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Social problems in plastic surgery residents: a management perspective.
Charles N Verheyden1, Mary H McGrath, Peggy Simpson
1Temple, Texas; San Francisco, Calif.; and Chicago, Ill. From the Division of Plastic Surgery, Department of Surgery, Scott & White Healthcare; the Office of Graduate Medical Education and Division of Plastic Surgery, University of California San Francisco; and the Accreditation Council for Graduate Medical Education.
Social issues significantly impact plastic surgery residents, with many programs reporting residents leaving or being asked to leave due to personal challenges. Addressing these problems is crucial for successful residency completion.
Area of Science:
- Medical Education
- Surgical Training
- Resident Well-being
Background:
- Plastic surgery residents face social challenges impacting training.
- These issues can disrupt individual residency experiences and entire programs.
- A survey assessed the prevalence and nature of these social problems.
Purpose of the Study:
- To evaluate the extent of social problems among plastic surgery residents.
- To identify common social issues affecting residents.
- To inform program directors and residents in managing these challenges.
Main Methods:
- A survey was developed by the American Council of Academic Plastic Surgeons.
- The survey was distributed to all US plastic surgery training programs.
- Program data on resident social issues over 5 years was collected (66% response rate).
Main Results:
- 37% of programs reported residents leaving during the study period.
- 20% of programs reported residents being asked to leave.
- Common issues included divorce, family matters, substance abuse, and interpersonal conflicts.
Conclusions:
- Social problems can impede the timely completion of plastic surgery residency.
- Addressing these issues requires a sensitive, creative, and committed approach.
- Adherence to institutional and accreditation standards is vital for resident support.
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