From the Division of Plastic and Reconstructive Surgery.
Department of Surgery, Oregon Health and Sciences University, Portland, OR.
Ann Plast Surg. 2022 Jul 1;89(1):3-7. doi: 10.1097/SAP.0000000000002992. Epub 2021 Oct 8.
This study seeks to assess the status of elective rotations offered in plastic and reconstructive surgery residency programs throughout the country while also qualifying resident and alumni experiences and identifying barriers to offering electives.
Two prospective surveys were created for (1) program leadership and (2) residents, fellows, and alumni's who have graduated in the last 5 years.
This is a multi-institutional survey study.
Of 81 plastic and reconstructive surgery programs, 45 programs, and 102 residents, fellows and/or recent graduates responded to survey 2.
Fifty-six percent of respondents stated that their institution offered electives, 62% of which permitted residents to participate in regional, national, and international rotations primarily in the fifth and sixth years of training. Types of elective rotations completed included aesthetic, craniofacial, sex, hand, and microsurgery. Fifty-three percent responding programs denied barriers to offering elective rotations. When programs noted barriers, the most common were cost to resident/department (28%), institutional Graduate Medical Education policy (22%), and lack of service coverage at the home institution (22%). There was no difference between departments versus divisions offering electives (56.3% vs 57.1%, P = 0.95). Programs that did not offer electives spent an average of 14.6 months on general surgery compared with 9.4 months for programs that did offer electives ( P = 0.06). For programs that did not currently offer elective rotations, 71% indicated a desire to do so.
The primary goal of plastic surgery training programs is to produce plastic surgeons of the highest caliber with regard to safety and competence. Although several regulatory bodies ensure that programs adhere to a similar standard, not all programs have opportunities for residents to experience the breadth of our multifaceted specialty. Elective rotations constitute an excellent supplement to a well-rounded training where gaps may exist.
本研究旨在评估全国范围内整形与重建外科学住院医师培训计划中提供的选修课程的现状，同时确定住院医师和校友的经历，并确定提供选修课程的障碍。
为（1）项目领导人和（2）在过去 5 年内毕业的住院医师、研究员和校友制作了两份前瞻性调查。
这是一项多机构调查研究。
在 81 个整形与重建外科学项目中，有 45 个项目和 102 名住院医师、研究员和/或最近的毕业生对调查 2 做出了回应。
56%的受访者表示他们的机构提供选修课程，其中 62%允许住院医师在第五和第六年的培训中参加地区、国家和国际轮转。完成的选修轮转类型包括美容、颅面、性别、手部和显微外科。53%的答复项目否认提供选修课程的障碍。当项目注意到障碍时，最常见的是对住院医师/部门的成本（28%）、机构研究生医学教育政策（22%）和母机构服务覆盖不足（22%）。提供选修课程的部门与提供选修课程的分部之间没有差异（56.3%对 57.1%，P=0.95）。不提供选修课程的项目平均花费 14.6 个月用于普通外科，而提供选修课程的项目平均花费 9.4 个月（P=0.06）。对于目前不提供选修轮转的项目，71%的项目表示希望提供。
整形外科学培训计划的主要目标是培养在安全和能力方面具有最高水平的整形外科医生。尽管有几个监管机构确保了计划遵守类似的标准，但并非所有计划都有机会让住院医师体验我们多方面专业的广度。选修轮转是一个很好的补充，可以弥补全面培训中的差距。
