique (p< 0.01). During the 5-day basic microsurgery skills training for novice surgeons, microsuturing skill improvement correlated with microgrid colouring. Conclusion: Microgrids colouring reflected microsuturing proficiency. It is an inexpensive, readily available, and simple model of ‘warm up’ for hand dexterity. The microgrids model can function as a starter test for initial training and a quick screening measure to assess microsurgical skill.
first_indexed 2024-12-24T19:06:46Z
format Article
id doaj.art-af1703e4403142368c68bb36fef78cb9
institution Directory Open Access Journal
issn 1985-2533
2232-111X
language English
last_indexed 2024-12-24T19:06:46Z
publishDate 2018-07-01
publisher Malaysian Orthopaedic Association
record_format Article
series Malaysian Orthopaedic Journal
spelling doaj.art-af1703e4403142368c68bb36fef78cb92022-12-21T16:43:05ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332232-111X2018-07-01122374110.5704/MOJ.1807.007Microgrids: A Model for Basic Microsurgery Skills TrainingGunasagaran J0 Rasid RJ1Mappiare S2 Devarajooh C3Ahmad TS4MS OrthMBBSBsc (Biology)MPHFRCSIntroduction: Microsurgery is a subspecialised field which requires high technical skill. Laboratory training offers good opportunity for novice surgeons to learn and repetitively practise their skills prior to hands-on clinical practice. Commonly, the training programme consists of models in a stepwise increase in fidelity: from latex sheet to anaesthetised rat. We introduce microgrids model as a daily warm up procedure in a 5-day basic microsurgery course. The purpose of this study is to evaluate the correlation between microgrids colouring under magnification with microsuturing proficiency among novice surgeons. Materials and Methods: Participants were required to fill in microgrids under magnification everyday during their 5-day training as a starter test. The number of completely filled in microgrids in 20 seconds was recorded. A simulated cut on latex sheet was sutured and the time taken to apply five sutures was recorded. The sutures were evaluated with modified Global Rating Scale (GRS). Data was analysed with SPSS. Results: There was a statistically significant correlation between the number of microgrids coloured and the time taken to apply five sutures (p<0.01). An increase in number of microgrids coloured was significantly associated with the increase in quality of the suturing technique (p< 0.01). During the 5-day basic microsurgery skills training for novice surgeons, microsuturing skill improvement correlated with microgrid colouring. Conclusion: Microgrids colouring reflected microsuturing proficiency. It is an inexpensive, readily available, and simple model of ‘warm up’ for hand dexterity. The microgrids model can function as a starter test for initial training and a quick screening measure to assess microsurgical skill.http://www.morthoj.org/2018/v12n2/microgrids.pdfmicrogridmicrosurgery training
spellingShingle Gunasagaran J
Rasid RJ
Mappiare S
Devarajooh C
Ahmad TS
Microgrids: A Model for Basic Microsurgery Skills Training
Malaysian Orthopaedic Journal
microgrid
microsurgery training
title Microgrids: A Model for Basic Microsurgery Skills Training
title_full Microgrids: A Model for Basic Microsurgery Skills Training
title_fullStr Microgrids: A Model for Basic Microsurgery Skills Training
title_full_unstemmed Microgrids: A Model for Basic Microsurgery Skills Training
title_short Microgrids: A Model for Basic Microsurgery Skills Training
title_sort microgrids a model for basic microsurgery skills training
topic microgrid
microsurgery training
url http://www.morthoj.org/2018/v12n2/microgrids.pdf
work_keys_str_mv AT gunasagaranj microgridsamodelforbasicmicrosurgeryskillstraining
AT rasidrj microgridsamodelforbasicmicrosurgeryskillstraining
AT mappiares microgridsamodelforbasicmicrosurgeryskillstraining
AT devarajoohc microgridsamodelforbasicmicrosurgeryskillstraining
AT ahmadts microgridsamodelforbasicmicrosurgeryskillstraining