Al-Halabi Becher, Hazan Jessica, Safran Tyler, Gilardino Mirko S
Division of Plastic and Reconstructive Surgery, McGill University Health Centre, Montreal, Canada.
Plast Reconstr Surg Glob Open. 2020 Apr 27;8(4):e2766. doi: 10.1097/GOX.0000000000002766. eCollection 2020 Apr.
Resident-run clinics (RRCs) have been suggested as a clinical teaching tool to improve resident exposure in aesthetic plastic surgery education. In exchange for reduced cost aesthetic services, RRCs offer trainees the opportunity to assess, plan, execute, and follow surgical procedures in an independent yet supervised manner. With the transition into a competency-based medical education model involving a switch away from a time-based into a milestones-based model, the role of RRCs, within the context of the evolving plastic surgery curriculum has yet to be determined. To that end, the present study summarizes current models of aesthetic surgery training and assesses RRCs as an adjunct to aesthetics education within the framework of competency-based medical education. Explored themes include advantages and issues of RRCs including surgical autonomy, feasibility, exposure, learners' perception, ethics, and quality improvement. In addition, attention is focused on their role in cognitive competency acquisition and exposure to non-surgical techniques. RRCs are considered an effective educational model that provides an autonomous learning platform with reasonable patient satisfaction and safety profiles.
住院医师主导的诊所（RRCs）已被提议作为一种临床教学工具，以增加住院医师在美容整形外科学教育中的接触机会。作为降低成本的美容服务的交换条件，RRCs为学员提供了以独立但受监督的方式评估、规划、执行和跟进手术程序的机会。随着向基于能力的医学教育模式的转变，即从基于时间的模式转变为基于里程碑的模式，在不断发展的整形外科学课程背景下，RRCs的作用尚未确定。为此，本研究总结了当前美容手术培训模式，并在基于能力的医学教育框架内评估RRCs作为美学教育的辅助手段。探讨的主题包括RRCs的优势和问题，包括手术自主性、可行性、接触机会、学习者的认知、伦理和质量改进。此外，重点关注它们在认知能力获取和非手术技术接触方面的作用。RRCs被认为是一种有效的教育模式，它提供了一个自主学习平台，具有合理的患者满意度和安全性。
