Commentary On: A Systematic Review of Wellness in Plastic Surgery Training

2020 ◽  
Author(s):  
Gregory R D Evans
Keyword(s):  
Systematic Review ◽  
Plastic Surgery ◽  
Surgery Training

A Systematic Review of Wellness in Plastic Surgery Training

2020 ◽  
Author(s):  
Luke J Grome ◽  
Ross M Reul ◽  
Nikhil Agrawal ◽  
Amjed Abu-Ghname ◽  
Sebastian Winocour ◽  
...  
Keyword(s):  
Systematic Review ◽  
Plastic Surgery ◽  
Journal Articles ◽  
Cross Sectional ◽  
Surgery Training ◽  
High Prevalence ◽  
Resident Wellness ◽  
Pubmed Search ◽  
Outcome Metrics

Abstract Background Physician and resident wellness has been increasingly emphasized as a means of improving patient outcomes and preventing physician burnout. Few studies have been performed with a focus on wellness in plastic surgery training. Objectives The aim of this study was to systematically review what literature exists on the topic of wellness in plastic surgery training and critically appraise it. Methods A PubMed search was performed to identify journal articles related to wellness in plastic surgery residency. Seventeen studies (6 cohort and 11 cross-sectional) met inclusion criteria and were appraised with the Newcastle-Ottawa Quality Assessment Scale (NOQAS) to determine the quality of the studies based on selection, comparability, and outcome metrics. Results Critical assessment showed that the studies were highly variable in focus. Overall, the quality of the data was low, with an average NOQAS score of 4.1. Only 2 studies focused on plastic surgery residents, examining work hours and social wellness, respectively; they were awarded NOQAS scores of 3 and 4 out of 10. Conclusions The results of this systematic review suggest that little research has been devoted to wellness in surgery training, especially in regard to plastic surgery residents, and what research that has been performed is of relatively low quality. The available research suggests a relatively high prevalence of burnout among plastic surgery residents. Evidence suggests some organization-level interventions to improve trainee wellness. Because outcomes-based data on the effects of such interventions are particularly lacking, further investigation is warranted.

Quality of Patient-Reported Outcome Studies Utilizing the BREAST-Q: A Systematic Review

2021 ◽  
Author(s):  
Lior Har-Shai ◽  
Sar-El Ofek ◽  
Addy Brandstetter ◽  
Keren H Cohen ◽  
Tamir Shay ◽  
...  
Keyword(s):  
Systematic Review ◽  
Plastic Surgery ◽  
Survey Research ◽  
Breast Surgery ◽  
Sample Size Calculation ◽  
Patient Reported Outcome ◽  
Validated Questionnaire ◽  
Patient Reported ◽  
Current Guidance

Abstract Background Patient-reported outcome (PRO) studies are essential the assessment of surgical procedures in plastic surgery. An accepted and validated questionnaire is the Breast-Q. Objectives This study aims to assess the quality of PRO studies in plastic surgery utilizing the Breast-Q questionnaire. Methods This study included two steps: (1) A systematic review of 23 key-criteria assessing the quality of survey-research in studies utilizing the Breast-Q which were published between 2015-2018; (2) Review of current guidance for survey-research in journals related to Plastic Surgery and Breast Surgery which were included in the systematic review. Results 79 studies were included in the systematic review. Many key-criteria were poorly reported: 51.9% of the studies did not provide a defined response rate and almost 90% did not provide a method for analysis of non-response error. 67.1% lacked a description of the sample's representativeness of the population of interest, and 82.3% did not present a sample size calculation. 11.4% of papers failed to describe the data analyzing methods; in 27.8% the data analysis which was presented could not allow replication of the results. Of the 16 journals in Plastic Surgery and Breast Surgery that their "Instruction to Authors" were reviewed, 15 (93.7%) did not provide any guidance for survey reporting. Conclusions The majority of key criteria are under-reported by authors publishing their survey-research in peer-reviewed journals in the fields of plastic and breast surgery. There is an urgent need for constructing a well-developed reporting guideline for survey-research in plastic surgery and particularly in breast surgery.

