Division of Plastic Surgery, Baylor College of Medicine, Houston, TX.
Aesthet Surg J. 2019 Aug 22;39(9):NP387-NP395. doi: 10.1093/asj/sjz020.
Providing residents with comprehensive training in aesthetic surgery has proven challenging. Resident aesthetic clinics propose an educational value to trainees while providing successful patient outcomes.
This study systematically reviewed the available literature regarding resident aesthetic clinic outcomes to determine the efficacy of the clinic in resident training, surgical results, and patient satisfaction.
An electronic database search was performed to identify literature reporting on resident aesthetic clinics. Studies were excluded if the resident clinic was not aesthetic in nature, if only nonsurgical aesthetic procedures were performed, and if clinic outcomes were not evaluated. Study quality was assessed using the Newcastle Ottawa Scale for nonrandomized studies.
Ten of 148 identified studies met inclusion criteria; 2 utilized a survey, 3 were retrospective cohort studies, and 5 were retrospective cohort studies also utilizing a survey. Clinic schedules, surgical case volume, and surgical procedures performed all varied. One study received a Newcastle Ottawa Scale score of 7 of a possible 9 stars, 2 studies received 5 stars, 5 studies received 4 stars, and 2 could not be assessed using the scoring system. Six studies analyzed surgical results as a primary outcome, reporting acceptable complication and revision rates. Four studies evaluated patient opinions of the clinics and reported overall high satisfaction rates.
This systematic review suggests that resident aesthetic clinics enhance resident education while providing safe and successful surgical results to patients.
为住院医师提供全面的美容外科学培训一直具有挑战性。住院医师美容诊所为学员提供了教育价值，同时为患者带来了成功的治疗效果。
本研究系统地回顾了关于住院医师美容诊所结果的现有文献，以确定该诊所对住院医师培训、手术结果和患者满意度的效果。
进行电子数据库检索，以确定报告住院医师美容诊所的文献。如果住院医师诊所不是美容性质的，如果只进行非手术美容程序，或者如果没有评估诊所结果，则排除研究。使用纽卡斯尔-渥太华量表（Newcastle-Ottawa Scale）对非随机研究进行研究质量评估。
在 148 项已确定的研究中，有 10 项符合纳入标准；其中 2 项使用了调查，3 项是回顾性队列研究，5 项是回顾性队列研究，同时也使用了调查。诊所时间表、手术病例量和手术程序都有所不同。一项研究获得了纽卡斯尔-渥太华量表 7 分（满分 9 分），2 项研究获得 5 分，5 项研究获得 4 分，2 项研究无法使用评分系统进行评估。有 6 项研究将手术结果作为主要结局进行分析，报告了可接受的并发症和修复率。有 4 项研究评估了患者对诊所的意见，报告了总体满意度较高。
本系统评价表明，住院医师美容诊所不仅可以提高住院医师的教育水平，还可以为患者提供安全且成功的手术结果。
