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Aesthetic Dermatologic Surgery Training in Canadian Residency Programs.

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Canadian dermatology residents receive insufficient aesthetic training, leading to concerns about patient safety and future practice. Both residents and faculty support enhanced education to improve competency in cosmetic procedures.

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Area of Science:

  • Dermatology
  • Medical Education
  • Aesthetic Medicine

Background:

  • Public and physician expectations place dermatologists as experts in aesthetic dermatology.
  • Canadian dermatology residency programs face challenges in providing adequate aesthetic dermatology training.
  • Insufficient training may compromise patient safety, increase medicolegal risks, and limit graduates' service offerings.

Purpose of the Study:

  • To characterize the curriculum, hands-on learning, and perceptions of aesthetic dermatology training in Canadian residency programs.
  • To identify gaps in current aesthetic dermatology education for residents.
  • To compare faculty and resident perspectives on training effectiveness.

Main Methods:

  • An online survey was distributed to faculty and residents in Canadian dermatology programs.
  • Key outcome measures included formal instruction hours, frequency of hands-on experience with injectables/devices, and comparative viewpoints.
  • Response rates were 40% for faculty (36) and 34% for residents (47).

Main Results:

  • Formal aesthetic dermatology instruction averaged 10 hours or less, covering lasers, fillers, neuromodulators, and mole removal.
  • Residents primarily observed procedures rather than performing them, reporting high dissatisfaction with training quantity and quality.
  • Both faculty and residents supported increased aesthetic dermatology education, with ~70% of residents planning to offer aesthetic services.

Conclusions:

  • Standardizing core competencies in aesthetic dermatologic procedures is crucial for patient safety and practitioner competence.
  • Current formal aesthetic dermatology residency training appears insufficient for developing necessary hands-on skills.
  • A majority of dermatology faculty and residents advocate for enhanced aesthetic dermatology training programs.