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        <title>Alphonsus Chong's Personal Wiki</title>
        <link>https://www.handsurgskills.com/dokuwiki/</link>
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        <dc:date>2020-03-24T09:04:36+00:00</dc:date>
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        <title>ac:agreement</title>
        <link>https://www.handsurgskills.com/dokuwiki/doku.php?id=ac:agreement&amp;rev=1585040676&amp;do=diff</link>
        <description>Agreement and Reliability

&lt;http://www.statstutor.ac.uk/resources/uploaded/coventryreliability.pdf&gt;

&lt;http://www.john-uebersax.com/stat/agree.htm&gt;

&lt;https://stats.stackexchange.com/questions/3539/inter-rater-reliability-for-ordinal-or-interval-data&gt;

ICC and Bland-Altman

see rankin1998 and scott2019</description>
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        <dc:date>2020-03-24T02:34:20+00:00</dc:date>
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        <title>ac:biomech_intro</title>
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        <description>Introduction to Biomechanics

Chapter 1

Biomechanics is a scientific discipline which studies biological systems, such
as the human body, by the methods of mechanical engineering. Since gait is a
mechanical process which is performed by a biological system, it is
appropriate to study it in this way.</description>
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        <title>ac:glossary</title>
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        <description>Definitions

Surgical Education

Automaticity: Expertise in task without attention

Surgical Competency (after szasz2015):

	&quot; Although poorly defined, technical competence is often used as a synonym for technical skill. One useful explanation comes from Mohr et al,124 who described technical competence as the skill to safely and successfully perform the required steps of a particular procedure,</description>
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        <dc:date>2020-05-12T03:00:21+00:00</dc:date>
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        <title>ac:grs-reznick</title>
        <link>https://www.handsurgskills.com/dokuwiki/doku.php?id=ac:grs-reznick&amp;rev=1589252421&amp;do=diff</link>
        <description>Reznick's Global Rating Scale

Categories

	*  Global rating 1-5
	*  Final product 1-5
	*  Knowledge 1-5
	*  Process 1-5
		*  Respect for tissue
		*  Time in motion
		*  Instrument handling
		*  Suture training

	*  Flow of operation 1-5

So the score has a mix of:</description>
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        <dc:date>2020-08-16T01:46:42+00:00</dc:date>
        <dc:creator>Anonymous (anonymous@undisclosed.example.com)</dc:creator>
        <title>ac:micro_intro</title>
        <link>https://www.handsurgskills.com/dokuwiki/doku.php?id=ac:micro_intro&amp;rev=1597542402&amp;do=diff</link>
        <description>Microsurgery Training

Transfer

Skill transfer from Lo- to Hi-Fidelity

	*  mokhtari2017 Silastic tubes to rat femoral aorta. Better scores, shorter timing

Assessment of Microsurgical Skill

Simulation

	*  Anastomosis Lapse Index (ALI): Error counting on a low-fidelity, cryopreserved rat aorta model</description>
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        <dc:date>2020-10-03T02:41:53+00:00</dc:date>
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        <title>ac:microscopes</title>
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        <description>Microscopes and Equipment

Microscopes

Practicing surgery with a training microscope is an effective and efficient way to pick up microsurgical skills.

Basics of an operating microscope

The operating microscope is a stereo microscope optimized for use in surgery. The key features are:</description>
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        <dc:date>2020-07-31T07:08:19+00:00</dc:date>
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        <title>ac:microsurgery_assessment</title>
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        <description>Microsurgery Assessment

Increasing recognition that practice alone is not sufficient for complex skill acquisition -e.g. microsurgical skills (rajan2019)

Microsurgery is a complex skill that needs training and deliberate practice, and some form of objective assessment of that skill is necessary for formative or summative assessment. The gold standard in practice is success rate, but that requires a series of</description>
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        <title>ac:microsurgery_models</title>
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        <description>Simulation - Microsurgery Models

Equipment: Microscope Alternatives for Training

Smartphone

The smartphone with a camera is almost ubiquitous, and can be used as a loupe/microscope alternative.

	*  Amin and colleagues suggest using an iPad on a mount using zoom software to replicate a microscope. The set up can also record the practice to enable review and feedback.</description>
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        <title>ac:microsurgery_programmes</title>
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        <description>Microsurgery Programmes

Beyond just the models, a structured teaching programme is necessary to achieve the best learning outcomes. This page lists known microsurgery programmes.

	*  NUH Microsurgery course
	*  Ganga Microsurgery course
	*  Columbia University's Microsurgery course</description>
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        <description>Undergraduate Education To Do

Phase 3 Students

	*  Problems
	*  Distal radius fractures - started
	*  Removal of implants
	*  Problem cards
		*  Wound care
		*  Fractures
		*  Trigger finger

	*  Procedures
		*  Casting - observation, doing
		*  Therapy - seeing and doing</description>
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        <description>Surgical Simulation

Reasons

Reading

 - schaverien2018: Interview scores correlate with final assessments scores after a year in a microsurgical fellowship program.</description>
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        <title>ac:supermicrosurgery</title>
        <link>https://www.handsurgskills.com/dokuwiki/doku.php?id=ac:supermicrosurgery&amp;rev=1585017260&amp;do=diff</link>
        <description>Supermicrosurgery

Supermicrosurgery refers to the anastomosis of sub-millimeter vessels. The size range of the vessels or nerve in supermicrosurgery is typically 0.3-0.8 mm. By that definition, distal replant surgery is a form of supermicrosurgery, although that term was not used when I was training.</description>
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        <dc:date>2020-07-31T07:16:45+00:00</dc:date>
        <dc:creator>Anonymous (anonymous@undisclosed.example.com)</dc:creator>
        <title>ac:ubat</title>
        <link>https://www.handsurgskills.com/dokuwiki/doku.php?id=ac:ubat&amp;rev=1596179805&amp;do=diff</link>
        <description>University of Bergen suturing skills assessment tool (UBAT)

Introduction

This is not a microsurgery specific score, but one used of suturing in general.

Tool
Quality indicators	Yes	No            Grabs the needle with the instruments? (Not with fingers)</description>
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