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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">plasur</journal-id><journal-title-group><journal-title xml:lang="ru">Вопросы реконструктивной и пластической хирургии</journal-title><trans-title-group xml:lang="en"><trans-title>Issues of Reconstructive and Plastic Surgery</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1814-1471</issn><publisher><publisher-name>АНО "НИИ микрохирургии"</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.52581/1814-1471/76/1</article-id><article-id custom-type="elpub" pub-id-type="custom">plasur-4</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Статьи</subject></subj-group></article-categories><title-group><article-title>Микрохирургическое образование в США: прошлое, настоящее, будущее</article-title><trans-title-group xml:lang="en"><trans-title>Microsurgical education in the USA: Past, present and future</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Парк</surname><given-names>К. Х.</given-names></name><name name-style="western" xml:lang="en"><surname>Park</surname><given-names>K. H.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кэтрин Х. Парк, отделение ортопедической хирургии; Департамент биомедицинской инженерии </p><p>г. Нью-Йорк</p><p>г. Нью-Брансуик, Нью-Джерси</p></bio><bio xml:lang="en"><p>Katherine H. Park, Department of Orthopedic Surgery; Department of Biomedical Engineering </p><p>New York</p><p>New Brunswick, New Jersey</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ромеро</surname><given-names>Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Romero</surname><given-names>G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гессель Ромеро, бакалавр медицины, отделение ортопедической хирургии; Медицинский факультет </p><p>г. Нью-Йорк</p></bio><bio xml:lang="en"><p>Gessel Romero, BS, Department of Orthopedic Surgery; Department of Medicine </p><p>New York</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Паладино</surname><given-names>Дж.</given-names></name><name name-style="western" xml:lang="en"><surname>Paladino</surname><given-names>J.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Джозеф Паладино, бакалавр медицины, отделение ортопедической хирургии; отделение ортопедии</p><p>г. Нью-Йорк</p><p>г. Филадельфия, Пенсильвания</p></bio><bio xml:lang="en"><p>Joseph Paladino, BS, Department of Orthopedic Surgery; Department of Orthopedics</p><p>New York</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дау</surname><given-names>Дж.</given-names></name><name name-style="western" xml:lang="en"><surname>Daou</surname><given-names>J.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Джонатан Дау, бакалавр медицины, отделение ортопедической хирургии; Медицинский факультет  </p><p>г. Нью-Йорк</p></bio><bio xml:lang="en"><p>Jonathan Daou, BS, Department of Orthopedic Surgery; Department of Medicine </p><p>New York</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Акелина</surname><given-names>Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Akelina</surname><given-names>Y.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Елена Акелина, DVM, MSc., отделение ортопедической хирургии </p><p>г. Нью-Йорк</p></bio><bio xml:lang="en"><p>Yelena Akelina, DVM, MSc, Department of Orthopedic Surgery</p><p>New York</p></bio><email xlink:type="simple">ya67@cumc.columbia.edu</email><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Медицинский центр Ирвинга, Колумбийский университет; Ратгерский университет</institution><country>Соединённые Штаты Америки</country></aff><aff xml:lang="en"><institution>Columbia University Irving Medical Center; Rutgers University</institution><country>United States</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Медицинский центр Ирвинга, Колумбийский университет; Международный Американский университет</institution><country>Соединённые Штаты Америки</country></aff><aff xml:lang="en"><institution>Columbia University Irving Medical Center; International American University</institution><country>United States</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Медицинский