Los Angeles, Calif.; and Ann Arbor, Mich. From the Division of Plastic and Reconstructive Surgery, David Geffen School of Medicine, University of California, Los Angeles; the Department of Biostatistics, University of Michigan; and the Division of Plastic and Reconstructive Surgery, Harbor-UCLA Medical Center.
Plast Reconstr Surg. 2010 Aug;126(2):643-650. doi: 10.1097/PRS.0b013e3181de1a16.
The great breadth of the specialty of plastic surgery is often misunderstood by practitioners in other specialties and by the public at large. The authors investigate the perceptions of primary care physicians in training toward the practice of different areas of plastic and reconstructive surgery.
A short, anonymous, Web-based survey was administered to residents of internal medicine, family medicine, and pediatrics training programs in the United States. Respondents were asked to choose the specialist they perceived to be an expert for six specific clinical areas, including eyelid surgery, cleft lip and palate surgery, facial fractures, hand surgery, rhinoplasty, and skin cancer of the face. Specialists for selection included the following choices: dermatologist, general surgeon, ophthalmologist, oral and maxillofacial surgeon, orthopedic surgeon, otolaryngologist, and plastic surgeon.
A total of 1020 usable survey responses were collected. Respondents believed the following specialists were experts for eyelid surgery (plastic surgeon, 70 percent; ophthalmologist, 59 percent; oral and maxillofacial surgeon, 15 percent; dermatologist, 5 percent; and otolaryngologist, 5 percent); cleft lip and palate surgery (oral and maxillofacial surgeon, 78 percent; plastic surgeon, 57 percent; and otolaryngologist, 36 percent); facial fractures (oral and maxillofacial surgeon, 88 percent; plastic surgeon, 36 percent; otolaryngologist, 30 percent; orthopedic surgeon, 11 percent; general surgeon, 3 percent; and ophthalmologist, 2 percent); hand surgery (orthopedic surgeon, 76 percent; plastic surgeon, 52 percent; and general surgeon, 7 percent); rhinoplasty (plastic surgeon, 76 percent; otolaryngologist, 45 percent; and oral and maxillofacial surgeon, 18 percent); and skin cancer of the face (dermatologist, 89 percent; plastic surgeon, 35 percent; oral and maxillofacial surgeon, 9 percent; otolaryngologist, 8 percent; and general surgeon, 7 percent).
As the field of plastic surgery and other areas of medicine continue to evolve, additional education of internal medicine, pediatrics, and family practice physicians and trainees in the scope of plastic surgery practice will be critical.
整形外科学的广泛领域常常被其他专业的从业者和广大公众误解。作者调查了初级保健医生对整形和重建外科不同领域实践的看法。
在美国，对内科、家庭医学和儿科学培训项目的住院医师进行了简短的、匿名的、基于网络的调查。受访者被要求选择他们认为在六个特定临床领域有专长的专家，包括眼睑手术、唇腭裂手术、面部骨折、手部手术、隆鼻术和面部皮肤癌。选择的专家包括以下几种选择：皮肤科医生、普通外科医生、眼科医生、口腔颌面外科医生、骨科医生、耳鼻喉科医生和整形外科医生。
共收集到 1020 份可用的调查回复。受访者认为以下专家是眼睑手术的专家（整形外科医生，70%；眼科医生，59%；口腔颌面外科医生，15%；皮肤科医生，5%；耳鼻喉科医生，5%）；唇腭裂手术（口腔颌面外科医生，78%；整形外科医生，57%；耳鼻喉科医生，36%）；面部骨折（口腔颌面外科医生，88%；整形外科医生，36%；耳鼻喉科医生，30%；骨科医生，11%；普通外科医生，3%；眼科医生，2%）；手部手术（骨科医生，76%；整形外科医生，52%；普通外科医生，7%）；隆鼻术（整形外科医生，76%；耳鼻喉科医生，45%；口腔颌面外科医生，18%）；面部皮肤癌（皮肤科医生，89%；整形外科医生，35%；口腔颌面外科医生，9%；耳鼻喉科医生，8%；普通外科医生，7%）。
随着整形外科学领域和其他医学领域的不断发展，对内科、儿科和家庭医学医生以及整形外科医生和住院医师进行更多的整形外科学实践范围的教育将是至关重要的。
