plasurВопросы реконструктивной и пластической хирургииIssues of Reconstructive and Plastic Surgery1814-1471АНО "НИИ микрохирургии"10.52581/1814-1471/76/10plasur-13Research ArticleСтатьиНовая парадигма в микрохирургическом образовании: международная степень магистра по реконструктивной микрохирургииThe new paradigm on microsurgical education: the international master degree on reconstructive microsurgeryРодригесК.RodriguezC.

департамент пластической и реконструктивной хирургии

г. Росарио

the Department of Plastic and Reconstructive Surgery

Rosario

СуоминенС.SuominenS.

отделение пластической хирургии

г. Хельсинки

the Department of Plastic Surgery 

Helsinki

Ван ЛандайтК.Van LanduytK.

кафедра пластической и реконструктивной хирургии

г. Гент

the Department of Plastic and Reconstructive Surgery 

Gent

ФархадиДж.FarhadiJ.

Департамент пластической хирургии

Westminster Bridge Road, г. Лондон SE1 7EH

the Department of Plastic Surgery

Westminster Bridge Road, London SE1 7EH

ХамдиМ.HamdiM.

отделение пластической и реконструктивной хирургии 

Laarbeeklaan 101, 1090, г. Брюссель

the Department of Plastic and Reconstructive Surgery 

Laarbeeklaan 101, 1090 Brusels

СантамарияЭ.SantamariaE.

отделение пластической хирургии

г. Сьюдад-де-Мехико

the Department of Plastic Surgery 

Ciudad de México

КолбФ.KolbF.

Департамент пластической хирургии 

г. Сан-Диего

the Department of Plastic Surgery 

San Diego

ЛеймариН.LeymariN.

Gustave-Roussy, 114, rue Edouard-Vaillant, 94800, г. Вильжюиф

Gustave-Roussy, 114, rue Edouard-Vaillant, 94800 Villejuif

ИнночентиМ.InnocentiM.

отделение пластической и реконструктивной микрохирургии 

г. Флоренция

the Department of Plastic and Reconstructive Microsurgery

Firenze Fl

ГарусиК.GarusiC.

отделение пластической и реконструктивной хирургии 

г. Милан

the Department of Plastic and Reconstructive Surgery

Milan

ПонсГ.PonsG.

отделение пластической хирургии 

г. Барселона

 the Department of Plastic Surgery 

Barcelona

ВегаК.VegaC.

отделение пластической хирургии 

г. Барселона

the Department of Plastic Surgery 

Barcelona

МасияДж.MasiaJ.

отделение пластической хирургии 

г. Барселона

The Department of Plastic Surgery 

Barcelona

jmasia@santapau.catПарк Санаториев - Группа OroñoАргентинаSanatorio Parque – Grupo OroñoArgentinaЦентральный госпиталь Хельсинкского университета, Хельсинкский университетФинляндияHelsinki University Central Hospital and University of HelsinkiFinlandГентский университетБельгияUniversity of GentBelgiumДоверительный фонд NHS Гая и Св. ТомасаВеликобританияGuy´s and St. Thomas´ NHS Foundation TrustUnited KingdomУниверситетский госпиталь Брюсселя (VUB)БельгияUniversity Hospital Brussels (VUB)BelgiumГоспиталь доктора Мануэля Хеа ГонсалесаМексикаHospital General Dr. Manuel Gea GonzálezMexicoUC San Diego HealthСоединённые Штаты АмерикиUC San Diego HealthUnited StatesДепартамент пластической хирургииФранцияDepartment of Plastic SurgeryFranceГоспиталь при Университете КареггиИталияCareggi Universital HospitalItalyЕвропейский институт онкологииИталияInstituto Europeo di OncologiaItalyГоспиталь Санта-Креу-I-Сант-Пау (Автономный университет Барселоны)ИспанияHospital de la Santa Creu I Sant Pau (Univesitat Autonoma de Barcelona)Spain2021200520212418191Copyright © Родригес К., Суоминен С., Ван Ландайт К., Фархади Д., Хамди М., Сантамария Э., Колб Ф., Леймари Н., Инноченти М., Гаруси К., Понс Г., Вега К., Масия Д., 20212021Родригес К., Суоминен С., Ван Ландайт К., Фархади Д., Хамди М., Сантамария Э., Колб Ф., Леймари Н., Инноченти М., Гаруси К., Понс Г., Вега К., Масия Д.Rodriguez C., Suominen S., Van Landuyt K., Farhadi J., Hamdi M., Santamaria E., Kolb F., Leymari N., Innocenti M., Garusi C., Pons G., Vega C., Masia J.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://plasur.elpub.ru/jour/article/view/13