центр Ирвинга, Колумбийский университет; Медицинский колледж Сидни Киммела, Университет Томаса Джефферсона</institution><country>Соединённые Штаты Америки</country></aff><aff xml:lang="en"><institution>Columbia University Irving Medical Center; Sidney Kimmel Medical College, Thomas Jefferson University</institution><country>United States</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Медицинский центр Ирвинга, Колумбийский университет</institution><country>Соединённые Штаты Америки</country></aff><aff xml:lang="en"><institution>Columbia University Irving Medical Center</institution><country>United States</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>19</day><month>05</month><year>2021</year></pub-date><volume>24</volume><issue>1</issue><fpage>9</fpage><lpage>18</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Парк К.Х., Ромеро Г., Паладино Д., Дау Д., Акелина Е., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Парк К.Х., Ромеро Г., Паладино Д., Дау Д., Акелина Е.</copyright-holder><copyright-holder xml:lang="en">Park K.H., Romero G., Paladino J., Daou J., Akelina Y.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://plasur.elpub.ru/jour/article/view/4">https://plasur.elpub.ru/jour/article/view/4</self-uri><abstract><p>Микрохирургия – это сложный набор хирургических навыков, который требует пристального внимания к деталям и многократной практики для достижения успеха. Образование в области микрохирургии берет свое начало с конца 1960-х гг., ее основоположниками являются известные хирурги Гарри Дж. Банке (Harry J. Buncke) и Роберта Акланда (Robert Acland). Курсы по микрохирургии во всем мире позволяют студентам учиться, выполняя различные технические упражнения. В настоящее время доступно большое количество схожих по содержанию курсов, при этом было продемонстрировано, что некоторые важные структурные различия этих курсов по-разному отражаются на успеваемости и компетентности студентов. Перечислены доступные программы обучения, описано развитие процесса обучения супермикрохирургии.Учебный курс по микрохирургии в Медицинском центре Ирвинга Колумбийского университета (г. Нью-Йорк, США) под руководством докторов Ронсенвассер, Штраух и Акелиной предоставляет студентам возможность квалифицированного обучения в рамках учебной программы. При этом успеваемость слушателей заметно повышается по сравнению со студентами, проходящими обучение по альтернативным курсам по микрохирургии, которые не включают инструктаж экспертов. Пандемия COVID-19 послужила причиной для разработки виртуальной учебной программы по микрохирургии в лаборатории, направленной на получение базовых навыков для обучающихся и получение ими адекватного образования.</p></abstract><trans-abstract xml:lang="en"><p>Microsurgery is a demanding surgical skillset which requires attention to detail and repeated practice to succeed. Microsurgery courses around the globe allow students to learn through performing a variety of technical exercises. Microsurgery education dates back to the late 1960s with notable instructors, Harry J. Buncke and Robert Acland. Currently, many microsurgery courses are available that share commonalities, and some important structural differences have been demonstrated to differentially affect student progression and competence. Multiple available training programs as well as the advancement of supermicrosurgery training is listed and described.The microsurgery training course at Columbia University’s New York Presbyterian Irving Medical Center led by Drs. Ronsenwasser, Strauch and Akelina provides students with expert instruction through a punctilious training curriculum. By imparting these techniques to the students, trainees’s progression markedly improves relative to alternative microsurgery courses that do not incorporate expert instruction. The Covid-19 pandemic, has resulted in the development of a virtual microsurgery training program at the lab which focuses on building the foundation of basic skills for trainees unable to travel or receive adequate education.