Grand Rapids, Mich. From the Grand Rapids Medical Education and Research Center and College of Human Medicine, Michigan State University, and Elite Plastic Surgery.
Plast Reconstr Surg. 2010 Aug;126(2):626-633. doi: 10.1097/PRS.0b013e3181df648c.
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.
整形外科研修计划的目标之一是提供有效的美容手术培训。最近，各项目纷纷采用首席诊所的理念，为高级住院医师提供更大程度自主权的美容手术机会。本文的目的是描述当前的首席诊所及其在根据研究生医学教育认证委员会规定提供有效的整形手术培训方面的作用。
创建了一项调查，重点关注六个广泛的类别：受访者识别码、诊所结构、诊所货币收入、患者人口统计数据、手术和教育效用。向所有整形外科住院医师培训项目的现任和最近毕业的首席住院医师以及项目主任分发了调查。
共收回 123 份调查。88 个整形外科住院医师培训项目中有 80 个（91%）参与了调查。在作出回应的项目中，71.3%（57 个项目）设有首席住院医师诊所。32 名受访者（43.8%）报告称，他们进行的所有手术都是美容性质的。各项目在手术频率和提供的支持人员方面存在很大差异。大多数受访者认为这些诊所增强了住院医师对研究生医学教育认证委员会的六项核心能力的理解。
大多数整形外科培训项目都使用首席诊所模式来增强住院医师的教育。这些诊所的构成和病例分布各不相同，但它们是教授自主性、手术成熟度和研究生医学教育认证委员会的六项核心能力的有效途径。
