Effect of the Veterans Affairs Medical System on Plastic Surgery Residency Training

Ravin, Adam G; Gottlieb, Neil B.; Wang, Howard T.; Meade, Ricardo A.; Humphrey, Jeffrey S.; Schwarz, Karl; Levin, L. Scott; Tyler, Douglas S.; Erdmann, Detlev

doi:10.1097/01.prs.0000197216.95544.f7

Cited by 11 publications

(5 citation statements)

References 6 publications

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“…Multiple studies in other surgical subspecialties have shown that VA hospitals increase both the range and, in some instances, volume of cases that residents complete. [13][14][15][16] One plastic surgery program significantly increased resident case volumes in both craniomaxillofacial and head and neck reconstruction cases through affiliation with a VA medical center. 16 Another study of cases completed by otolaryngology residents at a VA-affiliated program found that up to 59.5% of parotidectomies, a key indicator procedure required for completion of otolaryngology residency, were completed at the VA. 14 With regards to neurosurgery, academic centers may have a very different case mix than a typical VA neurosurgery practice.…”

Section: Benefits Of a Va Rotationmentioning

confidence: 99%

Integration of Veterans Affairs Medical Centers Into Neurosurgical Residency Programs

Yearley

Patel

Rachlin³

et al. 2023

Neurosurgery

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Veterans Affairs (VA) medical centers serve as a unique training environment for US residency programs. In this study, we aim to explore the scope and details of VA integration into neurosurgery resident training. We used data from the Accreditation Council for Graduate Medical Education database to provide an overview of neurosurgery training programs with an active VA affiliation and developed a multi-institutional survey to gather information related to rotation design, operative volume, expectations, and core training values. Of the 116 neurosurgery residency programs, 40 have an active affiliation with a VA medical center (34%). Residents most frequently rotated at the VA during their third postgraduate year, with an average rotation length of 7.5 months (range 2-21). Nearly all programs reported a weekly mix of clinic and operative days (96%), with residents longitudinally following patients throughout their rotations. Attending neurosurgeons from VA-affiliated programs reported operative experience (100%), independent decision-making (89%), and continuity of care (81%) as core values of VA neurosurgery rotations. Surgical volume varied between programs with an average of 13.4 ± 6.4 (SD) cases per month per rotating resident. A significant portion of neurosurgery residency programs in the United States incorporate VA rotations into resident training. Although rotation details vary from program-to-program, shared values include a strong operative experience, independent decision-making, and continuity of care. This analysis provides a comprehensive assessment of VA rotation structure across the country, which is valuable for programs considering implementing a VA rotation into their training program or modifying an existing rotation.

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Section: Benefits Of a Va Rotationmentioning

confidence: 99%

Integration of Veterans Affairs Medical Centers Into Neurosurgical Residency Programs

Yearley

Patel

Rachlin³

et al. 2023

Neurosurgery

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“…"The percentage of aesthetic surgical procedures in a developing country such as Nigeria is much smaller (for instance 3.19% in the centre of study) than those in western centres where it is in excess of 10% of plastic procedures" [11].…”

Section: Discussionmentioning

confidence: 98%

Aesthetic Surgery & the Indications at A Sub-Urban Tertiary Hospital in Edo State, Nigeria

A. A.,

D. C.,

S. C.

et al. 2024

JAMPS

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Background: Aesthetic surgery though growing at an exponential rate in developed countries is still not well developed in Nigeria. Though lately, there has been an increasing demand for cosmetic procedures in Nigeria but still, the practice is still slow growing. Objective: Few reports of the scope of aesthetic surgery are available from the sub region and Nigeria as a whole. In this study we seek to determine the aesthetic procedures and its indications in our centre, a sub urban teaching hospital in Irrua, Edo State, Southern Nigeria. Methods: A retrospective study of all aesthetic surgery cases carried out over a 5-year period – Jan 2019 to December 2023 at Irrua Specialist Teaching Hospital. Data from theatre records and case notes were analysed with respect to age, sex, procedure and indications for surgery done. Descriptive analysis of variables, means and percentages were considered. Results: In the period of study, 1,066 plastic surgery procedures were documented: 34 (3.19%) were for aesthetic indications. Sixteen of the patients (47.1%) were male and 18 (52.9%) female. Age range of patients that had aesthetic surgery was 1 - 60 years and the mean age was 24.1 + 18.08 years. The commonest aesthetic procedure was cleft repair 14 (41.17%) following cleft lip/palate, the rest were scar revisions 6 (17.65%) with the commonest indication being unsightly scar, otoplasties 5 (14.70%) following traumatic injury to the ear, liposuction 3 (8.82%) indicated by lipodystrophy, rhinoplasties 3 (8.82%) post traumatic injury to the nose, mammoplasties 2 (5.88%) which were done post mastectomy, and one (2.94%) cranioplasty following gun-shot orbital injury. Conclusion: There is paucity in the volume of cosmetic procedures in Irrua and the pattern of requests here differs in many respects from western centres. With the current reduced pool of aesthetic surgery, it is advisable to establish an aesthetic surgery sub-unit in most tertiary institutions. This sub-unit should be fully functional including special clinic days, as this could help attract future clients and develop this branch of Plastic Surgery.

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“…3 In accordance with its mission "to educate for VA and for the Nation," the VHA is affiliated with 107 of the Nation's 125 medical schools, and provides training to over 30,000 physician residents and fellows each year. 4 Surgeons-in-training have the opportunity to enhance their training with supervision in form of surgeries commonly encountered in practice.…”

Section: Plastic Surgery Training In the Va Medical Systemmentioning

confidence: 98%

Plastic Surgery Within the Veterans Affairs Medical System

Erdmann¹,

Pradka²,

Similie³

et al. 2009

Annals of Plastic Surgery

Self Cite

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Many plastic surgery procedures span the divide between aesthetic ("cosmetic") and reconstructive surgery. However, definitions and guidelines may be inconsistent, which may decrease patients' access to legitimate procedures. The article aims to assist Veterans' Health Administration-affiliated plastic surgeons in continuing to provide optimal care to the Nation's Veterans and family members, and should be regarded as an open discussion.

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Effect of the Veterans Affairs Medical System on Plastic Surgery Residency Training

Cited by 11 publications

References 6 publications

Integration of Veterans Affairs Medical Centers Into Neurosurgical Residency Programs

Integration of Veterans Affairs Medical Centers Into Neurosurgical Residency Programs

Aesthetic Surgery & the Indications at A Sub-Urban Tertiary Hospital in Edo State, Nigeria

Plastic Surgery Within the Veterans Affairs Medical System

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