Akhavan Arya A, Atayeva Rena, Tiongco Rafael F P, Puthumana Joseph S, Redett Richard J, Lifchez Scott D, Cooney Damon S, Cooney Carisa M
From the Division of Plastic and Reconstructive Surgery, Rutgers New Jersey Medical School, Newark, NJ.
Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
Ann Plast Surg. 2025 Feb 1;94(2):204-211. doi: 10.1097/SAP.0000000000004228.
Plastic surgery training continues to evolve with integrated residents spending more time in plastic versus general surgery. Herein, we provide an updated description of interprogram differences in core general, core plastic, and plastic surgery-adjacent training curricula.
We obtained rotation schedules from US plastic surgery residency websites or program coordinators for AY2021-2022. Rotation months were recorded and categorized into Core General Surgery, Core Plastic Surgery, and Plastic Surgery-Adjacent. Rotations were compared to American Board of Plastic Surgery (ABPS) and Accreditation Council for Graduate Medical Education (ACGME) standards. Data were analyzed using descriptive statistics (SPSS, IBM Corp., v27.0, Armonk, NY).
Of 84 programs, we obtained schedules for 63 (75%). Most offered 2 years of Core General Surgery followed by 4 years of Core Plastic Surgery training (n = 32, 50.8%). From postgraduate years 1-6, programs offered median 52 months [interquartile range (IQR): 47.5, 55] of Core Plastic Surgery, 12 months (IQR: 9, 14) of Core General Surgery, and 8 months (IQR: 6, 10) of Plastic Surgery-Adjacent rotations. Six (9.5%) programs' schedules included rotations specifically addressing all ABPS competency requirements; 1 (1.6%) included rotations addressing all ACGME Core General Surgery competency requirements. Departmental status was not associated with differences in training time.
Our results demonstrate that in AY2021-2022, integrated plastic surgery training programs offered 6 months less Core General Surgery, 3 months less Plastic Surgery-Adjacent, and 9 months more Core Plastic Surgery Rotations than in 2012. Very few program schedules include named rotations that specifically addressed all ABPS or ACGME competency requirements.
整形外科学培训不断发展，综合住院医师在整形手术方面花费的时间比普通外科更多。在此，我们提供了核心普通外科、核心整形外科以及整形手术相关培训课程中各项目间差异的最新描述。
我们从美国整形外科学住院医师项目网站或项目协调员处获取了2021 - 2022学年的轮转计划。记录轮转月份并分类为核心普通外科、核心整形外科和整形手术相关。将轮转情况与美国整形外科学会（ABPS）和毕业后医学教育认证委员会（ACGME）的标准进行比较。使用描述性统计方法（SPSS，IBM公司，v27.0，纽约州阿蒙克）分析数据。
在84个项目中，我们获取了63个项目（75%）的计划。大多数项目提供2年的核心普通外科培训，随后是4年的核心整形外科学培训（n = 32，50.8%）。从研究生第1年到第6年，各项目核心整形外科的轮转时间中位数为52个月[四分位间距（IQR）：47.5，55]，核心普通外科为12个月（IQR：9，14），整形手术相关轮转为8个月（IQR：6，10）。6个（9.5%）项目的计划包括专门针对所有ABPS能力要求的轮转；1个（1.6%）项目的计划包括针对所有ACGME核心普通外科能力要求的轮转。科室地位与培训时间差异无关。
我们的结果表明，在2021 - 2022学年，综合整形外科学培训项目的核心普通外科轮转时间比2012年减少了6个月，整形手术相关轮转减少了3个月，核心整形外科轮转增加了9个月。很少有项目计划包括专门针对所有ABPS或ACGME能力要求的指定轮转。
