Clinical trial NCT04997720: Impact of the Microsurgical Technique After a Theoretical-practical Course in Microsurgery
Official title: ANALYSIS OF THE IMPACT ON THE MICRO SURGICAL TECHNIQUE IN RESIDENTS AFTER A THEORETICAL-PRACTICAL COURSE OF MICROSURGERY: A SINGLE GROUP STUDY
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Medical Training
Microsurgery
Education
Keywords: Academic training
Capacity evaluation
Continuing medical education
Neurosurgery
Lead sponsor: Hospital de Clinicas José de San Martín
Sponsor class: OTHER
First posted: 2021-08-10
Enrollment: 45
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: OTHER

Brief summary: A single group study will be carried out in the Microsurgery Laboratory, Neurosurgery Department, Hospital de Clínicas, and the Center for Microsurgical Skills of the Argentine Association of Neurosurgery. The objective of the study is to evaluate the effect of theoretical-practical course learning in neurosurgery and plastic surgery residents.

Detailed description: Introduction: In the second half of the 20th century, the use of the surgical microscope became popular in neurosurgery. In the last twenty years, simulation has gained worldwide acceptance as a teaching tool in medicine, especially microsurgery. For this, various training models have been created.

Objective: To evaluate the effect of the theoretical-practical course learning in neurosurgery and plastic surgery residents.

Materials and methods: A single group study will be carried out in the Microsurgery Laboratory, Neurosurgery Department, Hospital de Clínicas, and the Center for Microsurgical Skills of the Argentine Association of Neurosurgery. Medical doctors of both genders will be included in the first three years of neurosurgical or plastic surgery training from any center in Argentina. The course will be theoretical-practical, lasting eight hours, divided into two meetings with a theoretical class and practical microsurgery exercises. It will be supervised by teachers microsurgery experienced. An Initial and final evaluation will be carried out and the scores obtained between both theoretical and practical evaluations will be compared. In the practical evaluations, the time and the SMART scale will be analyzed. Categorical variables will be reported as absolute and relative numbers. The normality of the data will be verified by the Kolmogorov-Smirnov test. Continuous variables will be reported as mean and standard deviations or median and interquartile ranges. Student's t test, Mann-Whitney U test will be used to compare means, when appropriate, according to the distribution of variables. The categorical variables will be compared with the χ2 test.

Eligibility criteria: Inclusion Criteria:

* Doctors in the first three years of neurosurgical training or plastic surgery in any center in Argentina.
* Both gender will be included without age limit.

Exclusion Criteria:

* Participants who do not complete the entire course will be excluded

Primary outcomes:
measure: Change of Quality of the execution of the suture
timeFrame: Change from baseline of Score Stanford Microsurgery and Resident Training Scale (SMART)through study completion, an average of 8 hours of training
measure: Change of Time of the execution of the suture
timeFrame: Change from baseline through study completion, an average of 8 hours of training
measure: Change of Theoretical knowledge
timeFrame: Change from baseline through study completion, an average of 8 hours of training
Secondary outcomes:
measure: The correlation between the year of residence and the changes in the results of the theoretical evaluation of ten multiple-choice questions.
timeFrame: Change from baseline after 8 hours of training
measure: The correlation between the year of residence and the changes in the results of the time in seconds required to complete the evaluation.
timeFrame: Change from baseline after 8 hours of training
measure: The correlation between the year of residence and the changes in the process of executing the suture will be evaluated using the Stanford Microsurgery and Resident Training Scale (SMART) (9 to 45, higher scores mean a better outcome)
timeFrame: Change from baseline after 8 hours of training
Other outcomes:
Locations:
city: Caba
country: Argentina
facility: Ezequiel Yasuda
state: Ciudad Autónoma De Buenos Aires
Study officials:
References: