Linder S A, Mele J A, Capozzi A
St. Francis Memorial Hospital, Department of Plastic Surgery, San Francisco, CA 94109, USA.
Aesthetic Plast Surg. 1996 Jul-Aug;20(4):351-4. doi: 10.1007/BF00228470.
The field of plastic and reconstructive surgery continues to broaden its scope while other fields continue to narrow theirs. The inability to teach aesthetic surgery is often confounded by the absence of an aesthetic surgery clinic for the chief resident, a reduced number of procedures and cases available, and a lack of faculty staff involvement. A close examination of the 19 western United States-based plastic surgery programs was performed in order to determine the most useful methods in teaching aesthetic surgery. An aesthetic surgery survey was distributed to most recently graduated plastic surgery residents to evaluate their overall experience in aesthetic surgery during residency. Of the 40 residents' surveys, 31 were returned. As anticipated, greater than half (51.6%) of the western United States programs were without a chief resident aesthetic clinic. Also, greater than half of those surveyed (51.6%) felt that the quantity of aesthetic cases was insufficient. The residents' comfort in performing specific operations was quite variable. From data analysis it is apparent there is a greater requirement for "hands-on" experience with aesthetic surgical cases during residency training. Overwhelmingly, the responses indicated the need for a Chief Resident Aesthetic Clinic, greater faculty involvement, and an increased clinic population with attending staff assistance. A 6-month chief resident aesthetic surgery clinic rotation at Saint Francis Memorial Hospital has proven to be very beneficial in teaching all aspects including pre-operative evaluation, surgical technique, and postoperative care of the aesthetic patient.
整形与重建外科领域的范围在不断拓宽，而其他领域的范围却在不断缩小。由于住院总医师缺乏美容外科诊所、可进行的手术和病例数量减少以及教员参与度不足，美容外科教学面临诸多困难。为了确定美容外科教学中最有效的方法，我们对美国西部19个整形手术项目进行了深入研究。我们向最近毕业的整形手术住院医师发放了一份美容外科调查问卷，以评估他们在住院期间美容外科的总体经历。在40份居民调查问卷中，有31份被收回。正如预期的那样，超过一半（51.6%）的美国西部项目没有住院总医师美容诊所。此外，超过一半（51.6%）的受访者认为美容病例数量不足。居民在进行特定手术时的舒适度差异很大。从数据分析中可以明显看出，住院医师培训期间对美容手术病例的“实践”经验有更大的需求。绝大多数回复表明，需要设立住院总医师美容诊所、增加教员参与度，并在主治医生的协助下增加诊所患者数量。事实证明，在圣弗朗西斯纪念医院进行为期6个月的住院总医师美容外科诊所轮转，在教授美容患者的术前评估、手术技术和术后护理等各个方面都非常有益。
