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All 50 sessions were subjected to blind evaluation using the assessment instrument.

Primary outcome measures included changes in operative time over the five sessions, and changes in assessment scores for all skill areas.

The authors hypothesized that subjects would demonstrate improvement across multiple domains of performance with repetition of robotic microsurgical tasks.

In part 1, a novel assessment instrument called the Structured Assessment of Robotic Microsurgical Skills was tested.

Subjects at all levels of training, ranging from minimal microsurgical experience to expert microsurgeons, gained proficiency over the course of five robotic sessions. Disclosure: None of the authors has any relevant financial conflicts to disclose.

In part 2, a cohort of 10 participants at various skill levels performed five robotic microvascular anastomoses.

In Quebec, as in most jurisdictions, there are legal measures designed to protect people who cannot take care of themselves, such as guardianships and “Mandates in Case of Incapacity” (protection mandates) [2].

Since recourse to legal protection is based on assessments done by health and social service professionals, to protect people who have become vulnerable because of cognitive impairments, the legal and healthcare systems must work together efficiently.

To date, however, this cooperation does not seem optimal [2,3].

In Quebec, assessing people’s ability to manage their property and take care of themselves with a view to instituting legal protection requires a medical examination and a psychosocial assessment done by a social worker.

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