Abstract
Background. Three educational models for plastic surgery training exist in the United States, the integrated, combined, and independent model. The present study is a comparative analysis of aesthetic surgery training, to assess whether one model is particularly suitable to provide for high-quality training in aesthetic surgery. Methods. An 18-item online survey was developed to assess residents' perceptions regarding the quality of training in aesthetic surgery in the US. The survey had three distinct sections: demographic information, current state of aesthetic surgery training, and residents' perception regarding the quality of aesthetic surgery training. Results. A total of 86 senior plastic surgery residents completed the survey. Twenty-three, 24, and 39 residents were in integrated, combined, and independent residency programs, respectively. No statistically significant differences were seen with respect to number of aesthetic surgery procedures performed, additional training received in minimal-invasive cosmetic procedures, median level of confidence with index cosmetic surgery procedures, or perceived quality of aesthetic surgery training. Facial aesthetic procedures were felt to be the most challenging procedures. Exposure to minimally invasive aesthetic procedures was limited. Conclusion. While the educational experience in aesthetic surgery appears to be similar, weaknesses still exist with respect to training in minimally invasive/nonsurgical aesthetic procedures.
Highlights
The American Board of Plastic Surgery currently approves two educational models for plastic surgery, the integrated and independent model [1]
While the integrated model was initially regarded as an experimental model of surgical training, the challenges of an ever increasing complexity of plastic surgery have resulted in acknowledgment that more time should be spent in plastic surgery, resulting in an increasing popularity of the integrated model [2,3,4]
Minimally invasive/nonsurgical aesthetic procedures are in high demand, with a 231 percent increase from 1997 to 2009 [5]
Summary
The American Board of Plastic Surgery currently approves two educational models for plastic surgery, the integrated and independent model [1]. Over 10 million minimally invasive aesthetic surgery procedures were performed in 2011 alone [6]. Three educational models for plastic surgery training exist in the United States, the integrated, combined, and independent model. An 18-item online survey was developed to assess residents’ perceptions regarding the quality of training in aesthetic surgery in the US. No statistically significant differences were seen with respect to number of aesthetic surgery procedures performed, additional training received in minimal-invasive cosmetic procedures, median level of confidence with index cosmetic surgery procedures, or perceived quality of aesthetic surgery training. While the educational experience in aesthetic surgery appears to be similar, weaknesses still exist with respect to training in minimally invasive/nonsurgical aesthetic procedures
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