Los Angeles, Calif. From the Division of Plastic and Reconstructive Surgery, David Geffen School of Medicine, University of California, Los Angeles.
Plast Reconstr Surg. 2012 Mar;129(3):528e-534e. doi: 10.1097/PRS.0b013e3182402efd.
The specialty of plastic surgery has evolved to encompass a wide breadth of both reconstructive and aesthetic surgery. Practitioners in other specialties have increasingly advanced on procedures and areas that have traditionally been served by plastic surgeons. To date, no evaluation and comparison of the operative experience of graduating residents from various specialties has been performed.
The authors review the case log statistical reports of the Accreditation Council for Graduate Medical Education. For each specialty, this annual report highlights the average number of cases performed for all graduating residents. The national case log reports were reviewed for dermatology, ophthalmology, otolaryngology, and plastic surgery. Four procedures (i.e., blepharoplasty, face lift, liposuction, and rhinoplasty) were compared for residents graduating in the 2006 to 2010 academic years. The hypothesis that no difference exists between the average numbers of aesthetic procedures performed by various specialty residency training was tested using a two-sample t statistic.
For blepharoplasty, face lift, and liposuction, the higher number of cases performed by graduating plastic surgery residents was statistically significant (p < 0.00001) for all years examined. Although plastic surgery trainees graduating from 2006 to 2010 had a higher number of recorded rhinoplasties, this difference in case logs was statistically significant only for plastic surgery residents graduating in 2008.
The quantitative operative experience of graduating plastic surgery residents for selected aesthetic surgery cases exceeds that of other surgical subspecialties. Given the exposure and strength of plastic surgery training, plastic surgeons should remain at the forefront of aesthetic surgery.
整形外科学科的专业领域已经发展到涵盖广泛的重建和美容手术。其他专业的从业者在传统上由整形外科医生提供服务的手术和领域上的技术水平不断提高。迄今为止，尚未对来自不同专业的毕业住院医师的手术经验进行评估和比较。
作者审查了研究生医学教育认证委员会的病例日志统计报告。对于每个专业，该年度报告都强调了所有毕业住院医师所做的平均病例数。审查了皮肤科、眼科、耳鼻喉科和整形外科的国家病例日志报告。比较了 2006 年至 2010 学年毕业的住院医师进行的四项手术（即眼睑成形术、面部提升术、抽脂术和隆鼻术）。使用双样本 t 检验检验各种专业住院医师培训所进行的美容手术数量平均值之间不存在差异的假设。
对于眼睑成形术、面部提升术和抽脂术，所有检查年份的整形外科毕业住院医师所做的病例数量均明显更高（p < 0.00001）。尽管 2006 年至 2010 年毕业的整形外科受训者记录的隆鼻术数量更高，但病例日志中的这一差异仅在 2008 年毕业的整形外科住院医师中具有统计学意义。
选定的美容手术病例中，整形外科毕业住院医师的定量手术经验超过其他外科亚专业。鉴于整形外科培训的暴露度和强度，整形外科医生应继续处于美容手术的前沿。