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>микрохирургия</kwd><kwd>обучение микрохирургии</kwd><kwd>виртуальное обучение</kwd><kwd>анастомоз</kwd><kwd>микрососудистая хирургия</kwd><kwd>микрохирургическое образование</kwd></kwd-group><kwd-group xml:lang="en"><kwd>microsurgery</kwd><kwd>microsurgical training</kwd><kwd>virtual training</kwd><kwd>anastomosis</kwd><kwd>microvascular surgery</kwd><kwd>microsurgery education</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Badash Ido, Gould Daniel J., Patel Ketan M. Supermicrosurgery: History, Applications, Training and the Future. Frontiers in Surgery. 2018;5(01):23.</mixed-citation><mixed-citation xml:lang="en">Badash Ido, Gould Daniel J., Patel Ketan M. Supermicrosurgery: History, Applications, Training and the Future. Frontiers in Surgery. 2018;5(01):23.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Terzis J.K. History of Microsurgery. Eastern Virginia Medical School, 2008.</mixed-citation><mixed-citation xml:lang="en">Terzis J.K. History of Microsurgery. Eastern Virginia Medical School, 2008.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Tamai S. History of Microsurgery. Plastic and Reconstructive Surgery. 2009;124:e282–e294.</mixed-citation><mixed-citation xml:lang="en">Tamai S. History of Microsurgery. Plastic and Reconstructive Surgery. 2009;124:e282–e294.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Tamai S. History of Microsurgery – from the beginning until the end of the 1970s. Microsurgery. 1993;14(1): 6–13.</mixed-citation><mixed-citation xml:lang="en">Tamai S. History of Microsurgery – from the beginning until the end of the 1970s. Microsurgery. 1993;14(1): 6–13.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Fricker J. Robert Acland. BMJ. 2016; i1761. doi:10.1136/bmj.i1761</mixed-citation><mixed-citation xml:lang="en">Fricker J. Robert Acland. BMJ. 2016; i1761. doi:10.1136/bmj.i1761</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Balasundaram I., Aggarwal R., Darzi L.A. Development of a training curriculum for microsurgery. British Journal of Oral and Maxillofacial Surgery. 2010;48(8):598–606.</mixed-citation><mixed-citation xml:lang="en">Balasundaram I., Aggarwal R., Darzi L.A. Development of a training curriculum for microsurgery. British Journal of Oral and Maxillofacial Surgery. 2010;48(8):598–606.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Paladino J., Gasteratos K., Akelina Y., Marshall B., Papazoglou L.G., Strauch R.J. The Benefits of Expert Instruction in Microsurgery Courses. Journal of Reconstructive Microsurgery. 2020.</mixed-citation><mixed-citation xml:lang="en">Paladino J., Gasteratos K., Akelina Y., Marshall B., Papazoglou L.G., Strauch R.J. The Benefits of Expert Instruction in Microsurgery Courses. Journal of Reconstructive Microsurgery. 2020.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Sayadi L.R., Fligor J.E., Couchois S., Evans G.R.D., Widgerow A.D., Lanier B. A Novel Application of Digital Microscope for Microsurgery Training. Journal of Reconstructive Microsurgery Open. 2020;05(01):e32–e35.</mixed-citation><mixed-citation xml:lang="en">Sayadi L.R., Fligor J.E., Couchois S., Evans G.R.D., Widgerow A.D., Lanier B. A Novel Application of Digital Microscope for Microsurgery Training. Journal of Reconstructive Microsurgery Open. 2020;05(01):e32–e35.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Acland R.D. Practice Manual for Microvascular Surgery. 2nd ed., Mosby, 1989.</mixed-citation><mixed-citation xml:lang="en">Acland R.D. Practice Manual for Microvascular Surgery. 2nd ed., Mosby, 1989.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Cooley B.C. A Laboratory Manual for Microvascular and Microtubal Surgery. Surgical Specialties, 2014.</mixed-citation><mixed-citation xml:lang="en">Cooley B.C. A Laboratory Manual for Microvascular and Microtubal Surgery. Surgical Specialties, 2014.