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A survey of microsurgery training in the United States
Author(s) -
Goossens Dennis P.,
Gruel Suzann M.,
Rao Venkat K.
Publication year - 1990
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.1920110103
Subject(s) - microsurgery , medicine , anastomosis , curriculum , certification , medical education , surgery , medical physics , psychology , management , pedagogy , economics
Abstract The increasing use of clinical and experimental microsurgical techniques has created a need for standardized, high‐quality training programs in microsurgery. Towards this end, we conducted a study of the microsurgery instruction available in the United States. The data were collected from responses to surveys mailed to 55 microsurgery training centers across the country. Survey questions asked for a general characterization of each training program and its participants and for a specific description of course content. The results indicated that, even though training programs differed considerably, there were common elements. Total course length ranged from less than 40 hours to 80 hours, with a range of 32–40 hours devoted to basic microsurgery techniques. Forty percent of instructional programs were not certified for continuing medical education (CME) credit. Half of all reported trainees were residents in training. The basic microsurgery techniques common to most programs included instruction in microvascular end‐to‐end and end‐to‐side anastomoses of femoral arteries and veins in rats. Instruction in peripheral nerve repair was not offered. We conclude that, although there are merits to a diverse curriculum, it is time to institute a minimum level of standardized basic microsurgery training.