Department of Plastic Surgery, Ohio State University Wexner Medical Center, Columbus, OH.
Division of Plastic Surgery, William Beaumont Hospital, Royal Oak and Troy, MI.
Aesthet Surg J. 2019 Mar 14;39(4):NP76-NP82. doi: 10.1093/asj/sjy164.
In 2014, the Accreditation Council for Graduate Medical Education (ACGME) increased the minimum required aesthetic surgery cases for graduation from plastic surgery residency from 50 to 150. To date, there has been no research into how this has impacted resident aesthetic surgery training focusing on the resident perception.
We sought to evaluate resident perception and satisfaction with their aesthetic surgery training before and after the ACGME case log requirement increase to assess its impact on training and comfort level.
A survey was administered to all graduating senior residents attending the Senior Residents Conference of the ASPS Annual Meeting in 2014 and 2017. The survey evaluated senior resident aesthetic surgery experience and their confidence and satisfaction with their training.
The response rate was 70% in 2014 and 45% in 2017. There was an increase in the number of programs with resident-run cosmetic clinics (14% increase) and designated aesthetic rotations (33% increase) during that time. Resident-run cosmetic clinics were consistently considered the most valuable form of aesthetic training for residents. There also was a substantial increase in the percentage of residents feeling prepared to incorporate aesthetic surgery into their practice after graduation, increasing from 36% to 59% in 2017. The majority of responding residents felt that the ACGME case log requirement increase in 2014 was beneficial for their aesthetic surgery training (68%).
The recent ACGME case log requirement increase for aesthetic surgery training has had a positive effect on resident comfort with aesthetic procedures and their ability to incorporate them into future practice.
2014 年，美国毕业后医学教育认证委员会（ACGME）将整形住院医师毕业所需的最低美容手术例数从 50 例增加到 150 例。迄今为止，尚无研究探讨这对以住院医师的认知为重点的美容手术培训产生了怎样的影响。
我们旨在评估住院医师在 ACGME 病例记录要求增加前后对其美容手术培训的认知和满意度，以评估其对培训和舒适度的影响。
在 2014 年和 2017 年 ASPS 年会的高级住院医师会议上，向所有即将毕业的高级住院医师发放了一份调查。该调查评估了高级住院医师的美容手术经验以及他们对培训的信心和满意度。
2014 年的回复率为 70%，2017 年为 45%。在此期间，有更多的项目设立了住院医师主导的美容诊所（增加了 14%）和指定的美容轮转（增加了 33%）。住院医师主导的美容诊所一直被认为是住院医师最有价值的美容培训形式。对毕业后将美容手术纳入实践的准备程度感到满意的住院医师比例也大幅上升，从 2014 年的 36%增加到 2017 年的 59%。大多数接受调查的住院医师认为 2014 年 ACGME 病例记录要求的增加对他们的美容手术培训有益（68%）。
最近对美容手术培训的 ACGME 病例记录要求的增加对住院医师对美容手术的舒适度和将其纳入未来实践的能力产生了积极影响。