Микрохирургия – дисциплина, которой занимаются многие специальности, и мы заинтересованы в том, чтобы иметь возможность провести педагогическую оценку степени магистра реконструктивной микрохирургии (MРM) в качестве учебной программы в микрохирургии.MРM – это смешанная программа (виртуальная и очная), состоящая из 12 модулей, рассчитанная на 2 года обучения и включающая 2625 ч. Программой руководят признанные профессора из разных стран мира. На каждый выпуск зачисляются по 35 студентов, 35% мест резервируется для студентов из развивающихся стран. После завершения каждого модуля и сдачи экзаменов, студенты проходят «клиническое погружение» в справочные центры по всему миру, и после защиты исследовательского проекта они могут получить степень магистра, присуждаемую Автономным университетом Барселоны (UAB).В период с 2009 г. было осуществлено 11 выпусков MРM, в которых обучались 400 студентов, 83% из них получили степень MРM. Микрохирургами работают 65% выпускников, 32% стали лидерами микрохирургии в своем регионе. Среди получивших степень МРМ 60% – мужчины, 40% – женщины.По нашему мнению, MРM – это воспроизводимая и адаптируемая программа, которая гарантирует каждый из педагогических аспектов. Программа уникальна, она сочетает в себе качества для того, чтобы студенты имели необходимые инструменты и могли начать изучение микрохирургии.

Microsurgery (MS) is a discipline addressed by many specialties and it is our interest to be able to carry out a pedagogical assessment of the Master Degree in Reconstructive Microsurgery (MRM) as a training program in MS.The MRM is a hybrid, blended program (virtual and face-to-face), developed in 12 modules, over a 2-year duration, which completes 2625 hours. This program is directed by recognized professors in the discipline from different parts of the World and enrolls 35 students per edition.The program reserves 35% of the places for students from emerging countries. Once each of the modules has been received and the exams passed, the students will undergo a period of clinical immersion in the reference centers around the world and after defending the research project they will be able to receive the distinction of the Master granted by the Autonomous University of Barcelona (UAB).There have been 11 editions of MRM since 2009 without interruption, with an enrollment of 400 students, 83% received the MRM degree. 65% work as Microsurgeons. 60% were Men and 40%, Women. 32% have become MS leaders in each region.We consider that the MRM is a solid, reproducible and adaptable program that guarantees each one of the pedagogical aspects. The program is unique and brings together all the qualities so that students have the necessary tools and thus make a safe start in MS.

