This article describes the microsurgical training model used at the Naval Regional Medical Center in San Diego, where first year residents spend two weeks of concentrated effort developing basic skills in microsurgery. This training is done outside the busy hospital environment so that no interruptions are encountered. Following this initial experience, weekly research sessions are continued to maintain proficiency and to develop new techniques. A description of the medical center's modifications of several previously used microsurgical techniques is presented. This model is economical and realistic for a student's initial exposure to microvascular surgery. It also serves as an expedient, yet challenging, means of maintaining proficiency when laboratory time is limited.
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