The Role of Plastic Surgery at an Academic Medical Center in the United States

Pu, Lee Li-Qun; Mirmanesh, Michael

doi:10.1097/sap.0000000000001052

Cited by 9 publications

(12 citation statements)

References 15 publications

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“…His specialization in reconstructive surgery was needed both to ensure the safety of particularly complex procedures and also to help resolve complications that resulted following other services' operations. 4 A similar study by Peterson et al showed a single adult plastic surgeon interacting with 10 different surgical specialties at an level I trauma center over a 29-month period, with orthopedic surgery and trauma surgery being his most common collaborators. 7 The flexibility of the plastic surgeon's training allowed him to work in conjunction with other specialties, while also allowing him to provide cross coverage for multiple specialties where surgeon shortages existed.…”

Section: Discussionmentioning

confidence: 89%

“…In 2017, Pu et al examined the role of a single adult plastic surgeon in two academic medical centers over a 10-year span. 4 This plastic surgeon was found to have worked alongside 13 separate primary services, with orthopedic surgery, surgical oncology, cardiothoracic surgery, and vascular surgery requiring his assistance most frequently. His specialization in reconstructive surgery was needed both to ensure the safety of particularly complex procedures and also to help resolve complications that resulted following other services’ operations.…”

Section: Discussionmentioning

confidence: 99%

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Sharing the Operating Room: A Descriptive Study of Combined and Collaborative Plastic Surgery Cases

Davis

Lopez

Turner

et al. 2022

Plastic &Amp; Reconstructive Surgery

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Background: Plastic surgeons are often asked for intraoperative assistance by other surgical services. Improvement of a plastic surgery service has been shown to improve patient outcomes, decrease length of stay, and increase hospital revenue, yet plastic surgery's contribution to a hospital tends to be undervalued. The purpose of this study was to quantify the multidisciplinary role the plastic surgery service plays within a single, large pediatric institution. Methods: Surgical cases involving both plastic surgery and at least one other team were identified from 2016 to 2019. Each case was categorized as either "combined" or "collaborative" based on whether the two teams worked separately on separate problems or together on the same problem, respectively. Data points collected included combined and collaborative cases, operating room hours, and total hospital charges billed. Results: Of the 7564 total plastic surgery cases performed, multidisciplinary cases made up a minority of total cases (16 percent) but required 32 percent of the operating room hours and provided 49 percent of the total charges billed. Collaborative cases alone accounted for 20 percent of the service's operating room hours and 39 percent of total charges billed, while making up only 8 percent of total cases. Conclusions: Relative to cases where plastic surgery operates alone, combined and collaborative cases account for a disproportionately high number of operating room hours and provide a disproportionately high amount of charges billed.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Sharing the Operating Room: A Descriptive Study of Combined and Collaborative Plastic Surgery Cases

Davis

Lopez

Turner

et al. 2022

Plastic &Amp; Reconstructive Surgery

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show abstract

“…Like medical directors, plastic surgeons rely heavily on transparent communication and a team-first mentality due to their frequent collaboration with other specialties. 13 14 15 Innovation, critical-thinking, problem-solving, adaptability, and unmatched attention to detail are all traits frequently exhibited by plastic surgeons both inside and outside of the operating room. 13 In addition, plastic surgeons universally conduct cost–benefit analysis for operative and organizational management of their patients and practices, respectively.…”

Section: Plastic Surgeons As Medical Directorsmentioning

confidence: 99%

Plastic Surgeons as Medical Directors: A Natural Transition into Medical Leadership

et al. 2022

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With the growing complexity of the U.S. health care system, highly motivated medical directors with strong leadership skills are vital to the success of health care facilities. Presently, there are no articles assessing a plastic surgeon's qualifications for the role of medical director. In addition, there is a paucity of literature comparing the responsibilities of medical directors across various types of health care institutions. Herein, we outline why plastic surgeons have the unique skillset to succeed in this role and highlight the differences between medical director positions across the vast landscape of health care. While the intricacies of this position vary greatly across different landscapes of the health care industry, successful medical directors lead by following a set of universal principles predisposing them for success. Plastic surgeons innately exhibit a subset of particular traits deeming them suitable candidates for the medical director position. While transitioning from the role of a surgeon to that of a medical director does require some show of adaptation, plastic surgeons are ultimately highly likely to find intrinsic benefit from serving as a medical director.

