Aesthetic Surgery Performed by Plastic Surgery Residents

Koulaxouzidis, Georgios; Momeni, Arash; Šimunović, Filip; Lampert, Florian; Bannasch, Holger; Stärk, Gerhard

doi:10.1097/sap.0b013e31828d7090

Cited by 32 publications

(30 citation statements)

References 34 publications

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“…Errors in the surgical theatre are in fact more likely to result from perceptual or judgemental errors, than from poor surgical technique. Procedural outcome of supervised residents is not associated with more complications than that of skilled surgeons. Surgical errors are often caused by errors of judgement, carelessness, incomplete understanding of the situation, failure of vigilance and misperceptions.…”

Section: Introductionmentioning

confidence: 99%

Training situational awareness to reduce surgical errors in the operating room

Graafland

Schraagen

Boermeester

et al. 2014

British Journal of Surgery

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Background: Surgical errors result from faulty decision-making, misperceptions and the application of suboptimal problem-solving strategies, just as often as they result from technical failure. To date, surgical training curricula have focused mainly on the acquisition of technical skills. The aim of this review was to assess the validity of methods for improving situational awareness in the surgical theatre.Methods: A search was conducted in PubMed, Embase, the Cochrane Library and PsycINFO ® using predefined inclusion criteria, up to June 2014. All study types were considered eligible. The primary endpoint was validity for improving situational awareness in the surgical theatre at individual or team level.Results: Nine articles were considered eligible. These evaluated surgical team crisis training in simulated environments for minimally invasive surgery (4) and open surgery (3), and training courses focused at training non-technical skills (2). Two studies showed that simulation-based surgical team crisis training has construct validity for assessing situational awareness in surgical trainees in minimally invasive surgery. None of the studies showed effectiveness of surgical crisis training on situational awareness in open surgery, whereas one showed face validity of a 2-day non-technical skills training course. Conclusion:To improve safety in the operating theatre, more attention to situational awareness is needed in surgical training. Few structured curricula have been developed and validation research remains limited. Strategies to improve situational awareness can be adopted from other industries.

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Section: Introductionmentioning

confidence: 99%

Training situational awareness to reduce surgical errors in the operating room

Graafland

Schraagen

Boermeester

et al. 2014

British Journal of Surgery

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“…So können Eingriffe durch einen Weiterbildungsassistenten unter direkter Anleitung durch einen erfahrenen Facharzt bei hoher Sicherheit und Patientenzufriedenheit durchgeführt werden. Für den Patienten wird dies durch einen entsprechenden finanziellen Anreiz ohne Nachteile in der Versorgung attraktiv [10,11]. Auch Rotationen in hauptsächlich ästhetisch aktive Kliniken oder zu niedergelassenen Kollegen wären denkbar.…”

Section: Diskussionunclassified

Quo vadis DGPRÄC – wo wollen die assoziierten Mitglieder hin?

Kolbenschlag

Paprottka

Wagner

et al. 2017

Handchir Mikrochir plast Chir

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ZusammenfassungDie Plastisch Chirurgie ist extrem vielfältig und bietet verschiedenste Möglichkeiten der Tätigkeit. Um die Plastischen Chirurgen in Weiterbildung optimal unterstützen zu können ist es daher unabdingbar, deren Pläne für ihre mittel- und langfristige Tätigkeit zu kennen. Hierzu führten wir eine webbasierte Umfrage unter den 462 assoziierten Mitgliedern der DGPRÄC durch. Hierbei wurden neben Fragen zum Ist-Zustand insbesondere auch abgefragt in welchem Umfeld und mit welchen Tätigkeitsschwerpunkt sich die Kollegen in der Zukunft sehen. 84 Fragebögen konnten ausgewertet werden. Der überwiegende Teil der Befragten strebte die niedergelassene Tätigkeit an. Die Ästhetische und Rekonstruktive Chirurgie waren die Hauptziele der Befragten, nur wenige sahen die handchirurgische Tätigkeit als langfristiges Ziel an und keiner der Befragten sah seine Zukunft in der Verbrennungsmedizin. Gleichzeitig empfanden sich die Umfrageteilnehmer in der ästhetischen Chirurgie am dürftigsten ausgebildet. Es sollten daher Bestrebungen unternommen werden um die Weiterbildung in der ästhetischen Chirurgie zu verbessern und die Handchirurgie und Verbrennungsmedizin attraktiver zu gestalten.

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“…more than 20-year experience as the Chair of the Department of Plastic and Hand Surgery at the University of Freiburg Medical Center, training in aesthetic surgery can be successfully incorporated into the residency curriculum. 5 Despite the structural differences between Germany and other countries, we believe that high-quality training in aesthetic surgery, although challenging, can be provided in Germany. We continue to believe that despite humbling results in our study, plastic surgeons are best equipped to deliver exceptional care to patients seeking aesthetic surgery by virtue of their training and knowledge of key plastic surgery principles.…”

mentioning

confidence: 97%

“…5 Although for instance in the head and neck area, the American Society of Plastic Surgeons requirements are very specified (6 facelifts, 8 blepharoplasties, and 6 rhinoplasties), this is not so in Germany with more general minimum numbers for aesthetic procedures in the head and neck, trunk, and extremities.…”

mentioning

confidence: 98%