Essential hand surgery procedures for mastery by graduating plastic surgery residents: a survey of program directors.

Plastic and reconstructive surgery 2013 Vol.132(6) p. 977e-984e

Noland SS, Fischer LH, Lee GK, Friedrich JB, Hentz VR

Abstract

[BACKGROUND] This study was designed to establish the essential hand surgery procedures that should be mastered by graduating plastic surgery residents. This framework can then be used as a guideline for developing Objective Structured Assessment of Technical Skill to teach technical skills in hand surgery.

[METHODS] Ten expert hand surgeons were surveyed regarding the essential hand surgery procedures that should be mastered by graduating plastic surgery residents. The top 10 procedures from this survey were then used to survey all 89 Accreditation Council for Graduate Medical Education-approved plastic surgery program directors.

[RESULTS] There was a 69 percent response rate to the program director survey (n = 61). The top nine hand surgery procedures included open carpal tunnel release, open A1 pulley release, digital nerve repair with microscope, closed reduction and percutaneous pinning of metacarpal fracture, excision of dorsal or volar ganglion, zone II flexor tendon repair with multistrand technique, incision and drainage of the flexor tendon sheath for flexor tenosynovitis, flexor tendon sheath steroid injection, and open cubital tunnel release.

[CONCLUSIONS] Surgical educators need to develop objective methods to teach and document technical skill. The Objective Structured Assessment of Technical Skill is a valid method for accomplishing this task. There has been no consensus regarding which hand surgery procedures should be mastered by graduating plastic surgery residents. The authors have identified nine procedures that are overwhelmingly supported by plastic surgery program directors. These nine procedures can be used as a guideline for developing Objective Structured Assessment of Technical Skill to teach and document technical skills in hand surgery.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
해부 dorsal scispacy 1
해부 zone II flexor tendon scispacy 1
해부 flexor tendon sheath scispacy 1
해부 flexor tendon sheath steroid scispacy 1
합병증 flexor tenosynovitis scispacy 1
약물 steroid C0038317
Steroids
scispacy 1
약물 [BACKGROUND] scispacy 1
약물 [CONCLUSIONS] scispacy 1
질환 fracture C0016658
Fracture
scispacy 1
질환 flexor tenosynovitis C0744058
flexor tenosynovitis
scispacy 1
기타 volar scispacy 1

MeSH Terms

Accreditation; Carpal Tunnel Syndrome; Clinical Competence; Data Collection; Education, Medical, Graduate; Faculty, Medical; Fellowships and Scholarships; Hand; Humans; Internship and Residency; Plastic Surgery Procedures; Surgery, Plastic

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