No-Charge Nonsurgical Facial Aesthetic Clinic in a Residency Program: A Single-Center Experience.


Journal

Annals of plastic surgery
ISSN: 1536-3708
Titre abrégé: Ann Plast Surg
Pays: United States
ID NLM: 7805336

Informations de publication

Date de publication:
01 04 2021
Historique:
entrez: 15 3 2021
pubmed: 16 3 2021
medline: 15 5 2021
Statut: ppublish

Résumé

In 2014, the Accreditation Council for Graduate Medical Education set minimum case requirements for injectable procedures as a surrogate for procedural competency. Despite the implementation of resident-run aesthetic surgery clinics, evidence suggests that many feel inadequately prepared as they go into practice even after meeting this requirement. To address this issue, our institution has implemented a separate resident clinic dedicated to neurotoxin and filler injections. The authors discussed the logistics and benefits of how residents, faculty, clinic staff, and industry representatives together have created a no-cost, volunteer patient-based resident injectable clinic. Two half-day, no-cost clinics per week were established, with 1 clinic day coinciding with the chief resident aesthetic clinic. Designated staff coordinate patient visits and allocate specific rooms for this clinic. Industry representatives have provided injectable products at no cost through resident injectable education programs. Residents in postgraduation years 4 to 6 provide their own patients and perform procedures under direct faculty supervision. All encounters are documented in the electronic health record. To assess the utility of this clinic, a survey was sent to all recent graduates, some of whom participated in this program. Since its inception in May 2018, this injectable clinic has been running successfully with overwhelmingly positive feedback from all eligible residents who participated. To date, there have been no adverse events from these injections. At our institution, the no-cost, volunteer patient-based resident injectable clinic has provided regular educational opportunities for plastic surgery residents to increase their experience with injectable procedures.

Sections du résumé

BACKGROUND
In 2014, the Accreditation Council for Graduate Medical Education set minimum case requirements for injectable procedures as a surrogate for procedural competency. Despite the implementation of resident-run aesthetic surgery clinics, evidence suggests that many feel inadequately prepared as they go into practice even after meeting this requirement. To address this issue, our institution has implemented a separate resident clinic dedicated to neurotoxin and filler injections.
OBJECTIVE
The authors discussed the logistics and benefits of how residents, faculty, clinic staff, and industry representatives together have created a no-cost, volunteer patient-based resident injectable clinic.
DESCRIPTION
Two half-day, no-cost clinics per week were established, with 1 clinic day coinciding with the chief resident aesthetic clinic. Designated staff coordinate patient visits and allocate specific rooms for this clinic. Industry representatives have provided injectable products at no cost through resident injectable education programs. Residents in postgraduation years 4 to 6 provide their own patients and perform procedures under direct faculty supervision. All encounters are documented in the electronic health record. To assess the utility of this clinic, a survey was sent to all recent graduates, some of whom participated in this program. Since its inception in May 2018, this injectable clinic has been running successfully with overwhelmingly positive feedback from all eligible residents who participated. To date, there have been no adverse events from these injections.
CONCLUSIONS
At our institution, the no-cost, volunteer patient-based resident injectable clinic has provided regular educational opportunities for plastic surgery residents to increase their experience with injectable procedures.

Identifiants

pubmed: 33720918
doi: 10.1097/SAP.0000000000002770
pii: 00000637-202104000-00004
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

381-382

Informations de copyright

Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of interest and sources of funding: none declared.

Références

Oni G, Ahmad J, Zins JE, et al. Cosmetic surgery training in plastic surgery residency programs in the United States: how have we progressed in the last three years? Aesthet Surg J . 2011;31:445–455.
American Society of Plastic Surgeons (2018) ASPS procedural statistics. Available at: https://www.plasticsurgery.org/documents/News/Statistics/2018/plastic-surgery-statistics-report-2018.pdf . Accessed May 04, 2019.
Janis JE, Vedder NB, Reid CM, et al. Validated assessment tools and maintenance of certification in plastic surgery: current status, challenges, and future possibilities. Plast Reconstr Surg . 2016;137:1327–1333.
Silvestre J, Serletti JM, Chang B. Disparities in aesthetic procedures performed by plastic surgery residents. Aesthet Surg J . 2017;37:582–587.
Operative minimums effective; 2014. Available at: https://www.acgme.org/Portals/0/PFAssets/ProgramResources/Operative_Minimums_effective_07012014.pdf . Accessed June 16, 2019.
Kaplan J, Volk AS, Ashley JR, et al. A systematic review of resident aesthetic clinic outcomes. Aesthet Surg J . 2019;39:NP387–NP395.
Neaman KC, Hill BC, Ebner B, et al. Plastic surgery chief resident clinics: the current state of affairs. Plast Reconstr Surg . 2010;126:626–633.
Pu LL, Thornton BP, Vasconez HC. The educational value of a resident aesthetic surgery clinic: a 10-year review. Aesthet Surg J . 2006;26:41–44.
Ingargiola MJ, Molina Burbano F, Yao A, et al. Plastic surgery resident-run cosmetic clinics: a survey of current practices. Aesthet Surg J . 2018;38:793–799.
Hashem AM, Waltzman JT, D'Souza GF, et al. Resident and program director perceptions of aesthetic training in plastic surgery residency: an update. Aesthet Surg J . 2017;37:837–846.

Auteurs

Jordan Kaplan (J)

From the Division of Plastic Surgery, Baylor College of Medicine, Houston, TX.

Anh Huyhn (A)

From the Division of Plastic Surgery, Baylor College of Medicine, Houston, TX.

Shayan Izaddoost (S)

From the Division of Plastic Surgery, Baylor College of Medicine, Houston, TX.

Luke Grome (L)

From the Division of Plastic Surgery, Baylor College of Medicine, Houston, TX.

Edward Reece (E)

From the Division of Plastic Surgery, Baylor College of Medicine, Houston, TX.

Julian Winocour (J)

Department of Plastic Surgery, Vanderbilt University, Nashville, TN.

Matthew J Davis (MJ)

From the Division of Plastic Surgery, Baylor College of Medicine, Houston, TX.

Sebastian Winocour (S)

From the Division of Plastic Surgery, Baylor College of Medicine, Houston, TX.

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