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The tale of the “unlucky” 13 errors in the journey towards an outstanding end -product in microvascular anastomosis training

  • Harry Burton
    Affiliations
    London Reconstructive Microsurgery Unit, Department of Plastic Surgery, Emergency Care and Trauma Division, The Royal London Hospital, Barts Health NHS Trust, London, UK
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  • Georgios Pafitanis
    Correspondence
    Corresponding author: Dr. Georgios Pafitanis, Plastic Surgery, Barts Health NHS Trust, United Kingdom
    Affiliations
    London Reconstructive Microsurgery Unit, Department of Plastic Surgery, Emergency Care and Trauma Division, The Royal London Hospital, Barts Health NHS Trust, London, UK
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Published:November 22, 2022DOI:https://doi.org/10.1016/j.bjps.2022.11.033

      Abstract

      In microsurgery training, where the first steps occur in a safe simulated environment, we believe there is a lack of emphasis on well reflected commonly occurring mistakes; education manuals provide stepwise instructions on performing tasks but do not list common mistakes and ways to avoid them. It is well acknowledged that the majority of vascular anastomotic complications are attributed to technical errors, however the validated global rating scales that are used to assess microsurgical competency do not address errors and how to avoid making them - potentially preventing devastating failures. Our aim is to improve and streamline constructive feedback in microsurgical education by use of an error-based learning resource. By referring to our ’13 errors’ graphic, teachers and students can refer to specific errors they have made, and quickly revise these with error-specific feedback, with and without supervision. The ‘13 errors’ table enables identification errors, explanation as to why these may have occurred, and constructive feedback in order to rectify the mistake.

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