Assessment of robotic assisted microsurgical skills: lessons learned from microsurgery simulation training
Epublication WebSurg.com, Nov 2014;14(11). URL: http://websurg.com/doi/lt03enramachandran001
In recent years, training and education in surgery has evolved from a Halstedian apprenticeship model to a competency-based training model. This shift in training has sparked a myriad of research in education and simulation in surgery. The need for good training in microsurgery is evidenced by improved outcomes of microvascular procedures in patients by more experienced surgeons. To develop a competency based training program, objective assessment tools have to be perfected, in order to understand learning curves in microsurgical skill acquisition. Once stage-specific learning curves in microsurgical skill acquisition have been developed, safe clinical thresholds can be identified to ensure that skills acquired in the simulation lab setting can be safely translated to the clinical setting. These same principles can be applied in developing a competency-based program for robotic microsurgery.