образованиепрограммамикрохирургияeducationprogramMicrosurgeryReferencesGuthrie C.C. Blood-Vessel Surgery and Its Applications. London, England: Edward Arnold 1912.Guthrie C.C. Blood-Vessel Surgery and Its Applications. London, England: Edward Arnold 1912.Tan S.Y., Merchant J. Joseph Murray (1919–2012): First transplant surgeon. Singapore Med J. 2019;60(4): 162-163. doi:10.11622/smedj.2019032Tan S.Y., Merchant J. Joseph Murray (1919–2012): First transplant surgeon. Singapore Med J. 2019;60(4): 162-163. doi:10.11622/smedj.2019032Nylén C.O. The otomicroscope and microsurgery 1921–1971. Acta Otolaryngol. 1972 Jun;73(6):453–454.Nylén C.O. The otomicroscope and microsurgery 1921–1971. Acta Otolaryngol. 1972 Jun;73(6):453–454.O'Brien B.M. Replantation and reconstructive microvascular surgery. Part I. Ann R Coll Surg Engl. 1976;58(2):87-103.O'Brien B.M. Replantation and reconstructive microvascular surgery. Part I. Ann R Coll Surg Engl. 1976;58(2):87-103.Komatsu, Shigeo M.D.; Tamai, Susumu M.D. Successful replantation of a completely cut-off thumb. Plastic and Reconstructive Surgery. October 1968;42(4):374-377.Komatsu, Shigeo M.D.; Tamai, Susumu M.D. Successful replantation of a completely cut-off thumb. Plastic and Reconstructive Surgery. October 1968;42(4):374-377.Seidenberg B., Hurwitt E.S., Carton C.A. The technique of anastomosing small arteries. Surg Gynecol Obstet. 1958 Jun;106(6):743-6. PMID: 13556504.Seidenberg B., Hurwitt E.S., Carton C.A. The technique of anastomosing small arteries. Surg Gynecol Obstet. 1958 Jun;106(6):743-6. PMID: 13556504.McLean D.H., Buncke H.J. Jr. Autotransplant of omentum to a large scalp defect, with microsurgical revascularization. Plastic and Reconstructive Surgery. March 1972;49(3):268-274.McLean D.H., Buncke H.J. Jr. Autotransplant of omentum to a large scalp defect, with microsurgical revascularization. Plastic and Reconstructive Surgery. March 1972;49(3):268-274.The technique of muscle transposition in the operative treatment of traumatic and ulcerative lesions of the leg. Ger R J Trauma. 1971 Jun; 11(6):502-10.The technique of muscle transposition in the operative treatment of traumatic and ulcerative lesions of the leg. Ger R J Trauma. 1971 Jun; 11(6):502-10.The fasciocutaneous flap: its use in soft tissue defects of the lower leg. Pontén B Br J Plast Surg. 1981 Apr; 34(2):215-20.The fasciocutaneous flap: its use in soft tissue defects of the lower leg. Pontén B Br J Plast Surg. 1981 Apr; 34(2):215-20.Cormack G.C., Lamerty B. GH. The anatomical basis for fasciocutaneous flaps. Cambridge: Blackwell Scientific Publications; 1992. In Fasciocutaneous flapsCormack G.C., Lamerty B. GH. The anatomical basis for fasciocutaneous flaps. Cambridge: Blackwell Scientific Publications; 1992. In Fasciocutaneous flapsKoshima I., Soeda S. Inferior epigastric artery skin flaps without rectus abdominis muscle. Br J Plast Surg. 1989 Nov; 42(6):645-8.Koshima I., Soeda S. Inferior epigastric artery skin flaps without rectus abdominis muscle. Br J Plast Surg. 1989 Nov; 42(6):645-8.Taylor G.I. The angiosomes of the body and their supply to perforator flaps. Clin Plast Surg. 2003 Jul;30(3): 331-342, v. doi: 10.1016/s0094-1298(03)00034-8 PMID: 12916590.Taylor G.I. The angiosomes of the body and their supply to perforator flaps. Clin Plast Surg. 2003 Jul;30(3): 331-342, v. doi: 10.1016/s0094-1298(03)00034-8 PMID: 12916590.Mathes S.J., Nahai F. In: Mathes S.J., Nahai F., eds. Reconstructive Surgery: Principles, Anatomy & Technique. New