A nationwide curriculum analysis of integrated plastic surgery training: is training standardized?

Abstract:

BACKGROUND:The integrated model of plastic surgery education, shortly to become the standard for all 6-year programs, has set minimal but no maximal exposure to plastic surgery. The authors hypothesized that the first 3 years of integrated training will show variability among residency programs. METHODS:Rotation schedules for all 42 integrated programs were analyzed for plastic surgery versus 18 nonplastic surgery rotations for postgraduate years 1, 2, and 3 as well as cumulatively for the first 3 years. Rotations "strongly suggested" by the Residency Review Committee on Plastic Surgery and American Board of Plastic Surgery were also examined. RESULTS:Postgraduate years 1 through 3 spent a wide range of 3 to 19 months (SD ± 4.9 months) on plastic surgery (mean, 9.1 months). General surgery also varied dramatically, with 8 to 21 months (SD ± 4.0 months) of exposure (mean, 16.3 months). Surgical subspecialty rotations ranged substantially from 1 to 6 months (SD ± 1.0 months). Plastic surgery exposure was greater in programs based within plastic surgery departments than within divisions (13.8 versus 8.3 months, p < 0.005). Eighteen programs (42.9 percent) had dedicated hand surgery rotations, while seven (16.7 percent) had time dedicated for research. There was also wide variability in the inclusion of 18 nonplastic surgery rotations as well as specific "strongly suggested" rotations. CONCLUSIONS:The plastic surgery experience in the first 3 years of residency training varies by a greater than 6-fold difference among integrated programs. This was also found in the 2.5-fold and 6-fold differences in general surgery and subspecialty surgery experiences. Since standardized residency training is an expectation by both accrediting bodies and the public, this variability may warrant closer attention.

journal_name

Plast Reconstr Surg

authors

Schneider LF,Barr J,Saadeh PB

doi

10.1097/PRS.0b013e3182a8089c

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

1054e-1062e

issue

6

eissn

0032-1052

issn

1529-4242

pii

00006534-201312000-00055

journal_volume

132

pub_type

杂志文章
  • The Use of Absorbable Mesh in Implant-Based Breast Reconstruction: A 7-Year Review.

    abstract:BACKGROUND:Breast reconstruction is most frequently performed using implants or expanders. Adjunctive materials such as acellular dermal matrix and synthetic meshes are used to support the implant or expander. A paucity of large studies exist on the use of synthetic mesh for breast reconstruction. METHODS:A retrospect...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000007384

    authors: Faulkner HR,Shikowitz-Behr L,McLeod M,Wright E,Hulsen J,Austen WG Jr

    更新日期:2020-12-01 00:00:00

  • Short-scar face lift with extended SMAS platysma dissection and lifting and limited skin undermining.

    abstract::In the past 8 years, short-scar cervicofacial rhytidectomy has been used with great success and a high level of patient satisfaction. The operation involves limited incisions in the sideburn and preauricular areas, extending just around the fold of the ear lobule. Extensive undermining of the superficial musculoaponeu...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000070945.35807.CE

    authors: Massiha H

    更新日期:2003-08-01 00:00:00

  • Limited value of preoperative cervical vascular imaging in patients with velocardiofacial syndrome.

    abstract::The purpose of this two-part study was to evaluate the safety of surgical management of speech production disorders in patients with velocardiofacial syndrome without preoperative cervical vascular imaging studies. Anomalous internal carotid arteries have been shown to be a frequent feature of velocardiofacial syndrom...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Witt PD,Miller DC,Marsh JL,Muntz HR,Grames LM

    更新日期:1998-04-01 00:00:00

  • Hemifacial microsomia: use of the OMENS-Plus classification at the Royal Children's Hospital of Melbourne.

    abstract::Hemifacial microsomia is the most common facial congenital disability after cleft lip and palate, but as yet its pathogenesis remains unknown. Clinical classification systems have evolved over the last 30 years from those classifying only single components of the disorder, to those classifying according to the combina...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000046245.44567.D6

    authors: Poon CC,Meara JG,Heggie AA

    更新日期:2003-03-01 00:00:00

  • Progressive tension sutures to prevent seroma formation after latissimus dorsi harvest.

