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Comment & Response
November 5, 2020

Studies of Microsurgical Skill—The Key Lies in the Design

Author Affiliations
  • 1Department of Neurosurgery, Erasmus MC University Medical Center, Rotterdam, the Netherlands
  • 2Center for Medical Decision Making, Department of Public Health, Erasmus MC University Medical Center, Rotterdam, the Netherlands
  • 3Center for Microsurgical Training and Surgical Skill, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania
  • 4Department of Surgery, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania
JAMA Ophthalmol. 2021;139(1):127. doi:10.1001/jamaophthalmol.2020.4755

To the Editor We have read the study by Roizenblatt and collaborators1 and were delighted to notice heightened and ongoing interest in microsurgical education, as well as in microsurgical skill improvement and assessment. The influence of caffeine on microsurgical skill has been a topic of debate for almost 30 years in the scientific literature, including being mentioned by Robert D. Acland in Acland’s Practice Manual for Microvascular Surgery from the 1980s.

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