A 9-Year Comparison of Practice Profiles of Candidates for Primary and Recertification Examinations of the American Board of Plastic Surgery Relative to Economic Indicators

Gosain, Arun K.; Haller, Harold S.; Lee, Michelle; Cullison, Terry M.; Noone, R. Barrett

doi:10.1097/prs.0b013e31827c7086

Cited by 4 publications

(5 citation statements)

References 6 publications

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“…Studies show, however, that individual plastic surgery practices quickly narrow down to a single subspecialty. 3 This is especially true in plastic surgery where diplomates often develop small niches within a subspecialty. Although residency programs are required to present a broad-based training, after graduation there are wide variety of subspecialized societiesAmerican Society for Peripheral Nerve, American Society for Reconstructive Microsurgery, American Society of Maxillofacial Surgery, etc.-that provide focused education catered to the individual surgeon.…”

Section: Discussionmentioning

confidence: 98%

“…The volume of education is less because of a more focused practice, and the frequency and mechanisms for learning may be different but the requirement is the same. 3 The residency training experience is the perfect environment for learning. The university/institution patient population provides a never-ending supply of patients with unique management challenges.…”

Section: Discussionmentioning

confidence: 99%

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From Residency to Lifelong Learning

Brandt

2015

Journal of Craniofacial Surgery

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The residency training experience is the perfect environment for learning. The university/institution patient population provides a never-ending supply of patients with unique management challenges. Resources abound that allow the discovery of knowledge about similar situations. Senior teachers provide counseling and help direct appropriate care. Periodic testing and evaluations identify deficiencies, which can be corrected with future study. What happens, however, when the resident graduates? Do they possess all the knowledge they'll need for the rest of their career? Will medical discovery stand still limiting the need for future study? If initial certification establishes that the physician has the skills and knowledge to function as an independent physician and surgeon, how do we assure the public that plastic surgeons will practice lifelong learning and remain safe throughout their career? Enter Maintenance of Certification (MOC). In an ideal world, MOC would provide many of the same tools as residency training: identification of gaps in knowledge, resources to correct those deficiencies, overall assessment of knowledge, feedback about communication skills and professionalism, and methods to evaluate and improve one's practice. This article discusses the need; for education and self-assessment that extends beyond residency training and a commitment to lifelong learning. The American Board of Plastic Surgery MOC program is described to demonstrate how it helps the diplomate reach the goal of continuous practice improvement.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

From Residency to Lifelong Learning

Brandt

2015

Journal of Craniofacial Surgery

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“…Factors associated with greater satisfaction included group practice rather than solo practice (OR, 1.65; 95% CI, 1.0–2.71) and a role as a resident educator (OR, 1.88; 95% CI, 1.25–4.66). Notably, having a primarily aesthetic versus primarily reconstructive practice was highly associated with job satisfaction (OR, 2.52; 95% CI, 1.25–4.66), 76 which may help explain the 2013 finding by Gosain et al 25 that, as plastic surgeons mature in their practice, they tend to decrease their proportion of reconstructive cases. A 2011 study by Streu et al 55 found that, although 75% of plastic surgeons report career satisfaction, only half were satisfied with their work-life balance.…”

Section: Job Satisfactionmentioning

confidence: 96%

“…In a review of 261 plastic surgery residents' case logs, Chung et al 24 reported that there exists a wider year-to-year variation in aesthetic procedures in comparison with reconstructive cases and that the number of annual reconstructive cases remained steady despite periods of economic downturn. In a 2013 analysis of plastic surgeon practice profiles, Gosain et al 25 reported that, as plastic surgeons mature in their practices, they decrease their proportion of reconstructive procedures. Overall, the Plastic Surgery Workforce Task Force concluded that the vast majority of plastic surgeons are choosing to perform less reconstructive surgery 3 …”

Section: Trends and Demand In Specialty Fieldsmentioning

confidence: 99%

“…Interestingly, volume of aesthetic surgery may be an indicator of economic prosperity 30 . A 2013 analysis of case logs from the American Board of Plastic Surgery found that a higher United States unemployment rate was associated with a loss of aesthetic cases for both primary certification applicants and recertification applicants 25 . This trend may indicate that patients opt to postpone elective aesthetic procedures during periods of financial uncertainty, a notion that is speculated by other experts in the field 4,9,16 …”

Section: Trends and Demand In Specialty Fieldsmentioning

confidence: 99%

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Employment as a Plastic Surgeon

et al. 2021

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Intrinsic to the field of plastic surgery, constant changes in health care policy, consumer demands, and medical technology necessitate periodic evaluation of trends in employment over time. In this article, we review the existing literature to report the current state of plastic surgery employment in the United States with regards to compensation, practice patterns, subspecialty trends, contract negotiation, representation of women in the field of plastic surgery, burnout and job satisfaction, and retirement. Understanding how the plastic surgery job market is changing not only serves as a valuable tool for the individual plastic surgeon regarding the navigation of his or her own career but also offers insight into the future of the field as a whole.

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Expertise in Head and Neck Cutaneous Reconstructive Surgery

Deng

Higgins

Lesiak

et al. 2019

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BACKGROUND The management of skin cancers has evolved with the development of Mohs micrographic surgery and a greater emphasis on surgical training within dermatology. It is unclear whether these changes have translated into innovations and contributions to the reconstructive literature. OBJECTIVE To assess contributions from each medical specialty to the cutaneous head and neck oncologic reconstructive literature. METHODS The authors conducted a systematic review of the head and neck reconstructive literature from 2000 through 2015 based on a priori search terms relating to suture technique, linear closure, advancement, rotation, transposition and interpolation flaps, and identified the specialty of the senior authors. RESULTS The authors identified 74,871 articles, of which 1,319 were relevant. Under suture technique articles, the senior authors were primarily dermatologists (58.2%) and plastic surgeons (20.3%). Under linear closure, the authors were dermatologists (48.1%), plastic surgeons (22.2%), and otolaryngologists (20.4%). Under advancement and rotation flaps, the senior authors were plastic surgeons (40.5%, 38.9%), dermatologists (38.1%, 34.2%), and otolaryngologists (14.4%, 21.6%). Under transposition and interpolation flaps, the senior authors were plastic surgeons (47.3%, 39.4%), dermatologists (32.3%, 27.0%), and otolaryngologists (15.3%, 23.4%). CONCLUSION The primary specialties contributing to the cutaneous head and neck reconstructive literature are plastic surgery, dermatology, and otolaryngology.

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A 9-Year Comparison of Practice Profiles of Candidates for Primary and Recertification Examinations of the American Board of Plastic Surgery Relative to Economic Indicators

Cited by 4 publications

References 6 publications

From Residency to Lifelong Learning

From Residency to Lifelong Learning

Employment as a Plastic Surgeon

Expertise in Head and Neck Cutaneous Reconstructive Surgery

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