Decades of change in plastic surgery training

2010 ◽  
Vol 63 (8) ◽  
pp. e662-e663 ◽  
Author(s):  
R.M. Pinder ◽  
F. Urso-Baiarda ◽  
S.L. Knight
Keyword(s):  
Plastic Surgery ◽  
Surgery Training

Cosmetic Surgery: A Subspecialty That Needs Specialized Training and Recognition

2021 ◽  
pp. 074880682110518
Author(s):  
Kamran Dastoury ◽  
Jacob Haiavy ◽  
Jane Petro ◽  
Martha Ayewah
Keyword(s):  
American Academy ◽  
Plastic Surgery ◽  
Cosmetic Surgery ◽  
Training Programs ◽  
Aesthetic Surgery ◽  
Fellowship Training ◽  
Subspecialty Training ◽  
Plastic And Reconstructive Surgery ◽  
Surgery Training ◽  
American Society

Introduction: This study was performed to provide a comprehensive review of the breadth and depth of fellowship training provided by the American Academy of Cosmetic Surgery (AACS), with direct comparison with other current aesthetic surgery training programs available in the United States. We hypothesized that this subspecialty training provides essential experience and confidence to perform aesthetic procedures, which are likely not adequately imparted during traditional residency training. We also address the notion that Cosmetic Surgery is not under the sole ownership of one specialty, but rather a subspecialty that flourishes by collaboration between multidisciplinary surgical backgrounds. Materials and Methods: We performed a cross-sectional study of survey data from 2 distinct groups—current fellows in a 1-year AACS program and surgeons who completed an AACS fellowship between July 2008 and June 2017, who have been in active cosmetic surgery practice ranging from 6 months to over 6 years. A survey was administered via email and distributed by the AACS central office. The responses were compared with data published in the Annals of Plastic Surgery concerning Recent Trends in Resident Career Choices after Plastic Surgery Training. Results: The Accreditation Council for Graduate Medical Education (ACGME) requirements for aesthetic surgical cases in a 6-year Plastic Surgery program are 150 cases, but 50% of graduating seniors feel inadequately prepared to transition straight into aesthetic surgery practice, whereas among AACS graduating fellows, 100% feel very prepared to go on the aesthetic surgery practice, having completed an average of 687 cases within the yearlong training program. We note that the survey response rate was 81% among current fellows versus 35% among practicing surgeons. Discussion: We believe that focused subspecialty training in cosmetic surgery after completion of a primary surgical residency in a form of a structured fellowship through AACS, American Society of Plastic Surgery, American Academy of Facial Plastic and Reconstructive Surgery, Commission on Dental Accreditation, and American Society of Ophthalmic Plastic and Reconstructive Surgery (Oculoplastic) is the ideal preparation for the future. As we learn from each other through fellowship training, academic conferences, and research, this will further advance the subspecialty and ultimately improve patient care and outcomes. There is no evidence that these training programs provide less adequate preparation, although they are not accredited by the ACGME. To the contrary, the additional experience and knowledge gained during these fellowship training programs result in better outcomes and more competent practitioners. Conclusions: The development of subspecialty training and board certification for surgeons committed to cosmetic surgery yields the highest level of qualified providers. The diverse backgrounds of these providers continue to allow us to expand and innovate in this field. This study is aimed at moving this conversation forward in a positive direction.

Smoking and plastic surgery, part II. Clinical implications: A systematic review with meta-analysis

2015 ◽  
Vol 60 (1) ◽  
pp. e15-e49 ◽  
Author(s):  
I. Pluvy ◽  
M. Panouillères ◽  
I. Garrido ◽  
J. Pauchot ◽  
J. Saboye ◽  
...  
Keyword(s):  
Systematic Review ◽  
Plastic Surgery ◽  
Meta Analysis ◽  
Clinical Implications
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