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

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          Abstract

          PURPOSE The growing demand and range of cosmetic procedures, and the recently increased minimum aesthetic surgery requirements set by the Accreditation Council for Graduate Medical Education, highlight the importance of aesthetic surgery experience for plastic surgery residents. However, several program directors have described the challenge of providing sufficient exposure to cosmetic surgery in the teaching hospital setting. 1 Resident-directed aesthetic surgery clinics have emerged as a promising solution to this problem, and the majority of residency programs are associated with a resident clinic. 1 The authors sought to evaluate the current state of aesthetic resident clinics by conducting a comprehensive survey of plastic surgery training programs in the country. METHODS A survey examining specific aspects of aesthetic chief resident clinics was distributed to 70 plastic surgery resident program directors in the United States, focusing on clinic structure, procedures performed, services offered, and financial cost to the patient. Surveys were administered in a single mailing via the American Council of Academic Plastic Surgeons listserv of all program directors. Responses were collected through September of 2017. RESULTS Fifty-two questionnaires were returned, representing 74.2% of programs surveyed. Thirty-two (63%) reported having a dedicated chief resident clinic. Most programs (n = 23) indicated they schedule resident clinic once per week, whereas very few programs do so more often (n = 2). Twenty-seven programs reported seeing 1–5 new aesthetic consults per clinic day, and only 2 see more than 10. To attract new patients, most aesthetic clinics advertise for their services (n = 28). However, word of mouth was considered the main way patients became aware of the clinic (n = 29). The 3 most common procedures performed were abdominoplasty (n = 20), breast augmentation (n = 19), and liposuction (n = 16). Regarding the availability of noninvasive procedures, most clinics offer neuromodulators (n = 29) and injectable fillers (n = 29). Most resident clinics offer services at a reduced cost. Many offer a free consult (n = 12). Other clinics have consultation fees ranging from $25 to $250 (n = 12), most of which offered consults for $100 or less (n = 10). Many clinics offer a percentage discount on the procedure (n = 11). Others offer a tier structure of pricing depending on the time and complexity of the procedure (n =7), whereas a smaller number of clinics offer a flat surgeon’s fee (n = 3). Most clinics charged additionally for anesthesia and facility fees at standard prices (n = 13). The most popular billing method used was a 50% discount on the attending surgeon fee, with the patient being responsible for the entirety of hospital and anesthesia fees (n = 6). CONCLUSIONS The authors found aesthetic chief resident clinics to differ greatly in their structure. Yet, the variety of procedures and services offered makes participation in aesthetic resident clinic an effective training method for the development of both aesthetic surgical technique and autonomy.

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          Plastic surgery chief resident clinics: the current state of affairs.

          One of the goals of plastic surgery residency programs is to provide effective training in aesthetic surgery. Recently, programs have adopted the idea of chief clinics to provide senior residents with the opportunity to perform cosmetic surgery with an increased level of autonomy. The goal of this article is to characterize chief clinics currently in place and their usefulness in providing effective training in plastic surgery under the precepts set forth by the Accreditation Council for Graduate Medical Education.
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            Author and article information

            Journal
            Plast Reconstr Surg Glob Open
            Plast Reconstr Surg Glob Open
            GOX
            Plastic and Reconstructive Surgery Global Open
            Wolters Kluwer Health
            2169-7574
            16 July 2018
            July 2018
            : 6
            : 7
            Affiliations
            From the [* ]Division of Plastic and Reconstructive Surgery, Icahn School of Medicine at Mount Sinai, New York, N.Y.
            []Department of Plastic and Reconstructive Surgery, Wake Forest Baptist Health, Winston-Salem, N.C.
            Author notes
            Peter J. Taub, MD, FACS, FAAP, Division of Plastic and Reconstructive Surgery, Icahn School of Medicine at Mount Sinai, 5 East 98 th Street, Box 1259, New York, NY 10029, E-mail: Peter.taub@ 123456mountsinai.org
            Article
            00020
            10.1097/GOX.0000000000001808
            6110687
            Copyright © 2018 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.

            This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

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