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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...

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Main Authors: Gunasagaran, Jayaletchumi, Rasid, R.J., Mappiare, Sahrinanah, Devarajooh, Cassidy, Ahmad, Tunku Sara
Format: Article
Published: Malaysian Orthopaedic Association 2018
Subjects:
R Medicine
Online Access:http://eprints.um.edu.my/21993/
https://doi.org/10.5704/MOJ.1807.007
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spelling my.um.eprints.219932019-08-20T08:01:24Z http://eprints.um.edu.my/21993/ Microgrids: A Model for Basic Microsurgery Skills Training Gunasagaran, Jayaletchumi Rasid, R.J. Mappiare, Sahrinanah Devarajooh, Cassidy Ahmad, Tunku Sara R Medicine 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. Malaysian Orthopaedic Association 2018 Article PeerReviewed Gunasagaran, Jayaletchumi and Rasid, R.J. and Mappiare, Sahrinanah and Devarajooh, Cassidy and Ahmad, Tunku Sara (2018) Microgrids: A Model for Basic Microsurgery Skills Training. Malaysian Orthopaedic Journal, 12 (2). pp. 37-41. ISSN 1985-2533 https://doi.org/10.5704/MOJ.1807.007 doi:10.5704/MOJ.1807.007
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic R Medicine
spellingShingle R Medicine
Gunasagaran, Jayaletchumi
Rasid, R.J.
Mappiare, Sahrinanah
Devarajooh, Cassidy
Ahmad, Tunku Sara
Microgrids: A Model for Basic Microsurgery Skills Training
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.
format Article
author Gunasagaran, Jayaletchumi
Rasid, R.J.
Mappiare, Sahrinanah
Devarajooh, Cassidy
Ahmad, Tunku Sara
author_facet Gunasagaran, Jayaletchumi
Rasid, R.J.
Mappiare, Sahrinanah
Devarajooh, Cassidy
Ahmad, Tunku Sara
author_sort Gunasagaran, Jayaletchumi
title Microgrids: A Model for Basic Microsurgery Skills Training
title_short 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_sort microgrids: a model for basic microsurgery skills training
publisher Malaysian Orthopaedic Association
publishDate 2018
url http://eprints.um.edu.my/21993/
https://doi.org/10.5704/MOJ.1807.007
_version_ 1643691721395011584
score 13.211869

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