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“…Aufstocken ren erheblich zugenommen, jedoch ist eine weitere Entwicklung bei teils mangelnder Autonomie der universitären Einheiten erschwert [8]. Mit dem Bestreben eines Forschungsregisters soll die qualitative Forschungsaktivität in der Plastischen Chirurgie transparenter werden und die daraus resultierende Forschungsförderung den Anspruch auf eine akademische Plastische Chirurgie bekräftigen [9,10] Lee L. Q. PU und Michael Miramenesh haben in einer 2017 veröffentlichten Arbeit zwei wesentliche Zusammenhänge in der "State of the art" Medizin und der Interdisziplinarität erörtert [11]. Zum einen in Form eines gemeinsamen operativen Falls, der einer zusätzlichen plastisch-rekonstruktiven Maßnahme bedarf, oder zum anderen in Form eines plastisch-chirurgischen Managements von Komplikationen, welche im Rahmen einer Behandlungsmaßnahme durch andere Fachgebiete entstanden sind.…”

Section: Lehre (Std)unclassified

Interdisziplinarität in der akademischen Plastischen Chirurgie – belanglos oder zukunftsorientiert?

Kemper

Horch

Giunta

et al. 2019

Handchir Mikrochir plast Chir

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Zusammenfassung Hintergrund Die Plastische Chirurgie ist wie kein anderes Fach in der Lage alle Körperregionen nicht nur formbewahrend/-gebend zu operieren, sondern auch funktionell anatomische Einheiten zu rekonstruieren. Im Rahmen einer interdisziplinären Behandlung komplexer traumatologischer, Tumor- und infektionsbedingter Erkrankungen benötigen andere Fachbereiche diese spezielle Expertise. Die Ärztliche Approbationsordnung (ÄApprO) sieht aber trotz der vielzähligen interdisziplinären Aufgaben kein eigenständiges Lehrcurriculum für die Plastische Chirurgie vor. Daher ist die Entwicklung der akademischen Plastischen Chirurgie problematisch. In dieser Arbeit wird die akademische und klinische Interdisziplinarität dieses Fachs beleuchtet. Methoden Anhand eines Fragebogens werden die akademischen Aufgaben der Plastischen Chirurgie sowie deren operativ interdisziplinäre Leistungsfähigkeit erhoben und diskutiert. Ergebnisse An 12 der 36 Universitätskliniken gibt es keine Plastische Chirurgie. Es gibt 11 Kliniken, 5 Abteilung, 4 Sektionen und 4 Funktionsbereiche. Die 13 an der Evaluation teilnehmenden Einrichtungen haben sich im medizinischen Lehrcurriculum über das Wahlfach hinaus etablieren können. Die Diskrepanz in Bezug auf den Lehraufwand erscheint unabhängig von Eigenständigkeit und Personalschlüssel. 10 der 13 Zentren wären bereit, mehr akademischen Aufwand zu leisten. Alle teilnehmenden Zentren prüfen im Staatsexamen. 2015 wurden durch die 13 teilnehmenden Zentren 1476 Fälle interdisziplinär behandelt. In 1165 Fällen erfolgte keine Leistungsabrechnung durch die Plastische Chirurgie. Zusammenfassung Das interdisziplinäre Aufgabenfeld der Plastischen Chirurgie ist in der Hochleistungsmedizin unabdingbar. An 12 Universitätskliniken gibt es bis heute keine akademische Plastische Chirurgie. Dabei stellt gerade die Interdisziplinarität unseres Fachs eine hervorragende Voraussetzung zur Integration im modularen Unterricht dar.Die teils komplexen rekonstruktiven Eingriffe komplettieren den Behandlungserfolg anderer Fachrichtungen. Die redundante fehlende ökonomische Teilhabe an diesem Erfolg lässt die Entwicklung des Fachs hinterherhinken. Eine einheitliche Integration in das Lehrcurriculum wäre eine zukunftsgerichtete Aufwertung der Plastischen Chirurgie.

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The Role of Plastic Surgery at an Academic Medical Center in the United States

Cited by 9 publications

References 15 publications

Sharing the Operating Room: A Descriptive Study of Combined and Collaborative Plastic Surgery Cases

Sharing the Operating Room: A Descriptive Study of Combined and Collaborative Plastic Surgery Cases

Plastic Surgeons as Medical Directors: A Natural Transition into Medical Leadership

Interdisziplinarität in der akademischen Plastischen Chirurgie – belanglos oder zukunftsorientiert?

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