Board Certification in Cosmetic Surgery: An Analysis of Punitive Actions.
Journal
Plastic and reconstructive surgery
ISSN: 1529-4242
Titre abrégé: Plast Reconstr Surg
Pays: United States
ID NLM: 1306050
Informations de publication
Date de publication:
01 09 2022
01 09 2022
Historique:
pubmed:
13
7
2022
medline:
3
9
2022
entrez:
12
7
2022
Statut:
ppublish
Résumé
American Board of Plastic Surgery (ABPS) diplomates complete training in aesthetic surgery through an Accreditation Council of Graduate Medical Education-accredited program. American Board of Cosmetic Surgery (ABCS) diplomates complete residency training in a "related" specialty, some historically nonsurgical, followed by an American Association of Cosmetic Surgery fellowship. Unlike the ABPS, the ABCS is not recognized by the American Board of Medical Specialties as an equivalent certifying board. This study evaluated differences in the rates of punitive action against diplomates of the ABPS and the ABCS. Diplomates were accessed from their respective society's websites. Punitive action data were obtained by search of publicly available state medical board databases. A comparative analysis was performed between ABPS and ABCS. One thousand two hundred eight physicians were identified for comparative analysis. Two hundred sixty-six (22 percent) were members of the American Society of Plastic Surgeons, and 549 (49 percent) were members of The Aesthetic Society. ABCS diplomates had significantly higher rates of disciplinary administrative action by their respective state medical boards [ n = 31 (9.0 percent)] when compared with ABPS members [The Aesthetic Society, n = 26 (4.4 percent); ABPS, n = 8 (3.1 percent); p = 0.003], with a higher proportion of repeat offenders. In addition, ABCS diplomates had more public letters of reprimand [ABCS, n = 12 (3.5 percent); The Aesthetic Society, n = 6 (1.2 percent); and ABPS, n = 2 (0.8 percent); p = 0.015]. ABCS diplomates have significantly higher rates of punitive actions than ABPS diplomates. Although the reasons for this discrepancy warrant further investigation, punitive data should be transparently and publicly available to aid patients in informed decision-making.
Sections du résumé
BACKGROUND
American Board of Plastic Surgery (ABPS) diplomates complete training in aesthetic surgery through an Accreditation Council of Graduate Medical Education-accredited program. American Board of Cosmetic Surgery (ABCS) diplomates complete residency training in a "related" specialty, some historically nonsurgical, followed by an American Association of Cosmetic Surgery fellowship. Unlike the ABPS, the ABCS is not recognized by the American Board of Medical Specialties as an equivalent certifying board. This study evaluated differences in the rates of punitive action against diplomates of the ABPS and the ABCS.
METHODS
Diplomates were accessed from their respective society's websites. Punitive action data were obtained by search of publicly available state medical board databases. A comparative analysis was performed between ABPS and ABCS.
RESULTS
One thousand two hundred eight physicians were identified for comparative analysis. Two hundred sixty-six (22 percent) were members of the American Society of Plastic Surgeons, and 549 (49 percent) were members of The Aesthetic Society. ABCS diplomates had significantly higher rates of disciplinary administrative action by their respective state medical boards [ n = 31 (9.0 percent)] when compared with ABPS members [The Aesthetic Society, n = 26 (4.4 percent); ABPS, n = 8 (3.1 percent); p = 0.003], with a higher proportion of repeat offenders. In addition, ABCS diplomates had more public letters of reprimand [ABCS, n = 12 (3.5 percent); The Aesthetic Society, n = 6 (1.2 percent); and ABPS, n = 2 (0.8 percent); p = 0.015].
CONCLUSIONS
ABCS diplomates have significantly higher rates of punitive actions than ABPS diplomates. Although the reasons for this discrepancy warrant further investigation, punitive data should be transparently and publicly available to aid patients in informed decision-making.
Identifiants
pubmed: 35819983
doi: 10.1097/PRS.0000000000009443
pii: 00006534-202209000-00049
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
713-717Informations de copyright
Copyright © 2022 by the American Society of Plastic Surgeons.
Déclaration de conflit d'intérêts
Disclosure : The authors declare no financial interests that pose a conflict of interest related to the content of this article. No direct funding was provided for this study .
Références
American Society of Plastic Surgeons. 2019 plastic surgery statistics report. Available at: https://www.plasticsurgery.org/documents/News/Statistics/2019/plastic-surgery-statistics-report-2019.pdf . Accessed December 17, 2020.
Shah A, Patel A, Smetona J, Rohrich RJ. Public perception of cosmetic surgeons versus plastic surgeons: Increasing transparency to educate patients. Plast Reconstr Surg. 2017;139:544e–557e.