    abstract::The latissimus dorsi muscle flap is a versatile flap used in a variety of reconstructive procedures. The major complication reported with its use is donor-site seroma, reported to occur in 20 to 79 percent of cases. A retrospective review of 47 patients undergoing latissimus dorsi muscle harvest from April of 1998 thr...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000090542.68560.69

    authors: Rios JL,Pollock T,Adams WP Jr

    更新日期:2003-12-01 00:00:00

  • Supplemental oxygen: ensuring its safe delivery during facial surgery.

    abstract::Electrosurgical coagulation in the presence of blow-by oxygen is a potential source of fire in facial surgery. A case report of a patient sustaining partial-thickness facial burns secondary to such a flash fire is presented. A fiberglass facial model is then used to study the variables involved in providing supplement...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Reyes RJ,Smith AA,Mascaro JR,Windle BH

    更新日期:1995-04-01 00:00:00

  • Xeroradiography in the diagnosis of facial fractures.

    abstract::Xeroradiography, because of its unique phenomenon of "edge enhancement," has some advantages for assessing facial fractures. In 17 of the 19 patients in our pilot study group, this technique was as valuable as, or more so than, plain films. The xerogram done prior to laminagraphy is a useful "map" for the radiologist ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197808000-00008

    authors: Marshall KA,Sadowsky NL,Sigman D

    更新日期:1978-08-01 00:00:00

  • The cocaine user: the potential problem patient for rhinoplasty.

    abstract::The current popularity of cocaine use poses special hazards for the patient and the plastic surgeon during rhinoplasty. It is incumbent upon the surgeon to inquire preoperatively about possible recreational use of cocaine. As the preferred site of cocaine administration, the nasal septal mucosa is exposed to both the ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Slavin SA,Goldwyn RM

    更新日期:1990-09-01 00:00:00

  • A Retrospective Analysis of Secondary Revisions after Face Transplantation: Assessment of Outcomes, Safety, and Feasibility.

    abstract:BACKGROUND:Face transplantation has emerged as a viable option for certain patients in the treatment of devastating facial injuries. However, as with autologous free tissue transfer, the need for secondary revisions in face transplantation also exists. The authors' group has quantified the number of revision operations...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000002605

    authors: Aycart MA,Alhefzi M,Kueckelhaus M,Krezdorn N,Bueno EM,Caterson EJ,Pribaz JJ,Pomahac B

    更新日期:2016-10-01 00:00:00

  • The transforming growth factor-beta 3 knock-out mouse: an animal model for cleft palate.

    abstract::The recent report of a transforming growth factor-beta 3 (TGF-beta 3) knock-out mouse in which 100 percent of the homozygous pups have cleft palate raised the question as to the potential usefulness of these animals as a model for cleft palate research. The specific aim in this study was to carefully document the anat...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200109150-00018

    authors: Koo SH,Cunningham MC,Arabshahi B,Gruss JS,Grant JH 3rd

    更新日期:2001-09-15 00:00:00

  • Post-circumcision epidermoid inclusion cysts of the clitoris.

    abstract::We describe our experiences during the last 5 years with 19 cases of epidermoid inclusion cysts of the clitoris resulting from circumcision. There were 14 children and 5 adults. The management consisted of complete excision of the cyst, and reconstruction of the clitoris, wherever possible. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197904000-00007

    authors: Ofodile FA,Oluwasanmi JO

    更新日期:1979-04-01 00:00:00

  • Treatment of total sternal necrosis using the latissimus dorsi muscle flap.

    abstract::Complications after a median sternotomy incision, which is used currently in most cardiac and mediastinal surgical procedures, although infrequent, are serious. If sternal dehiscence follows median sternotomy, infection extends to vital underlying structures, exposing the anterior part of the heart and ascending aorta...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198511000-00008

    authors: Tizian C,Borst HG,Berger A

    更新日期:1985-11-01 00:00:00

  • The Role of Muscle Stem Cells in Regeneration and Recovery after Denervation: A Review.

    abstract:BACKGROUND:Skeletal muscle denervation is a complex clinical problem that still lacks a comprehensive solution. Previous studies have suggested that prolonged periods of denervation lead to a decline in the muscle stem cell population, negatively affecting the ability of muscle to regenerate following reinnervation. Re...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000005370

    authors: Wong A,Pomerantz JH

    更新日期:2019-03-01 00:00:00

  • The battle of words and the reality of never events in breast reconstruction: incidence, risk factors predictive of occurrence, and economic cost analysis.

