Division of Plastic Surgery, Department of Surgery, University of Rochester, Rochester, NY.
Ann Plast Surg. 2024 Apr 1;92(4S Suppl 2):S267-S270. doi: 10.1097/SAP.0000000000003873.
BACKGROUND: The importance of adaptable and up-to-date plastic surgery graduate medical education (GME) has taken on new meaning amidst accelerating surgical innovation and increasing calls for competency-based training standards. We aimed to examine the extent to which the procedures plastic surgery residents perform, as represented in case log data, align with 2 core standardized components of plastic surgery GME: ACGME (Accreditation Council for Graduate Medical Education) minimum procedure count requirements and the PSITE (Plastic Surgery In-Service Training Examination). We also examined their alignment with procedural representation at 2 major plastic surgery meetings. METHODS: Nine categories of reconstructive and aesthetic procedures were identified. Three-year averages for the number of procedures completed in each category by residents graduating in 2019-2021 were calculated from ACGME national case log data reports. The ACGME procedure count minimum requirements were also ascertained. The titles and durations of medical programming sessions scheduled for Plastic Surgery The Meeting (PSTM) 2022 and the Plastic Surgery Research Council (PSRC) Annual Meeting 2022 were retrieved from online data. Finally, test items from the 2020 to 2022 administrations of the PSITE were retrieved. Conference sessions and test items were assigned to a single procedure category when possible. Percent differences were calculated for comparison. RESULTS: The distribution of procedures on plastic surgery resident case logs differs from those of the major mechanisms of standardization in plastic surgery GME, in-service examination content more so than ACGME requirements. Meeting content at PSTM and PSRC had the largest percent differences with case log data, with PSTM being skewed toward aesthetics and PSRC toward reconstructive head and neck surgery. DISCUSSION: The criteria and standards by which plastic surgery residents are evaluated and content at national meetings differ from the procedures they actually complete during their training. Although largely reflecting heterogeneity of the specialty, following these comparisons will likely prove useful in the continual evaluation of plastic surgery residency training, especially in the preparation of residents for the variety of training and practice settings they pursue.
背景：在外科创新加速和对基于能力的培训标准的呼声日益高涨的背景下，灵活且与时俱进的整形外科学研究生医学教育（GME）的重要性凸显出来。我们旨在研究整形外科住院医师在病例日志数据中记录的手术操作与整形外科 GME 的 2 个核心标准化组成部分的吻合程度：ACGME（研究生医学教育认证委员会）最低手术计数要求和 PSITE（整形外科学在职培训考试）。我们还检查了它们与两个主要整形外科学术会议上手术代表性的吻合程度。
方法：确定了 9 类重建和美容手术。从 ACGME 全国病例日志数据报告中计算出 2019-2021 年毕业的住院医师在每个类别中完成的手术的三年平均值。还确定了 ACGME 手术计数的最低要求。从网上数据中检索了 2022 年整形外科学会议（PSTM）和整形外科学研究委员会（PSRC）年度会议 2022 的医疗编程会议的标题和持续时间。最后，从 2020 年至 2022 年的 PSITE 管理中检索了测试项目。尽可能将会议和测试项目分配给单一的手术类别。为了比较计算了百分比差异。
结果：整形外科住院医师病例日志中的手术分布与整形外科 GME 的主要标准化机制不同，在职考试内容比 ACGME 要求更不同。PSTM 和 PSRC 的会议内容与病例日志数据的差异最大，PSTM 偏向于美学，而 PSRC 偏向于重建头颈部手术。
讨论：评估整形外科住院医师的标准和标准以及全国会议的内容与他们在培训期间实际完成的手术操作不同。尽管这在很大程度上反映了专业的多样性，但进行这些比较可能有助于持续评估整形外科住院医师培训，尤其是在为住院医师准备他们所追求的各种培训和实践环境时。
Am J Obstet Gynecol. 2019-11-22
J Surg Educ. 2021
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