Many neurosurgeons lacked formal training in microsurgery, and even those who underwent short-term training did so hastily. Only a few hospitals provided systematic and formal microsurgery training; most doctors briefly trained themselves before heading into the battlefield.
The General Surgery Department lacked the basic Laparoscopic Training, making laparoscope a special skill for some doctors, rather than a basic skill that every surgeon in General Surgery should master.
From school to hospital, there was no awareness of skill training, let alone departments specifically responsible for skill training and assessment. The so-called experienced surgeons mentoring newcomers hardly existed in reality. In some top-tier hospitals, the situation was much better. In ordinary hospitals, doctors grew wild, completely self-taught through trial and error.