    abstract:BACKGROUND:The Centers for Medicare and Medicaid Services has a list of 10 hospital-acquired conditions for which hospitals and physicians will not be reimbursed because it deems such conditions are preventable and should be considered "never events." To evaluate the validity of this premise, the authors conducted a re...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3182547b74

    authors: Adetayo OA,Salcedo SE,Biskup NI,Gupta SC

    更新日期:2012-07-01 00:00:00

  • Chimney sweeper's disease revisited: first case reported in a black. Case report.

    abstract::We present a case of occupation-related carcinoma of the scrotum (chimney sweeper's disease) in a black man. The history of this disease is outlined. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 历史文章,杂志文章

    doi:

    authors: Larson DL,Bennett JE

    更新日期:1978-02-01 00:00:00

  • Comparison of free and reversed pedicled posterior interosseous cutaneous flaps.

    abstract::The posterior interosseous cutaneous flap is characterized by its thinness and the adjustable length of its vascular pedicle. This flap can be used both as a free and reversed vascular pedicled flap. We applied the free flap mostly for reconstruction of the digits, and the reversed vascular pedicled flap for soft-tiss...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199703000-00028

    authors: Shibata M,Iwabuchi Y,Kubota S,Matsuzaki H

    更新日期:1997-03-01 00:00:00

  • The effect of various adjuncts on the surgical treatment of carpal tunnel syndrome secondary to chronic tenosynovitis.

    abstract::A series of 22 patients with carpal tunnel syndrome secondary to chronic tenosynovitis was divided into two groups. The first group was treated by transverse carpal ligament release alone. The second group was treated by transverse carpal ligament release, external neurolysis of the median nerve, flexor synovectomy, ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/00006534-197801000-00016

    authors: Freshwater MF,Arons MS

    更新日期:1978-01-01 00:00:00

  • Cranial fasciitis of childhood.

    abstract::Cranial fasciitis of childhood is a benign lesion occurring superficial to or involving the cranial bones of children at a median age of 18 months, with a male sex predilection of 2:1. It is histologically described as a well-circumscribed, loose proliferation of stellate to spindle-shaped fibroblasts in a myxoid back...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199004000-00018

    authors: Coates DB,Faught P,Sadove AM

    更新日期:1990-04-01 00:00:00

  • Consolidation Time and Relapse: A Systematic Review of Outcomes in Internal versus External Midface Distraction for Syndromic Craniosynostosis.

    abstract:BACKGROUND:The choice between internal and external distraction osteogenesis for midface advancement in patients with syndromic craniosynostosis is based primarily on surgeon preference and expertise. However, differences in outcomes between the two techniques have been sparingly compared. In this work, the authors per...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,meta分析

    doi:10.1097/PRS.0000000000006164

    authors: Bertrand AA,Lipman KJ,Bradley JP,Reidhead J,Lee JC

    更新日期:2019-11-01 00:00:00

  • Vaginal reconstruction with gracilis myocutaneous flaps.

    abstract::The definition, history, experimental background, surgical technique, and clinical applications of compound gracilis myocutaneous flaps are presented. This flap has been our method of choice for neo-vaginal reconstruction after radical pelvic surgery. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197608000-00006

    authors: McCraw JB,Massey FM,Shanklin KD,Horton CE

    更新日期:1976-08-01 00:00:00

  • Results of surgical lengthening of the short nose in the bilateral cleft lip patient.

    abstract::Some children with bilateral cleft lips do not grow a long enough nose and require surgical lengthening of the nose. We review our 12-year experience with a one-stage slide operation to achieve this. Seven males and 5 females had this operation at ages 7 through 13 years, and we have followed them from 6 months to 12 ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197802000-00008

    authors: Edgerton MT,Marsh JL

    更新日期:1978-02-01 00:00:00

  • Chemically induced vasospasm: the effect of ischemia, vessel occlusion, and adrenergic blockade.

    abstract::Vasospasm in revascularized tissue can compromise tissue perfusion even though the microsurgical anastomoses remain patent. Circulating catecholamine stimulates peripheral vasoconstriction. Chemical vasospasm was induced by the intraarterial administration of norepinephrine to denervated rat hind limbs. Heel pad blood...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198502000-00016

    authors: Richards RR,Seaber AV,Urbaniak JR

    更新日期:1985-02-01 00:00:00

  • Subcutaneous mastectomy in small, large, or ptotic breasts with immediate submuscular placement of implants.

