Resident Exposure to Aesthetic Surgical and Nonsurgical Procedures During Canadian Residency Program Training

Abstract

Background North American residency programs are transitioning to competency-based medical education (CBME) to standardize training programs, and to ensure competency of residents upon graduation. At the centre of assessment in CBME are specific surgical procedures, or procedural competencies, that trainees must be able to perform. A study previously defined 31 procedural competencies for Aesthetic Surgery. In this transition period, understanding current educational trends in resident exposure to these aesthetic procedures is necessary. Objectives To characterize aesthetic procedures performed by Canadian Plastic Surgery residents during training, as well as to describe resident performance confidence levels and degree of resident involvement during those procedures. Methods Case logs were retrieved from all ten English-language Plastic Surgery programs. All aesthetic procedures were identified, and coded according to previously defined Core Procedural Competencies (CPCs) Aesthetic domain of Plastic Surgery. Data extracted from each log included the procedure, training program, resident academic year, resident procedural role, and personal competence. Results From July 2004 to June 2014, 6,113 aesthetic procedures were logged by 55 graduating residents. Breast augmentation, mastopexy, and abdominoplasty were the most commonly performed CPCs, and residents report high levels of competence and surgical role in these procedures. Facial procedures, in particular rhinoplasty, as well as non-surgical CPCs are associated with low exposure and personal competence levels. Conclusions Canadian Plastic Surgery residents are exposed to most of the core aesthetic procedural competencies, but the range of procedures performed is variable. With the implementation of CBME, consideration should be given to supplementation where gaps may exist in aesthetic case exposure.

Innovatively Bridging Gaps in Aesthetic Surgery Training: Insights and Initiatives

“…5 Residents in Canada showed an increasing number of aesthetic procedures performed as training progressed, with confidence levels rising throughout the residency period. 6…”

“…5 Residents in Canada showed an increasing number of aesthetic procedures performed as training progressed, with confidence levels rising throughout the residency period. 6 Aligned with Indian Association Of Aesthetic Plastic Surgeons Syllabus, the Department of Plastic Surgery at All India Institute of Medical Sciences, Delhi, adopts a multidimensional approach to provide comprehensive training in aesthetic surgery. The curriculum, detailed in ►Table 1, covers all aspects of aesthetic surgery.…”

Surgical Training Simulators for Rhinoplasty: A Systematic Review

“…Rhinoplasty education currently follows an apprenticeship style teaching model, with a large portion of exposure being observational in nature with limited trainee independence. 1,2 Given the complex nature of rhinoplasty and the consideration of the functional and aesthetic goals of the patient, there is little to no room for error. Masterful technical skills, surgical experience, and comfort levels are important prerequisites for the surgeon.…”