The Microsurgery Training and Research Laboratory at NewYork-Presbyterian Hospital, Columbia University Medical Center was established in 1980 by Harold M. Dick, MD, Frank E. Stinchfield Professor of Orthopaedic Surgery, with the goal of making microsurgery an integral part of a surgeon's training in various fields and specialties. Originally offered only to orthopaedic residents the microsurgical training has been expanded to include other surgical specialties, and now has more that twenty different programs participating from all over United States and abroad. Under the supervision of Dr. Melvin P. Rosenwasser, Robert E. Carroll Professor of Hand Surgery and with the teaching expertise of Dr. Yelena Akelina the Microsurgery Laboratory has become an internationally known state-of-the-art teaching facility in microsurgery. Only in the past few years we have trained students from more than 40 countries around the world. There is also ISCP assessments for successful UK trainees.