    abstract::We present a series of 70 patients who have had bilateral subcutaneous mastectomies with immediate placement of implants under the intact pectoralis major and upper part of the serratus anterior. Twenty-two of these patients have had a simultaneous mastopexy, with a free nipple graft. All 70 patients have both of thei...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197811000-00006

    authors: Jarrett JR,Cutler RG,Teal DF

    更新日期:1978-11-01 00:00:00

  • The vascularized pig fibula bone flap model: effects of multiple segmental osteotomies on growth and viability.

    abstract::Previous work by this laboratory introduced the pig fibula bone flap as a model for the study of the pathophysiology of vascularized bone flaps. Anatomic and hemodynamic studies demonstrated a significant (p < 0.05) decrease in vascular perfusion after a series of segmental osteotomies and rigid fixation (lag screws a...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199904050-00012

    authors: Gur E,Chiodo A,Pang CY,Mendes M,Pritzker KP,Neligan PC,Shpitzer T,Forrest CR

    更新日期:1999-04-01 00:00:00

  • Total reconstruction of aplasia cutis congenita involving scalp, skull, and dura.

    abstract::A case of total reconstruction of skull and scalp in a patient with a large defect from aplasia cutis congenita is reported. Tissue expansion was successfully employed on two occasions: first to construct a well-vascularized space to sustain multiple rib grafts for cranial reconstruction and then to develop adequate q...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198604000-00026

    authors: Argenta LC,Dingman RO

    更新日期:1986-04-01 00:00:00

  • Reconstruction of Philtrum Using Partial Splitting and Folding of Orbicularis Oris Muscle in Secondary Unilateral Cleft Lip.

    abstract:BACKGROUND:The reconstruction of the philtrum during unilateral cleft lip repair remains a surgical challenge. The authors introduce a modified surgical technique for the reconstruction of the philtrum that allows for both the deepening of the philtral dimple and augmentation of the philtral ridge. METHODS:Between Jan...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000001795

    authors: Li L,Xie F,Ma T,Zhang Z

    更新日期:2015-12-01 00:00:00

  • A simple reconstruction for congenital unilateral lower lip palsy.

    abstract:BACKGROUND:Congenital unilateral lower lip palsy or congenital hypoplasia of the depressor anguli oris muscle, also known as asymmetric crying facies, characterized by deformity of the lower lip, lacks aggressive surgical intervention methods. Although several dynamic and static reconstruction methods have been reporte...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000264062.64251.10

    authors: Udagawa A,Arikawa K,Shimizu S,Suzuki H,Matsumoto H,Yoshimoto S,Ichinose M

    更新日期:2007-07-01 00:00:00

  • A new, fast surgical knot for skin closures.

    abstract::A modified surgeon's knot is proposed. Tying is based on twisting the throws instead of laying them down flat. The second (granny) throw is snugged against the first in a locking manner. The knot is tied rapidly by needleholder and is particularly useful for skin sutures with monofilament thread. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198503000-00026

    authors: Meiss L

    更新日期:1985-03-01 00:00:00

  • APACHE II scoring for the prediction of immediate surgical complications in head and neck cancer patients.

    abstract:BACKGROUND:Aggressive surgical treatment of oral and oropharyngeal cancers may be compromised by significant surgical complications. Early identification of patients at risk for postoperative complications may assist in clinical decision-making. The objective of this study was to assess the value of the Acute Physiolog...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000259038.36210.f8

    authors: Grant CA,Dempsey GA,Lowe D,Brown JS,Vaughan ED,Rogers SN

    更新日期:2007-05-01 00:00:00

  • Capsular Contracture in Implant-Based Breast Reconstruction: Examining the Role of Acellular Dermal Matrix Fenestrations.

    abstract:BACKGROUND:Acellular dermal matrices have been proposed to decrease the incidence of capsular contracture in implant-based breast reconstructions. The authors have modified acellular dermal matrices with fenestrations to facilitate greater lower pole expansion and improve contour. The effect of fenestrations on the abi...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000001570

    authors: Mowlds DS,Salibian AA,Scholz T,Paydar KZ,Wirth GA

    更新日期:2015-10-01 00:00:00