Cosmetic surgery training in plastic surgery residency programs in the United States: how have we progressed in the last three years?
ABSTRACT In 2006, a survey performed by Morrison et al analyzed the experience of aesthetic surgery training from the perspective of residents and their program directors in plastic surgery programs across the United States.
The authors conducted a survey to follow-up on the Morrison results three years after publication, to assess the changes in plastic surgery residency programs.
In December 2009, a 17-question survey was sent to program directors, and a 19-question survey was sent to senior residents in all Accreditation Council for Graduate Medical Education-approved plastic surgery residency programs in the United States. The questions were posed in a five-point ranking format. The two additional questions included in the senior resident survey related to career aspirations and desirable areas of additional training. Ninety-two program directors and 397 senior residents received the survey.
Forty-four program director surveys (47.8%) and 117 (29.5%) senior resident surveys were returned. Two-thirds of programs offered a residents' clinic, which was considered the preferred method of cosmetic surgery education by residents. Residents reported increased exposure to nonsurgical procedures such as lasers and injectables. Abdominoplasty, breast augmentation, and breast reduction remained the procedures most frequently performed by residents with confidence, as in the 2006 survey. Facial aesthetic procedures, including rhinoplasty and facelift, remained challenging to residents. Many residents (55.7%) felt confident integrating cosmetic surgery into their practice. One-third of residents reported that they would apply for a cosmetic fellowship.
This survey shows an improvement in cosmetic surgery training for plastic surgery residents in the United States, particularly in that noninvasive cosmetic treatments are being increasingly taught. Since 2006, steps have been taken to provide more comprehensive cosmetic surgery education to residents, encouraging the delivery of the safe, high-quality care expected of a board-certified plastic surgeon.
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ABSTRACT: Resident experience in aesthetic surgery is often deficient in many training programs around the country. This study is the first to review the 10-year experience of a resident aesthetic clinic and identifies important educational aspects necessary for residency training in aesthetic surgery. The operative experience of each chief resident from 1994 through 2004 and the database of the resident aesthetic surgery clinic during the same period were reviewed. A questionnaire was also distributed to all past chief residents regarding their experience with the clinic. Over 1600 new patients were evaluated in the resident aesthetic clinic in the last 10 years, with 482 patients undergoing 805 procedures. Each chief resident performed 104.5 +/- 25.1 (mean +/- SD) procedures as a primary surgeon. The resident clinic contributed 82.4% of the total aesthetic surgery procedures, as recorded by the chief residents' Accreditation Council for Graduate Medical Education operative logs. For the last 10 years, the reoperative complication rate was 3.1%, and no litigation has been brought against any resident or attending surgeon. Our resident aesthetic surgery clinic emphasizes an intensive exposure to aesthetic surgery with the opportunity to gain "hands-on" operative experience, while reducing the liability for the attending surgeon. The means to obtain adequate resident education in aesthetic surgery and ways to improve such an experience are also discussed.Aesthetic surgery journal / the American Society for Aesthetic Plastic surgery 01/2006; 26(1):41-4.
- Annals of plastic surgery 10/2009; 63(4):355. · 1.29 Impact Factor
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ABSTRACT: One of the goals of plastic surgery residency programs is to provide effective training in aesthetic surgery. Recently, programs have adopted the idea of chief clinics to provide senior residents with the opportunity to perform cosmetic surgery with an increased level of autonomy. The goal of this article is to characterize chief clinics currently in place and their usefulness in providing effective training in plastic surgery under the precepts set forth by the Accreditation Council for Graduate Medical Education. A survey was created focusing on six broad categories: respondent identifier, clinic structure, clinic monetary earnings, patient demographics, procedures, and educational utility. Surveys were distributed to all plastic surgery residency programs targeting current and recently graduated chief residents, and program directors. A total of 123 surveys were returned. Eighty of the 88 plastic surgery residency programs (91 percent) were represented. Of the programs responding, 71.3 percent (57 programs) had a chief resident clinic. Thirty-two of the respondents (43.8 percent) reported that 100 percent of the procedures performed were cosmetic in nature. Programs differed widely on their frequency of occurrence and support staff available. A majority of respondents felt these clinics enhanced resident understanding of the six Accreditation Council for Graduate Medical Education core competencies. A majority of plastic surgery training programs use the chief clinic model to enhance resident education. These clinics vary in makeup and case distribution but serve as an effective way of teaching autonomy, surgical maturity, and the six Accreditation Council for Graduate Medical Education core competencies.Plastic and reconstructive surgery 08/2010; 126(2):626-33. · 2.74 Impact Factor