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Injury. 2020 Feb 10. pii: S0020-1383(20)30078-4. doi: 10.1016/j.injury.2020.02.004. [Epub ahead of print]

International microsurgery simulation society (IMSS) consensus statement on the minimum standards for a basic microsurgery course, requirements for a microsurgical anastomosis global rating scale and minimum thresholds for training.

Author information

1
Group for Academic Plastic Surgery, The Blizard Institute, Queen Mary University of London, (London, England, United Kingdom). Electronic address: a.ghanem@qmul.ac.uk.
2
Plastic Surgery Unit, Glasgow Royal Infirmary, (Glasgow, Scotland, United Kingdom). Electronic address: mariekrs@hotmail.com.
3
Microsurgery Department, Jesús Usón Minimally Invasive Surgery Centre, (Cáceres, Spain). Electronic address: aballestin@ccmijesususon.com.
4
Microsurgical Training Center, Johannes Kepler University Linz (Linz, Austria). Electronic address: stefan.froschauer@maz.at.
5
Microsurgery Research and Training Laboratory, Columbia University, (New York, United States). Electronic address: ya67@cumc.columbia.edu.
6
Northwick Park Institute for Medical Research (London, England, United Kingdom). Electronic address: microshure@yahoo.co.uk.
7
École de Chirurgie de AGEPS-APHP (Paris, France). Electronic address: josette.legagneux@aphp.fr.
8
KK Women's and Children's Hospital (Singapore, Singapore). Electronic address: savitha.ramachandran@singhealth.com.sg.
9
Research Education Unit, Cardarelli Hospital (Napoli, Italy). Electronic address: santolo.cozzolino@aocardarelli.it.
10
St Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Mid Essex Hospital Services NHS Trust, (Chelmsford, England, United Kingdom). Electronic address: ramakrishnan@btconnect.com.
11
Group for Academic Plastic Surgery, The Blizard Institute, Queen Mary University of London, (London, England, United Kingdom). Electronic address: g.pafitanis@qmul.ac.uk.
12
Department of Plastic Surgery, Zagazig University (Zagazig, Egypt). Electronic address: yehiaz71@hotmail.com.
13
Department of Plastic and Reconstructive Surgery, King Hussein Medical Centre (Amman, Jordan). Electronic address: K_maaytah@yahoo.com.
14
Department of Plastic and Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science (Okayama, Japan). Electronic address: komats-s@cc.okayama-u.ac.jp.
15
Department of Plastic and Reconstructive Surgery, King Hussein Medical Centre (Amman, Jordan). Electronic address: ykimata@cc.okayama-u.ac.jp.
16
Plastic and Reconstructive Surgery, Pontifical Catholic University of Chile (Santiago de Chile, Chile). Electronic address: ijcifuen@gmail.com.
17
Orthopaedic Research & Education Center, National and Kapodistrian University of Athens, School of Medicine, Attikon University Hospital, (Athens, Greece). Electronic address: psoukakos@ath.forthnet.gr.
18
Hand Surgery and Reconstructive Microsurgery Department, Orthopedic Institute Gaetano Pini - CTO (Milan, Italy). Electronic address: pierluigi.tos@unito.it.
19
Group for Academic Plastic Surgery, The Blizard Institute, Queen Mary University of London, (London, England, United Kingdom). Electronic address: simon.myers@qmul.ac.uk.

Abstract

INTRODUCTION:

Microsurgery is a surgical technique that uses optical magnification as well as specific instruments to address necessary reconstructive procedures in different medical specialties. The apprenticeship of this technique requires overcoming a steep learning curve. There is a need for standardization of the training criteria in microsurgery. The International Microsurgery Simulation Society (IMSS) was born in 2011, since then its main objective has been to connect the main international specialists and educators of this sub-specialty to share and discuss the ethical and scientific basis of preclinical microsurgery teaching.

METHODS:

In order to achieve a consensus on the minimum standards for the organization of basic microsurgery training courses, the requirements for a microsurgical anastomosis global rating scale and minimum thresholds for training, a total of nineteen independent global experts participated in a formal consultative consensus development program. The agreement criteria for each statement was established when consensus of 65-100% was reached.

RESULTS:

There have been established six recommendations concerning minimum standards for a basic microsurgery course, one recommendation in relation to minimum thresholds for training and four recommendations regarding the global rating scale as gold standard for a microsurgical anastomosis assessment. The eleven defined recommendations reached the agreement threshold of 65-100%.

CONCLUSIONS:

The development of this consensus sets the minimum recommended requirements for conducting basic microsurgery training courses, as well as suggestions for objective assessment of the learning curve and skills of trainees.

KEYWORDS:

Anastomosis; Assessment; Global rating scale; Learning; Microsurgery; Simulation; Training

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