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Shared Medical Appointments for Adolescent Breast Reduction.

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Shared medical appointments (SMAs) improved clinic efficiency and patient satisfaction for adolescents with macromastia. This model increased patient throughput without compromising education or surgeon interaction, highlighting its value in managing large breast size concerns.

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Area of Science:

  • Plastic Surgery
  • Adolescent Medicine
  • Healthcare Management

Background:

  • Adolescents with macromastia experience significant physical, emotional, and social challenges.
  • Reduction mammoplasty improves symptoms and quality of life for these patients.
  • Shared medical appointments (SMAs) are effective for adult breast reduction consultations.

Purpose of the Study:

  • To implement and evaluate SMAs for preoperative evaluation of adolescent macromastia patients.
  • To assess changes in clinic efficiency and patient-reported outcomes.
  • To measure patient and provider satisfaction with the SMA model.

Main Methods:

  • Implemented SMAs for female adolescent patients with macromastia (February-June 2016).
  • Compared referral-to-appointment times with a retrospective cohort (2013-2015).
  • Measured clinic efficiency (new patients/hour) and administered quality-of-life surveys (BREAST-Q, PedsQL).

Main Results:

  • New patients per hour increased from 1.33 to 3 with SMAs.
  • Mean referral-to-appointment time decreased from 75.3 to 40.3 days (not statistically significant).
  • High patient and provider satisfaction reported; low preoperative quality-of-life scores observed.

Conclusions:

  • SMAs enhance clinic efficiency and satisfaction for adolescent macromastia evaluations.
  • The model effectively manages patient flow without reducing educational or surgeon time.
  • Low quality-of-life scores underscore the need for timely surgical intervention.