In the first large prospective cohort study involving this technique, the authors can demonstrate the many advantages of the tumescent technique and refute their concern that tumescence can cause inaccurate weight measurements that might interfere with insurance reimbursement based on resected weight.

Introduction. e attrition of leaders in physical therapist (PT) education programs has been linked to job stress and satisfaction. Specifically, Program Director (PD) attrition has been associated with multiple extrinsic factors, such as perceived support, internal conflict, workload, and burnout. Institution type has also been linked to job satisfaction. However, there is limited evidence directly assessing PD job satisfaction and the impact of institutional characteristics on levels of satisfaction. us, we sought to determine the degree to which current PT PDs experience job satisfaction, what institution-related factors impact satisfaction, and the position PDs foresee themselves having in 3 years. Methods. All current PD at accredited PT education programs were invited to participate in the survey, of which 88 responded. Data were collected using an electronic survey composed of the Job Satisfaction Scale (JSS), demographics, and a question on PD intended job status in 3 years. Statistical analyses of the respondents looked for associations between Carnegie classification, institution type, and anticipated position with the 9 facets of the JSS. Results. Program directors were satisfied with their current roles, and most respondents intended to stay at their current institution, either in the same or different role.Program director working at public institutions felt less appreciation and reward from their institution. Respondents working at public and Research/Doctoral universities were less satisfied with the organizational communication, whereas respondents from Master's colleges and universities were more likely to not like their supervisors and less satisfied with their coworkers. Discussion and Conclusion. ese findings call attention to the impact that institution-related factors can have on aspects of PD job satisfaction. Results can be used inform strategies to improve educational leaders' work-life satisfaction and increase PD retention and underscore the importance of current and future leaders considering individual fit for the institution.