Zbar Ross I S, Taylor Lisa D, Canady John W
Aesthet Surg J Open Forum. 2023 Jun 26;5:ojad057. doi: 10.1093/asjof/ojad057. eCollection 2023.
As an organized profession, plastic surgery struggles delivering a clear message regarding scope of practice to patients given the diversity of procedures performed. Whereas granting licensure to practice medicine resides with governmental bodies, certification rests with organizations. However, certification is not required to practice plastic surgery. Since plastic surgery operationalizes techniques rather than working within a defined body organ, competition for patients is intense. Mapping territorial interactions between healthcare providers while parsing taxonomy elucidates individual, community, organizational, and governmental levels, creating various selection pressures. Applying evolutionary biology as a framework predicts the termination of plastic surgery over time as a unique specialty. An entirely new domain, Restorative Healthcare, is proposed which circumvents an extinction outcome.
作为一个有组织的专业领域，整形外科在向患者传达关于执业范围的明确信息方面面临困难，因为所实施的手术种类繁多。虽然行医执照由政府机构颁发，但认证则由各组织负责。然而，从事整形外科手术并不需要认证。由于整形外科运用的是技术而非局限于特定的身体器官进行工作，所以对患者的竞争非常激烈。在解析分类法的同时绘制医疗服务提供者之间的地域互动关系，能够阐明个人、社区、组织和政府层面的情况，从而产生各种选择压力。将进化生物学作为一个框架来应用，可以预测随着时间的推移，整形外科作为一个独特的专业领域将会终结。本文提出了一个全新的领域——恢复性医疗保健，以避免这一灭绝的结果。