York: Churchill Livingstone; 1997. Flap selection, analysis of features, modifications and applications. P. 37.Mathes S.J., Nahai F. In: Mathes S.J., Nahai F., eds. Reconstructive Surgery: Principles, Anatomy & Technique. New York: Churchill Livingstone; 1997. Flap selection, analysis of features, modifications and applications. P. 37.Wei F.C., Mardini S. Free-style free flaps. Plast Reconstr Surg. 2004 Sep 15; 114(4):910-6.Wei F.C., Mardini S. Free-style free flaps. Plast Reconstr Surg. 2004 Sep 15; 114(4):910-6.Masia J., Clavero J.A., Carrera A. Planificación preoperatoria de los colgajos de perforantes. Cir. plást. iberolatinoam. [online]. 2006, vol.32, n.4 [citado 2021-01-05], pp.237-242. Disponible en: <http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0376-78922006000400003&lng=es&nrm=iso>Masia J., Clavero J.A., Carrera A. Planificación preoperatoria de los colgajos de perforantes. Cir. plást. iberolatinoam. [online]. 2006, vol.32, n.4 [citado 2021-01-05], pp.237-242. Disponible en: <http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0376-78922006000400003&lng=es&nrm=iso>Masia J., Olivares L., Koshima I., Teo T.C., Suominen S., Van Landuyt K., Demirtas Y., Becker C., Pons G., Garusi C., Mitsunaga N. Barcelona consensus on supermicrosurgery. J Reconstr Microsurg. 2014 Jan;30(1):53-58. doi: 10.1055/s-0033-1354742. Epub 2013 Sep 13. PMID: 24037459.Masia J., Olivares L., Koshima I., Teo T.C., Suominen S., Van Landuyt K., Demirtas Y., Becker C., Pons G., Garusi C., Mitsunaga N. Barcelona consensus on supermicrosurgery. J Reconstr Microsurg. 2014 Jan;30(1):53-58. doi: 10.1055/s-0033-1354742. Epub 2013 Sep 13. PMID: 24037459.Microsurgical Free Flap Surgery at Chang Gung Memorial Hospital, Fu-Chang Wei. Department of Plastic Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taipei, Taiwan III Congress, Part III World Society for Reconstructive Microsurgery (WSRM) Buenos Aires, Argentina, 23–26, October, 2005Microsurgical Free Flap Surgery at Chang Gung Memorial Hospital, Fu-Chang Wei. Department of Plastic Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taipei, Taiwan III Congress, Part III World Society for Reconstructive Microsurgery (WSRM) Buenos Aires, Argentina, 23–26, October, 2005Ogata F., Azuma R., Kikuchi M., Koshima I., Morimoto Y. Novel lymphography using indocyanine green dye for near-infrared fluorescence labeling. Ann Plast Surg. 2007 Jun;58(6):652-5. doi: 10.1097/01.sap.0000250896. 42800.a2. PMID: 17522489.Ogata F., Azuma R., Kikuchi M., Koshima I., Morimoto Y. Novel lymphography using indocyanine green dye for near-infrared fluorescence labeling. Ann Plast Surg. 2007 Jun;58(6):652-5. doi: 10.1097/01.sap.0000250896. 42800.a2. PMID: 17522489.Unno N., Inuzuka K., Suzuki M., Yamamoto N., Sagara D., Nishiyama M., Konno H. Preliminary experience with a novel fluorescence lymphography using indocyanine green in patients with secondary lymphedema. J Vasc Surg. 2007 May;45(5):1016-21. doi: 10.1016/j.jvs.2007.01.023. Epub 2007 Mar 28. PMID: 17391894.Unno N., Inuzuka K., Suzuki M., Yamamoto N., Sagara D., Nishiyama M., Konno H. Preliminary experience with a novel fluorescence lymphography using indocyanine green in patients with secondary lymphedema. J Vasc Surg. 2007 May;45(5):1016-21. doi: 10.1016/j.jvs.2007.01.023. Epub 2007 Mar 28. PMID: 17391894.Hong J.P.J., Song S., Suh H.S.P. Supermicrosurgery: Principles and applications. J Surg Oncol. 