From the School of Medicine.
the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California, San Francisco.
Plast Reconstr Surg. 2024 Jan 1;153(1):160e-169e. doi: 10.1097/PRS.0000000000010569. Epub 2023 Apr 20.
Gender-affirming surgery (GAS) is a rapidly growing field within plastic surgery, and residents and fellows must receive appropriate training. However, there are no standardized surgical training curricula. The objective of this study was to identify core curricula within the field of GAS.
Four GAS surgeons from different academic institutions identified initial curricular statements within six categories: (1) comprehensive GAS care, (2) gender-affirming facial surgery, (3) masculinizing chest surgery, (4) feminizing breast augmentation, (5) masculinizing genital GAS, and (6) feminizing genital GAS. Expert panelists consisting of plastic surgery residency program directors and GAS surgeons were recruited for three rounds of the Delphi-consensus process. The panelists decided whether each curriculum statement was appropriate for residency, fellowship, or neither. A statement was included in the final curriculum when Cronbach α value was greater than or equal to 0.8, meaning that 80% or more of the panel agreed on inclusion.
A total of 34 panelists (14 plastic surgery residency program directors and 20 GAS surgeons representing 28 US institutions) participated. The response rate was 85% for the first round, 94% for the second, and 100% for the third. Out of 124 initial curriculum statements, 84 reached consensus for the final GAS curricula, 51 for residency, and 31 for fellowship.
A national consensus on core GAS curriculum for plastic surgery residency and GAS fellowship was achieved by a modified Delphi method. Implementation of this curriculum will ensure that trainees in plastic surgery are adequately prepared in the field of GAS.
性别肯定手术（GAS）是整形外科学中一个快速发展的领域，住院医师和研究员必须接受适当的培训。然而，目前还没有标准化的手术培训课程。本研究的目的是确定 GAS 领域的核心课程。
来自不同学术机构的四位 GAS 外科医生确定了六个类别中的初始课程陈述：（1）全面的 GAS 护理，（2）性别肯定的面部手术，（3）男性化的胸部手术，（4）女性化的乳房增大，（5）男性化的生殖器 GAS，和（6）女性化的生殖器 GAS。专家小组成员由整形外科学住院医师培训计划主任和 GAS 外科医生组成，他们被招募参加了三轮 Delphi 共识过程。小组成员决定每个课程陈述是否适合住院医师、研究员或两者都不适合。当 Cronbach α 值大于或等于 0.8 时，即 80%或更多的小组成员同意包含该课程，该陈述将被包含在最终课程中。
共有 34 名小组成员（14 名整形外科学住院医师培训计划主任和 20 名代表 28 个美国机构的 GAS 外科医生）参加了该研究。第一轮的回复率为 85%，第二轮为 94%，第三轮为 100%。在 124 个初始课程陈述中，84 个陈述达成了最终 GAS 课程的共识，其中 51 个适用于住院医师培训，31 个适用于研究员培训。
通过改良 Delphi 方法达成了整形外科学住院医师和 GAS 研究员的核心 GAS 课程的全国共识。实施该课程将确保整形外科学的受训者在 GAS 领域得到充分的准备。
