Handler Ethan, Tavassoli Javad, Dhaliwal Hardeep, Murray Matthew, Haiavy Jacob
Division of Cosmetic Surgery, Department of Head and Neck Surgery, Kaiser Permanente, Oakland, CA.
Attending Surgeon, Athenix Body Sculpting Institute, Fresno, CA.
J Oral Maxillofac Surg. 2015 Apr;73(4):580-6. doi: 10.1016/j.joms.2014.11.019. Epub 2014 Dec 13.
We sought, first, to evaluate the operative experience of surgeons who have completed postresidency fellowships offered by the American Academy of Cosmetic Surgery (AACS), and second, to compare this cosmetic surgery training to other surgical residency and fellowship programs in the United States. Finally, we suggest how new and existing oral and maxillofacial surgeons can use these programs.
We reviewed the completed case logs from AACS-accredited fellowships. The logs were data mined for 7 of the most common cosmetic operations, including the median total number of operations. We then compared the cosmetic case requirements from the different residencies and fellowships.
Thirty-nine case logs were reviewed from the 1-year general cosmetic surgery fellowships offered by the AACS from 2007 to 2012. The fellows completed a median of 687 total procedures. The median number of the most common cosmetic procedures performed was 14 rhinoplasties, 31 blepharoplasties, 21 facelifts, 24 abdominoplasties, 28 breast mastopexies, 103 breast augmentations, and 189 liposuctions. The data obtained were compared with the minimum cosmetic surgical requirements in residency and fellowship programs. The minimum residency requirements were as follows: no minimum listed for plastic surgery, 35 for otolaryngology, 20 for oral and maxillofacial surgery, 28 for ophthalmology, 0 for obstetrics and gynecology, and 20 for dermatology. The minimum fellowship requirements were as follows: 300 for the AACS cosmetic surgery fellowship, no minimum listed for facial plastic surgery and reconstruction, no minimum listed for aesthetic surgery, 133 for oculoplastic and reconstructive surgery, and 0 for Mohs dermatology.
Dedicating one's practice exclusively to cosmetic surgery requires additional postresidency training owing to the breadth of the field. The AACS created comprehensive fellowship programs to fill an essential part in the continuum of cosmetic surgeons' education, training, and experience. This builds on the foundation of their primary board residency program. The AACS fellowships are a valuable option for additional training for qualified surgeons seeking proficiency and competency in cosmetic surgery.
首先，我们旨在评估已完成美国美容外科学会（AACS）提供的住院医师后进修项目的外科医生的手术经验；其次，将这种美容外科培训与美国其他外科住院医师培训项目和进修项目进行比较。最后，我们建议新的和现有的口腔颌面外科医生如何利用这些项目。
我们审查了AACS认证的进修项目中已完成的病例记录。从这些记录中挖掘了7种最常见的美容手术的数据，包括手术总数的中位数。然后，我们比较了不同住院医师培训项目和进修项目对美容病例的要求。
审查了2007年至2012年AACS提供的为期1年的普通美容外科进修项目中的39份病例记录。进修医生完成的手术总数中位数为687例。最常见的美容手术的中位数分别为：隆鼻术14例、眼睑成形术31例、面部除皱术21例、腹壁成形术24例、乳房上提术28例、隆胸术103例、吸脂术189例。将获得的数据与住院医师培训项目和进修项目中的美容外科最低要求进行了比较。住院医师的最低要求如下：整形外科未列出最低要求，耳鼻喉科为35例，口腔颌面外科为20例，眼科为28例，妇产科为0例，皮肤科为20例。进修项目的最低要求如下：AACS美容外科进修项目为300例，面部整形与重建外科未列出最低要求，美容外科未列出最低要求，眼部整形与重建外科为133例，莫氏皮肤科为0例。
由于美容外科领域的广度，专门从事美容外科手术需要额外的住院医师后培训。AACS创建了全面的进修项目，以填补美容外科医生教育、培训和经验连续过程中的重要部分。这建立在他们主要的专科住院医师培训项目的基础上。AACS进修项目对于寻求在美容外科方面达到熟练和胜任水平的合格外科医生来说，是额外培训的一个有价值的选择。
