Peripheral nerve surgical competency in plastic surgery and neurosurgery residents.

ABSTRACT

OBJECTIVE: To assess the case volume and self-perceived competence of current mandatory skills in peripheral nerve surgery. DESIGN: Cross sectional survey based study examining case volume and self-reported competence in peripheral nerve surgery. SETTING: Canadian Neurosurgery and Plastic Surgery accredited residency programs PARTICIPANTS: All Canadian Neurosurgery and Plastic Surgery senior trainees (PGY 3+) invited to participate RESULTS: Much variability exists in both exposure to cases and perceived senior resident competence for both plastic and neurosurgery residents. Confidence in surgical ability as perceived competency is lower in trainees for more advanced peripheral nerve procedures. Self- reported confidence increased with post-graduate experience. CONCLUSIONS: Overall, the findings in this study highlight the importance of increasing operative experience in complex peripheral nerve surgery among surgical residents.