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Kania K., Chang D.K., Abu-Ghname A. et al. Microsurgery Training in Plastic Surgery. Plast Reconstr Surg Glob Open. 2020;8(7):e2898. Published 2020 Jul 17. doi:10.1097/GOX.0000000000002898</mixed-citation><mixed-citation xml:lang="en">Kania K., Chang D.K., Abu-Ghname A. et al. Microsurgery Training in Plastic Surgery. Plast Reconstr Surg Glob Open. 2020;8(7):e2898. Published 2020 Jul 17. doi:10.1097/GOX.0000000000002898</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Cleveland Clinic. Accessed December 3, 2020.</mixed-citation><mixed-citation xml:lang="en">Cleveland Clinic. Accessed December 3, 2020.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Columbia Orthopedic Surgery. Accessed December 3, 2020.</mixed-citation><mixed-citation xml:lang="en">Columbia Orthopedic Surgery. Accessed December 3, 2020.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Mayo Clinic Microvascular Surgery Skills Training 2020 | Mayo Clinic School of Continuous Professional Development. Ce.mayo.edu. Accessed December 3, 2020.</mixed-citation><mixed-citation xml:lang="en">Mayo Clinic Microvascular Surgery Skills Training 2020 | Mayo Clinic School of Continuous Professional Development. Ce.mayo.edu. Accessed December 3, 2020.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Baş C., Cwykiel J., Siemionow M. A New Supermicrosurgery Training Model of Saphenous Artery and Great Saphenous Vein Anastomosis for Development of Advanced Microsurgical Skills. 2017. [Accessed 12 January 2021].</mixed-citation><mixed-citation xml:lang="en">Baş C., Cwykiel J., Siemionow M. A New Supermicrosurgery Training Model of Saphenous Artery and Great Saphenous Vein Anastomosis for Development of Advanced Microsurgical Skills. 2017. [Accessed 12 January 2021].</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Chen W.F., Eid A., Yamamoto T., Keith J., Nimmons G.L., Lawrence W.T. A novel supermicrosurgery training model: the chicken thigh. J Plast Reconstr Aesthet Surg. 2014;67(7):973-978. doi:10.1016/j.bjps.2014.03.024</mixed-citation><mixed-citation xml:lang="en">Chen W.F., Eid A., Yamamoto T., Keith J., Nimmons G.L., Lawrence W.T. A novel supermicrosurgery training model: the chicken thigh. J Plast Reconstr Aesthet Surg. 2014;67(7):973-978. doi:10.1016/j.bjps.2014.03.024</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Hayashi K., Hattori Y., Yii Chia D., Sakamoto S., Marei A., Doi K. A Supermicrosurgery Training Model Using The Chicken Mid And Lower Wing. [online] JPRAS. 2018. [Accessed 12 January 2021].</mixed-citation><mixed-citation xml:lang="en">Hayashi K., Hattori Y., Yii Chia D., Sakamoto S., Marei A., Doi K. A Supermicrosurgery Training Model Using The Chicken Mid And Lower Wing. [online] JPRAS. 2018. [Accessed 12 January 2021].</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Hong J., Song S., Suh H. Supermicrosurgery: Principles And Applications. [online] 2018. Wiley Online Library. [Accessed 12 January 2021].</mixed-citation><mixed-citation xml:lang="en">Hong J., Song S., Suh H. Supermicrosurgery: Principles And Applications. [online] 2018. Wiley Online Library. [Accessed 12 January 2021].</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Zheng Y., Corvi J.J., Nicolas C.F., Akelina Y. Supermicrosurgery simulation training program for submillimeter anastomoses in the rat epigastric artery and vein. Microsurgery. 2019. doi:10.1002/micr.30483</mixed-citation><mixed-citation xml:lang="en">Zheng Y., Corvi J.J., Nicolas C.F., Akelina Y. Supermicrosurgery simulation training program for submillimeter anastomoses in the rat epigastric artery and vein. Microsurgery. 2019. doi:10.1002/micr.30483</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Harb A., Levi M., Akelina Y., Kadiyala R., Ascherman J. A Novel Technique to Perform Microvascular Anastomosis Revisions without Clamps. Journal of Reconstructive Microsurgery Open. 2018;03(02):e58–e61. doi:10.1055/s-0038-1669451</mixed-citation><mixed-citation xml:lang="en">Harb A., Levi M., Akelina Y., Kadiyala R., Ascherman J. A Novel Technique to Perform Microvascular Anastomosis Revisions without Clamps. Journal of Reconstructive Microsurgery Open. 2018;03(02):e58–e61. doi:10.1055/s-0038-1669451</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
