562 Home Microsurgical Method: A Zero-Cost, Accessible, Simulator Using Home-Based Technologies

Microsurgery is an advanced practice that demands a steep learning curve. Skill acquisition is reliant on repetition which is challenging with decreased trainee operating hours. Evidence indicates early skill acquisition in low-fidelity simulation is of equal efficacy to operating time. Our aim was to create a zero-cost, low-fidelity, microsurgery simulator using home-based technology. The simulator has five components; a smartphone (iPhone/Android), laptop/computer, USB/lightning wire, ruler, and two supports of equal height. The ruler creates a platform between the supports on which to place the phone, camera focused downwards. The phone camera captures the surgical field between the supports, projecting the image onto the laptop screen via the USB connection. The trainee operates in a ‘hands down, eyes up’ fashion, looking forwards at the laptop/computer screen whilst operating below in the field of the camera. Latest smartphones achieve magnifications equivalent to a microscope, preserving image quality whilst allowing recording of sim tasks for technical review. Initial verbal feedback in informal advisory groups has been resoundingly positive. There is clear educational benefit with potential to work with consultant surgeons to develop free, accessible, online training modules. These would provide structured, remote, platforms for both qualitative and quantitative tracking of skill development.