Abstract
In this era of cost containment in resident education, the article by Rayan and Rayan represents a simple, economic method for introducing trainees to microsurgery. The logistics of maintaining independent microsurgical laboratories with microsurgical teachers, whether basic scientists or physicians, have become more difficult. In our institution, the microsurgery training laboratory has been discontinued with the retirement of Jim Urbaniak, and a decision was made by the Division of Orthopaedics not to continue microsurgery training. On the other hand, the Division of Plastic Surgery has an active microsurgical service, and our residents go to Louisville, where bench training is done in Bob Acland's lab. I'm afraid that as the future unfolds and microsurgery becomes less lucrative, there will be fewer opportunities for trainees to have a mentorship in a laboratory before they are asked to go into the clinical arena. I know that Maria Siemionow at the Cleveland Clinic teaches microsurgery in the Department of Surgery, including all the subspecialties.
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