Bagwell Alexis K, Santucci Nicole, Carboy Jourdan, Johnson Alicia, Nauta Allison C
Department of Surgery, Oregon Health & Science University (OHSU), Portland, Oregon.
School of Medicine, Oregon Health & Science University (OHSU), Portland, Oregon.
J Surg Res. 2023 Jul;287:33-39. doi: 10.1016/j.jss.2022.12.006. Epub 2023 Mar 1.
An important component of plastic surgery residency training is independent cosmetic patient management. A resident cosmetic clinic was created at Oregon Health & Science University in 2007 to expand this experience. The cosmetic clinic has traditionally been most successful in offering nonsurgical facial rejuvenation with neuromodulators and soft tissue fillers. This study focuses on the demographics of the patient population and the treatments provided over a 5-year period and compares this experience to those of the same program's attending cosmetic clinics.
A retrospective chart review of all patients seen at Oregon Health & Science University's Plastic and Reconstructive Surgery Resident Cosmetic Clinic between January 1, 2017, and December 31, 2021 was performed. Patient demographics, type of injectable received (neuromodulator versus soft tissue filler), location of injection, and additional cosmetic procedures were evaluated.
Two hundred patients met the study criteria, which included 114 seen in the resident clinic (RC), 31 seen in attending clinic (AC), and 55 patients seen in both. A primary analysis compared the two groups seen in the resident and attending only clinics. The average age of patients seen in the RC was younger, 45 versus 51.5 (P ≤ 0.05). There was a trend toward more patients in the RC being involved in healthcare as compared to those patients seen in the AC, but this difference was not found to be statistically significant. The median number of neuromodulator visits in the RC was 2 (1, 4) versus 1 (1, 2) in the AC (P ≤ 0.05) The most common location for neuromodulator injections in both clinics was the corrugators.
Patients in the resident cosmetic clinic were younger females, most receiving neuromodulator injections. No statistically significant differences were identified in patient population, injections received, and location of injections between the two clinics, indicating a similar trainee skill set and patient care plan between the two clinics.
整形外科学住院医师培训的一个重要组成部分是独立的美容患者管理。2007年，俄勒冈健康与科学大学设立了一个住院医师美容诊所，以拓展这方面的经验。传统上，该美容诊所在提供使用神经调节剂和软组织填充剂进行非手术面部年轻化治疗方面最为成功。本研究聚焦于5年期间患者群体的人口统计学特征及所接受的治疗，并将这一经验与同一项目的主治美容诊所的经验进行比较。
对2017年1月1日至2021年12月31日期间在俄勒冈健康与科学大学整形与重建外科住院医师美容诊所就诊的所有患者进行回顾性病历审查。评估了患者的人口统计学特征、所接受的注射类型（神经调节剂与软组织填充剂）、注射部位以及其他美容手术。
200名患者符合研究标准，其中114名在住院医师诊所（RC）就诊，31名在主治诊所（AC）就诊，55名在两个诊所均有就诊。一项初步分析比较了仅在住院医师诊所和主治诊所就诊的两组患者。在RC就诊的患者平均年龄更年轻，分别为45岁和51.5岁（P≤0.05）。与在AC就诊的患者相比，RC中有更多患者从事医疗保健工作，不过这一差异未被发现具有统计学意义。RC中神经调节剂注射就诊的中位数为2次（1，4），而AC中为1次（1，2）（P≤0.05）。两个诊所中神经调节剂注射最常见的部位都是皱眉肌。
住院医师美容诊所的患者为年轻女性，大多数接受神经调节剂注射。两个诊所之间在患者群体、所接受的注射以及注射部位方面未发现具有统计学意义的差异，表明两个诊所的实习医生技能水平和患者护理计划相似。
