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Day KM, Scott JK, Gao L, et al. Progressive Surgical Autonomy in a Plastic Surgery Resident Clinic. Plast Reconstr Surg Glob Open. 2017;5(5):e1318doi: 10.1097/GOX.0000000000001318.
Day, K. M., Scott, J. K., Gao, L., Lee, T. M., Waldrop, J. L., Sargent, L. A., Kennedy, J. W., Rehm, J. P., & Brzezienski, M. A. (2017). Progressive Surgical Autonomy in a Plastic Surgery Resident Clinic. Plastic and reconstructive surgery. Global open, 5(5), e1318. https://doi.org/10.1097/GOX.0000000000001318
Day, Kristopher M, et al. "Progressive Surgical Autonomy in a Plastic Surgery Resident Clinic." Plastic and reconstructive surgery. Global open vol. 5,5 (2017): e1318. doi: https://doi.org/10.1097/GOX.0000000000001318
Day KM, Scott JK, Gao L, Lee TM, Waldrop JL, Sargent LA, Kennedy JW, Rehm JP, Brzezienski MA. Progressive Surgical Autonomy in a Plastic Surgery Resident Clinic. Plast Reconstr Surg Glob Open. 2017 May 04;5(5):e1318. doi: 10.1097/GOX.0000000000001318. eCollection 2017 May. PMID: 28607848; PMCID: PMC5459631.
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Plast Reconstr Surg Glob Open. 2017 May 04;5(5):e1318. doi: 10.1097/GOX.0000000000001318. eCollection 2017 May.

Progressive Surgical Autonomy in a Plastic Surgery Resident Clinic.

Plastic and reconstructive surgery. Global open

Kristopher M Day, Jillian K Scott, Lani Gao, Tara M Lee, Jimmy L Waldrop, Larry A Sargent, J Woody Kennedy, Jason P Rehm, Mark A Brzezienski

Affiliations

  1. Department of Plastic Surgery, University of Tennessee College of Medicine, Chattanooga, Tenn.

PMID: 28607848 PMCID: PMC5459631 DOI: 10.1097/GOX.0000000000001318

Abstract

BACKGROUND: Resident clinics are thought to catalyze educational milestone achievement through opportunities for progressively autonomous surgical care, but studies are lacking for general plastic surgery resident clinics (PSRCs). We demonstrate the achievement of increased surgical autonomy and continuity of care in a PSRC.

METHODS: A retrospective review of all patients seen in a PSRC from October 1, 2010, to October 1, 2015, was conducted. Our PSRC is supervised by faculty plastic surgery attendings, though primarily run by chief residents in an accredited independent plastic surgery training program. Surgical autonomy was scored on a 5-point scale based on dictated operative reports. Graduated chief residents were additionally surveyed by anonymous online survey.

RESULTS: Thousand one hundred forty-four patients were seen in 3,390 clinic visits. Six hundred fifty-three operations were performed by 23 total residents, including 10 graduating chiefs. Senior resident autonomy averaged 3.5/5 (SD = 1.5), 3.6/5 (SD = 1.5), to 3.8/5 (SD = 1.3) in postgraduate years 6, 7, and 8, respectively. A linear mixed model analysis demonstrated that training level had a significant impact on operative autonomy when comparing postgraduate years 6 and 8 (

CONCLUSION: The achievement of progressive surgical autonomy may be demonstrated within a PSRC model.

References

  1. J Surg Educ. 2014 Nov-Dec;71(6):e64-72 - PubMed
  2. N Engl J Med. 2007 Jun 28;356(26):2665-7 - PubMed
  3. BMC Med. 2012 Jun 28;10:65 - PubMed
  4. Med Educ Online. 2014 Nov 24;19:25185 - PubMed
  5. J Surg Educ. 2014 Jan-Feb;71(1):39-42 - PubMed
  6. J Grad Med Educ. 2014 Mar;6(1 Suppl 1):12-4 - PubMed
  7. Adv Health Sci Educ Theory Pract. 2014 Aug;19(3):435-56 - PubMed
  8. Plast Reconstr Surg Glob Open. 2015 Jul 04;3(3):e370 - PubMed
  9. Plast Reconstr Surg. 2015 Aug;136(2):258e-266e - PubMed
  10. Plast Reconstr Surg. 2004 Dec;114(7):1878-86 - PubMed
  11. J Surg Educ. 2008 Jan-Feb;65(1):54-60 - PubMed
  12. J Surg Educ. 2016 Nov - Dec;73(6):e118-e130 - PubMed
  13. Ann Surg. 2014 Jun;259(6):1041-53 - PubMed
  14. Ann Plast Surg. 2010 Mar;64(3):270-4 - PubMed
  15. Ann Plast Surg. 2000 Apr;44(4):355-60 - PubMed
  16. J Surg Educ. 2014 Nov-Dec;71(6):e90-6 - PubMed
  17. Plast Reconstr Surg. 2013 May;131(5):1194-201 - PubMed
  18. Plast Reconstr Surg. 2014 May;133(5):702e-710e - PubMed
  19. J Surg Educ. 2015 Mar-Apr;72(2):302-9 - PubMed
  20. J Surg Educ. 2013 Nov-Dec;70(6):813-20 - PubMed
  21. N Engl J Med. 2006 Sep 28;355(13):1339-44 - PubMed
  22. Pediatrics. 2014 May;133(5):898-906 - PubMed
  23. Plast Reconstr Surg. 1997 Dec;100(7):1824-31; discussion 1832-3 - PubMed
  24. Plast Reconstr Surg. 2008 Jun;121(6):441e-448e - PubMed
  25. Acad Med. 2010 Sep;85(9):1408-17 - PubMed
  26. J Surg Educ. 2015 Mar-Apr;72(2):228-34 - PubMed
  27. Annu Rev Med. 2013;64:467-83 - PubMed
  28. Plast Reconstr Surg. 2010 Aug;126(2):634-5 - PubMed
  29. J Surg Educ. 2014 Nov-Dec;71(6):e41-6 - PubMed
  30. West J Emerg Med. 2015 Nov;16(6):931-5 - PubMed
  31. Acad Med. 2005 Oct;80(10 Suppl):S106-11 - PubMed
  32. Arch Pathol Lab Med. 2014 Mar;138(3):307-15 - PubMed
  33. Ann Plast Surg. 1989 Mar;22(3):184-7 - PubMed
  34. J Grad Med Educ. 2014 Mar;6(1 Suppl 1):222-4 - PubMed
  35. Plast Reconstr Surg. 2015 Jul;136(1):181-7 - PubMed
  36. Plast Reconstr Surg. 1980 Feb;65(2):227-8 - PubMed
  37. Ann Surg. 2010 Aug;252(2):383-9 - PubMed
  38. Aesthet Surg J. 2006 Jan-Feb;26(1):41-4 - PubMed
  39. J Surg Educ. 2013 Nov-Dec;70(6):739-49 - PubMed
  40. Int J Med Educ. 2016 Jan 11;7:11-8 - PubMed
  41. Plast Reconstr Surg. 2010 Aug;126(2):626-33 - PubMed
  42. Plast Reconstr Surg. 2003 Sep;112(3):723-9; discussion 730 - PubMed

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