Hashem Ahmed M, Waltzman Joshua T, D'Souza Gehaan F, Cakmakoglu Cagri, Tadisina Kayshap Komarraju, Kenkel Jeffrey M, Zins James E
Cairo University, Cairo, Egypt.Aesthetic Surgery Journal (ASJ). ; ASJ.
Private practice, Long Beach, CA.
Aesthet Surg J. 2017 Jul 1;37(7):837-846. doi: 10.1093/asj/sjw275.
This is the third survey exploring the quality of cosmetic training in plastic surgery residency. We focused on determining: (1) the applied modalities and extent of resident exposure; and (2) resident confidence in performing variable cosmetic procedures.
To analyze trends in resident exposure and confidence in aesthetic plastic surgery procedures from the standpoint of program directors (PDs) and residents.
The survey was developed and e-mailed to 424 residents enrolled in the ASAPS Residents Program and 95 PDs. Both independent and integrated programs were included. The questions were posed in a five-point ranking format. Univariate statistical analysis was used to examine all aspects. The results were analyzed in relation to our previous surveys in 2008 and 2011.
Thirty-three PDs (34.7%) and 224 (52.8%) residents responded. Residents felt most confident with abdominoplasty, breast reduction, and augmentation-mammaplasty. Facial aesthetic procedures, especially rhinoplasty and facelift, were perceived as "challenging." The three most preferred modalities of aesthetic education were, in descending order, residents' clinic, staff cosmetic patients, and cadaver dissections. Both residents and PDs felt a need for more training especially in facial procedures. Only 31.5% of residents who planned to focus on cosmetic surgery felt ideally prepared integrating cosmetic surgery into their practice (compared to 50% in previous surveys).
Despite improvements observed from 2008 to 2011 published surveys, there are still challenges to be met especially in facial cosmetic procedures. It is suggested that resident clinics and cadaver courses be universally adopted by all training programs.
这是第三次探索整形外科住院医师培训中美容培训质量的调查。我们重点确定：（1）住院医师接触的应用模式和程度；以及（2）住院医师进行各种美容手术的信心。
从项目主任（PDs）和住院医师的角度分析住院医师在美容整形手术方面的接触情况和信心趋势。
该调查已制定并通过电子邮件发送给424名参加美国美容整形外科学会住院医师项目的住院医师和95名项目主任。独立项目和综合项目均包括在内。问题以五点排名格式提出。采用单变量统计分析来检查各个方面。结果与我们在2008年和2011年进行的先前调查相关进行了分析。
33名项目主任（34.7%）和224名（52.8%）住院医师做出了回应。住院医师对腹部整形术、乳房缩小术和隆胸术最有信心。面部美容手术，尤其是隆鼻术和面部除皱术，被认为“具有挑战性”。美容教育的三种最受欢迎的模式按降序排列依次是住院医师诊所、工作人员的美容患者和尸体解剖。住院医师和项目主任都认为需要更多培训，尤其是在面部手术方面。计划专注于美容手术的住院医师中，只有31.5%的人认为在将美容手术融入其实践方面准备理想（相比之前调查中的50%）。
尽管从2008年到2011年发表的调查中观察到有所改善，但仍有挑战需要应对，尤其是在面部美容手术方面。建议所有培训项目普遍采用住院医师诊所和尸体课程。
