Tesis

Learning Curve Evaluation Of Cartilage Costal Carving In Microtia's Procedure Training Program Among Plastic Surgery Resident.

Background: In Plastic Surgery residency training program, cartilage carving of external ear reconstruction for Microtia’s procedure was limited to traditional apprenticeship model. Under simulation based training, resident could be groomed before facing the real patient. This study will be evaluate the efficacy training program for cartilage carving of external ear framework for resident of Aesthetic & Reconstructive Plastic Surgery. Materials and Methods: 14 plastic surgery resident will be enrolled in this study, separated into two group. Group I ,consisted of resident had experience in Microtia’s procedure more than once (asisstant or carver) meanwhile group II hadn’t. Group II will had training program comprised of lecture and video then carving of cartilage substitute under guidance. A week later, both group would carve external ear cartilage framework without guidance. The final result will be assesed by two consultant of Microtia’s surgeon in term of anatomical, size appearance of external ear and speed of carving. Result : Study showed that there was improvement in term of speed of carving with p = 0.003 ( p< 0.005) between both group. Meanwhile, in term of anatomical precision, there was improvement in tragal height with p = 0.003 (p