Microsurgery simulation courses increasingly use assessment methodologies to evaluate
the quality of microvascular anastomosis and to provide constructive feedback in
competency-based training. Assessment tools evaluating the “journey” of skill acquisition in
anastomosis have evolved, including global rating scores, hand motion analysis, and
evaluation of the final outcome, that is,“end-product” assessment. Anastomotic patency is the
gold standard end-product in clinical microvascular surgery, and in vivo end-to-side …