Comment on the quantitative assessment of the learning curve for cleft lip repair using LC-CUSUM

I found the article by Segna et al. to be very interesting and applaud the authors on their concern for resident education1. The operating room is a poor place to learn techniques that can be taught prior to the actual surgical procedure as this allows the trainee to concentrate on the intraoperative aspects of their education and improves patient outcome. In cleft lip the correct determination of the landmarks is the most crucial step as everything follows this and an error here is compounded as the procedure proceeds.

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