Lipner RS, Hess BJ, Phillips RL Jr. Specialty board certification in the United States: Issues and evidence. J Contin Educ Health Prof. 2013;33(Suppl 1):S20–S35.
Sutherland K, Leatherman S. Does certification improve medical standards? BMJ 2006;333:439–441.
Khaliq AA, Dimassi H, Huang CY, Narine L, Smego RA Jr. Disciplinary action against physicians: Who is likely to get disciplined? Am J Med. 2005;118:773–777.
Kohatsu ND, Gould D, Ross LK, Fox PJ. Characteristics associated with physician discipline: A case-control study. Arch Intern Med. 2004;164:653–658.
The American Board of Plastic Surgery, Inc. Booklet of information. Available at: https://www.abplasticsurgery.org/media/18299/2020-21-ABPS-BOI-posting-on-7-1-20.pdf . Accessed December 17, 2020.
The American Board of Cosmetic Surgery. How are ABCS surgeons trained? Available at: https://www.americanboardcosmeticsurgery.org/patient-resources/how-cosmetic-surgeons-train/ . Accessed December 8, 2020.
The American Board of Cosmetic Surgery. Cosmetic surgery FAQs. Available at: https://www.americanboardcosmeticsurgery.org/patient-resources/cosmetic-surgery-faqs/ . Accessed December 17, 2020.
Long EA, Gabrick K, Janis JE, Perdikis G, Drolet BC. Board certification in cosmetic surgery: An evaluation of training backgrounds and scope of practice. Plast Reconstr Surg. 2020;146:1017–1023.
Brandt K. Discussion: Board certification in cosmetic surgery: An evaluation of training backgrounds and scope of practice. Plast Reconstr Surg. 2020;146:1026–1027.
Johnson DJ. Discussion: Board certification in cosmetic surgery: An evaluation of training backgrounds and scope of practice. Plast Reconstr Surg. 2020;146:1024–1025.
The American Board of Cosmetic Surgery. Cosmetic surgeons. Available at: https://www.americanboardcosmeticsurgery.org/doctors/ . Accessed December 17, 2020.
The Aesthetic Society. Find a plastic surgeon. Available at: https://www.surgery.org/consumers/find-a-plastic-surgeon . Accessed December 17, 2020.
The American Board of Plastic Surgery, Inc. Is your surgeon certified? Available at: https://www.abplasticsurgery.org/public/verify-certification/VerifyCert?section=SurgeonSearch . Accessed December 17, 2020.
Camp MC, Wong WW, Wong RY, Camp JS, Son AK, Gupta SC. Who is providing aesthetic surgery? A detailed examination of the geographic distribution and training backgrounds of cosmetic practitioners in Southern California. Plast Reconstr Surg. 2010;125:1257–1262.
Rufai SR, Davis CR. Aesthetic surgery and Google: Ubiquitous, unregulated and enticing websites for patients considering cosmetic surgery. J Plast Reconstr Aesthet Surg. 2014;67:640–643.
Barr JS, Sinno S, Cimino M, Saadeh PB. Clinicians performing cosmetic surgery in the community: A nationwide analysis of physician certification. Plast Reconstr Surg. 2015;135:92e–98e.
American Board of Medical Specialties. Guide to medical specialties 2020. Available at: https://www.abms.org/wp-content/uploads/2020/11/ABMS-Guide-to-Medical-Specialties-2020.pdf . Accessed December 31, 2020.
American Board of Medical Specialties. Standards for initial certification. Available at: https://www.abms.org/board-certification/board-certification-standards/standards-for-initial-certification/#:~:text=To%20achieve%20initial%20certification%20in,Member%20Board's%20assessment%20of%20knowledge%2C . Accessed December 31, 2020.
Medical Board of California. Meeting minutes (December 18, 2018). Available at: https://www.mbc.ca.gov/About_Us/Meetings/Minutes/1169/brd-Minutes-20181218.pdf . Accessed December 17, 2020.
American Medical Association. Truth in advertising. Available at: https://www.ama-assn.org/delivering-care/patient-support-advocacy/truth-advertising . Accessed December 29, 2020.
Chattha A, Muste J, Chen AD, Lee BT, Lin SJ, Roth MZ. Truth-in-advertising laws: Are they working? A cross-sectional analysis of a “plastic surgeon” patient search simulation. Plast Reconstr Surg. 2021;147:231–238.
Kocher MS, Dichtel L, Kasser JR, Gebhardt MC, Katz JN. Orthopedic board certification and physician performance: An analysis of medical malpractice, hospital disciplinary action, and state medical board disciplinary action rates. Am J Orthop (Belle Mead NJ) 2008;37:73–75.