2018 Oct;118(5):832-839. doi: 10.1002/jso.25243. Epub 2018 Sep 27. PMID: 30261104.Hong J.P.J., Song S., Suh H.S.P. Supermicrosurgery: Principles and applications. J Surg Oncol. 2018 Oct;118(5):832-839. doi: 10.1002/jso.25243. Epub 2018 Sep 27. PMID: 30261104.Miller G.E. The assessment of clinical skills/competence/performance. Acad Med. 1990 Sep;65(9 Suppl):S63-7. doi: 10.1097/00001888-199009000-00045. PMID: 2400509.Miller G.E. The assessment of clinical skills/competence/performance. Acad Med. 1990 Sep;65(9 Suppl):S63-7. doi: 10.1097/00001888-199009000-00045. PMID: 2400509.Avraham T., Clavin N., Mehrara B.J. Microsurgical breast reconstruction. Cancer J. 2008 Jul-Aug;14(4):241- 247. doi: 10.1097/PPO.0b013e31817fb7e3. PMID: 18677132.Avraham T., Clavin N., Mehrara B.J. Microsurgical breast reconstruction. Cancer J. 2008 Jul-Aug;14(4):241- 247. doi: 10.1097/PPO.0b013e31817fb7e3. PMID: 18677132.Hong J.P.J., Song S., Suh H.S.P. Supermicrosurgery: Principles and applications. J Surg Oncol. 2018 Oct;118(5):832-839. doi: 10.1002/jso.25243. Epub 2018 Sep 27. PMID: 30261104.Hong J.P.J., Song S., Suh H.S.P. Supermicrosurgery: Principles and applications. J Surg Oncol. 2018 Oct;118(5):832-839. doi: 10.1002/jso.25243. Epub 2018 Sep 27. PMID: 30261104.Studinger R.M., Bradford M.M., Jackson I.T. Microsurgical training: is it adequate for the operating room? Eur J Plast Surg. 2005;28:91–93.Studinger R.M., Bradford M.M., Jackson I.T. Microsurgical training: is it adequate for the operating room? Eur J Plast Surg. 2005;28:91–93.Research Priorities in Light of Current Trends in Microsurgical Training: Revalidation, Simulation, CrossTraining, and Standardisation. Arch Plast Surg. 2014;41(3):218 224. Published online May 12, 2014 DOI: https://doi.org/10.5999/aps.2014.41.3.218Research Priorities in Light of Current Trends in Microsurgical Training: Revalidation, Simulation, CrossTraining, and Standardisation. Arch Plast Surg. 2014;41(3):218 224. Published online May 12, 2014 DOI: https://doi.org/10.5999/aps.2014.41.3.218Gawande A.A., Zinner M.J., Studdert D.M., et al. Analysis of errors reported by surgeons at three teaching hospitals. Surgery 2003;133:614–621. PMID: 12796727.Gawande A.A., Zinner M.J., Studdert D.M., et al. Analysis of errors reported by surgeons at three teaching hospitals. Surgery 2003;133:614–621. PMID: 12796727.Moon Seong, Hong Joon, Kang So, Suh Hyunsuk. Survey of Reconstructive Microsurgery Training in Korea. Journal of Reconstructive Microsurgery. 2014. 31. 10.1055/s-0034-1383820.Moon Seong, Hong Joon, Kang So, Suh Hyunsuk. Survey of Reconstructive Microsurgery Training in Korea. Journal of Reconstructive Microsurgery. 2014. 31. 10.1055/s-0034-1383820.Yule S., Flin R., Paterson-Brown S. et al. Development of a rating system for surgeons' non-technical skills. Med Educ/2006;40:1098–1104. PMID: 17054619.Yule S., Flin R., Paterson-Brown S. et al. Development of a rating system for surgeons' non-technical skills. Med Educ/2006;40:1098–1104. PMID: 17054619.M.-J. Cho and J.P. Hong, The emergence of virtual education during the COVID-19 pandemic: The past, present, and future of the plastic surgery education, Journal of Plastic, Reconstructive & Aesthetic Surgery. https://doi.org/10.1016/j.bjps.2020.12.099M.-J. Cho and J.P. Hong, The emergence of virtual education during the COVID-19 pandemic: The past, present, and future of the plastic surgery education, Journal of Plastic, Reconstructive & Aesthetic Surgery. https://doi.org/10.1016/j.bjps.2020.12.099

The authors declare that there are no conflicts of interest present.