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2026, Number 2

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Cir Plast 2026; 36 (2)

Impact of a progressive microsurgical simulation program: pre-post evaluation of technical performance in surgical residents using the SMART scale

Olivas-Borunda MR, Reyes-Montero CF, Favela-Campos RM, Baeza-Ramos JH, Paz-Murga ER

Language: Spanish
References: 9
Page: 125-129
PDF size: 1643.69 Kb.


ABSTRACT

Currently, multiple microsurgical simulation models exist to refine residents' skills in a controlled and safe environment that helps to shorten the learning curve. Nevertheless, few studies evaluate their real impact and application in clinical practice. A descriptive, prospective, longitudinal study was conducted in general surgery and plastic and reconstructive surgery residents from hospitals affiliated with the Autonomous University of Chihuahua. Their training involved using synthetic and non-living biological models and recording time and performance using the SMART scale. Subsequently, an evaluation of skill transfer to the clinical setting was carried out. A total of 25 residents participated (16 men and 9 women; mean age 30.9 years). The average dissection time decreased from 6.8 to 3.5 minutes (–48.1%), and total practice time from 33 to 19.3 minutes (–41.5%). The SMART score improved from 28.5 to 32 (+3.4 points). Senior residents achieved better outcomes, confirming that systematic practice with simulation models promotes progressive development of microsurgical skills, demonstrating the relevance of continuous training during surgical education.


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