Plastic Surgery Resident-Run Cosmetic Clinics: A Survey of Current Practices

Ingargiola, Michael J.; Burbano, Felipe Molina; Yao, Amy; Motakef, Saba; Sanati-Mehrizy, Paymon; Burish, Nikki; David, Lisa R.; Taub, Peter J.

doi:10.1093/asj/sjy065

Cited by 24 publications

(23 citation statements)

References 14 publications

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“…The most frequently reported is a 50% discount from the standard surgeon’s fee (± cost of facility, anesthesia, and supplies). 11 Our study shows that on average, consumers would want a 55% discount to receive cosmetic surgery at an RCC, which is largely consistent with many clinics’ existing billing models.…”

Section: Discussionsupporting

confidence: 79%

“…Nearly a third of residency programs do not have an RCC; thus, an understanding of consumer opinion can help those programs design an RCC that is palatable to consumers. 3 , 11 For programs with existing RCCs, understanding of consumer opinion can reveal mechanisms for increasing patient volume and improving the delivery of care.…”

Section: Discussionmentioning

confidence: 99%

“… 9 , 10 , 12 , 13 For patients, they provide cosmetic procedures at discounted rates, oftentimes at 50% of the standard surgeon’s fee. 11 , 14 , 15 They also provide high patient satisfaction and have consistently proved to be safe, with complication rates comparable to the national standard. 9 , 11 , 14 – 17 …”

Section: Introductionmentioning

confidence: 98%

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Consumer Awareness and Comfort with Resident-run Cosmetic Clinics: A Crowdsourcing Study

Hemal

Cignetti

Newsom

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Background: Resident cosmetic clinics (RCCs) are the training modality of choice among both residents and faculty and are a mainstay at most residency programs. 1 – 4 Despite this, knowledge of RCCs among plastic surgery consumers remains untested. We hypothesize that the public would be aware of and receptive to RCCs. Methods: Participants with prior cosmetic procedures or interest in future cosmetic procedures were recruited using Amazon Mechanical Turk and asked to complete a survey in September 2020. First, prior awareness of RCCs was assessed. After a brief description of RCCs, perceptions of safety and preferences for care were assessed. Results: After screening for quality, 815 responses were included. Forty-five percent of consumers were aware of RCCs. Seventy-six percent of consumers believed that RCCs were just as safe as attending clinics and 65% were comfortable receiving care from fourth-year residents or higher. Belief in RCC safety was associated with 4.8 times higher odds of feeling comfortable receiving care at an RCC [95% confidence interval (3.3–7.1), P < 0.001]. When given a hypothetical choice between residents and attendings in two scenarios, 46% of consumers chose residents for abdominoplasty and 60% chose residents for Botox injections. Belief in RCC safety was associated with choosing a resident or being indifferent in both scenarios. Conclusions: Consumer preference regarding RCCs has largely been untested. This study shows that belief in RCC safety influences consumers’ perceived comfort with receiving care at an RCC. This knowledge can help guide RCC practice and maximize learning opportunities for surgeons-in-training.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Consumer Awareness and Comfort with Resident-run Cosmetic Clinics: A Crowdsourcing Study

Hemal

Cignetti

Newsom

et al. 2021

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

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“…Senior resident aesthetic clinics are popular in the United States, with studies indicating that between 63% and 71% of training programs have a dedicated resident aesthetic clinic. 7,16 These clinics are similar in format to what we found in the current study. They typically run one half-day per week, are supervised, receive referrals from a variety of sources, and do not screen patients prior to clinic.…”

Section: Discussionsupporting

confidence: 62%

The Role of Senior Resident Clinics in Plastic Surgery Education in Canada

2020

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Background: Senior resident clinics are a means to encourage independent practice and problem solving and enhance surgical skills. The objective of this study is to investigate senior resident clinics across Canada and their utility in providing comprehensive plastic surgery training. Methods: A web-based survey was sent to all plastic surgery program directors (PDs) and senior residents (SRs; postgraduate years 3, 4, and 5) across Canada. The surveys focused on demographics, clinic structure, procedures commonly performed, perceived autonomy, educational benefit, competency-based design considerations, and areas for improvement. Chi-square tests were used to compare responses between PDs and SRs. Results: A total of 10 PDs (100% response rate) and 26 SRs (41% response rate) responded. Half of the training programs across Canada currently have senior clinics, and the format varies between institutions. Clinics generally focus on hand trauma and aesthetics. Both PDs and SRs felt that there is considerable autonomy for resident care in both the pre/post-operative and operative setting. Common barriers to implementing a senior clinic include not enough staff, not enough time, and the medicolegal risk. Most core competencies are felt to be addressed through the use of senior clinics. Methods to improve senior clinics could include more regular and higher volume clinics, enhanced equipment, and separation of hand and aesthetics clinics. Conclusions: Senior clinics are a useful method to improve plastic surgery education and address many core aspects of plastic surgery training. Implementation of supported clinics focused on hand and aesthetics surgery separately may be useful for training programs that currently lack a senior clinic.

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“… 27 , 29 – 33 Unfortunately, even with the clear benefits of a resident plastic surgery clinic, many programs have not yet started such clinics with only 62%–71% of programs offering such clinics. 34 , 35 Based on multiple studies including our own, we feel resident cosmetic and reconstructive clinics should be mandatory for all plastic surgery training programs.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of Preparedness in Plastic Surgery Residency Training

Braza

Adams

Ford

2020

Plastic and Reconstructive Surgery - Global Open

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Background: Graduating competent surgical residents requires progressive independence during training. Recent studies in other surgical subspecialties have demonstrated overall fewer opportunities for resident independence due to changes in residency regulations, medical–legal concerns, and financial incentives. A survey study was conducted to assess perceived autonomy and preparedness during plastic surgery residency training and to assess factors affecting autonomy. Methods: Anonymous electronic surveys were sent to attending surgeons and residents of all Accreditation Council for Graduate Medical Education accredited programs during the 2017–2018 academic year. Seventy-two integrated and 42 independent plastic surgery programs were surveyed. Analysis of responses was performed using the Fisher exact and chi-square tests. Results: There were 158 attending surgeon and 129 resident responses. The resident and attending surgeon response rates were 11.7% and 16.8%, respectively. Eighty-seven percent of residents felt their operative experience within residency prepared them for practice. Residents felt least prepared in aesthetics and pediatrics/craniofacial surgery. Attending surgeons perceived that they provided residents graduated autonomy throughout residency. Residents identified the complexity of a procedure, attending surgeon supervision, and time constraints as the largest factors influencing resident autonomy. Attending surgeons noted patient safety as the largest deterrent to autonomy. Conclusions: In our study, a majority of plastic surgery residents were found to feel prepared for practice after residency; however, preparedness gaps within training still exist in aesthetic and craniomaxillofacial surgery. Plastic surgery programs must work to develop training programs that simultaneously promote resident autonomy, while prioritizing patient safety, and maintaining productivity and financial well-being.

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Plastic Surgery Resident-Run Cosmetic Clinics: A Survey of Current Practices

Abstract: The authors found aesthetic chief resident clinics to differ greatly in their structure. Yet the variety of procedures and services offered makes participation in these clinics an effective training method for the development of both aesthetic surgical technique and resident autonomy.

Cited by 24 publications

References 14 publications

Consumer Awareness and Comfort with Resident-run Cosmetic Clinics: A Crowdsourcing Study

Consumer Awareness and Comfort with Resident-run Cosmetic Clinics: A Crowdsourcing Study

The Role of Senior Resident Clinics in Plastic Surgery Education in Canada

Perceptions of Preparedness in Plastic Surgery Residency Training

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