Barr Jason S, Sinno Sammy, Cimino Marcus, Saadeh Pierre B
New York, N.Y. From the Institute of Reconstructive Plastic Surgery, Department of Plastic and Reconstructive Surgery, New York University Medical Center.
Plast Reconstr Surg. 2015 Jan;135(1):92e-98e. doi: 10.1097/PRS.0000000000000774.
Practitioners who are not board-certified by the American Board of Plastic Surgery are practicing cosmetic surgery. The extent of this issue across the United States has yet to be examined in detail.
A systematic search using Google was performed to evaluate the qualifications of clinicians marketing themselves as plastic surgeons. For every U.S. state, the following searches were performed: [state] plastic surgery, [state] cosmetic surgery, and [state] aesthetic surgery. The first 50 Web sites returned for each search were visited and scrutinized using the American Society of Plastic Surgeons and American Board of Plastic Surgery Web sites.
In total, 7500 Web sites were visited, yielding 2396 board-certified plastic surgeons (77.9 percent of all practitioners). There were 284 board-certified ear, nose, and throat surgeons, 61 (21.5 percent) of whom practice outside their scope; 106 board-certified general surgeons, 100 (94.3 percent) of whom practice outside their scope; 104 board-certified oral and maxillofacial surgery surgeons, 68 (65.4 percent) of whom practice outside their scope; 70 board-certified ophthalmologists/oculoplastic surgeons, 49 (70 percent) of whom practice outside their scope; and 74 board-certified dermatologists, 36 (48.6 percent) of whom practice outside their scope. There were also 16 internal medicine doctors, 13 obstetrics and gynecology physicians, six emergency medicine physicians, three pediatricians, two urologists, two anesthesiologists, and finally one phlebotomist; all of these practitioners practice outside their scope as defined by Accreditation Council for Graduate Medical Education core competencies.
Many clinicians performing cosmetic surgery are not board-certified. This finding has important implications for patient safety.
未获得美国整形外科委员会认证的从业者正在开展整容手术。这一问题在美国的严重程度尚未得到详细调查。
利用谷歌进行系统搜索，以评估自称整形外科医生的临床医生的资质。针对美国的每个州，进行了以下搜索：[州名]整形外科、[州名]整容外科和[州名]美容外科。对每次搜索返回的前50个网站进行访问，并对照美国整形外科协会和美国整形外科委员会的网站进行审查。
总共访问了7500个网站，其中有2396名获得委员会认证的整形外科医生（占所有从业者的77.9%）。有284名获得委员会认证的耳鼻喉科医生，其中61名（21.5%）超出其执业范围开展业务；106名获得委员会认证的普通外科医生，其中100名（94.3%）超出其执业范围开展业务；104名获得委员会认证的口腔颌面外科医生，其中68名（65.4%）超出其执业范围开展业务；70名获得委员会认证的眼科医生/眼整形医生，其中49名（70%）超出其执业范围开展业务；74名获得委员会认证的皮肤科医生，其中36名（48.6%）超出其执业范围开展业务。此外，还有16名内科医生、13名妇产科医生、6名急诊医生、3名儿科医生、2名泌尿科医生、2名麻醉医生，最后还有1名采血技师；所有这些从业者均超出了毕业后医学教育认证委员会核心能力所界定的执业范围开展业务。
许多开展整容手术的临床医生未获得委员会认证。这一发现对患者安全具有重要意义。
