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Perceptions of Preparedness in Plastic Surgery Residency Training.

Matthew E Braza1, Nicholas S Adams1, Ronald D Ford1,2

  • 1Spectrum Health/Michigan State University College of Human Medicine Plastic Surgery Residency, Grand Rapids, Mich.

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Summary

Most plastic surgery residents feel prepared for practice, but gaps remain in aesthetic and craniofacial surgery training. Factors like procedure complexity and supervision influence resident autonomy, while patient safety is key for attending surgeons.

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Area of Science:

  • Surgical Education
  • Plastic Surgery Training

Background:

  • Graduating competent surgical residents necessitates progressive independence.
  • Recent trends show reduced resident independence in surgical subspecialties due to regulations, legal concerns, and financial factors.

Purpose of the Study:

  • To assess perceived autonomy and preparedness in plastic surgery residency.
  • To identify factors influencing resident autonomy during training.

Main Methods:

  • Anonymous electronic surveys distributed to attending surgeons and residents in ACGME-accredited plastic surgery programs (2017-2018).
  • Data collected from 72 integrated and 42 independent programs; analyzed using Fisher exact and chi-square tests.

Main Results:

  • 87% of residents felt prepared for practice; however, specific gaps were noted in aesthetics and pediatrics/craniofacial surgery.
  • Residents cited procedure complexity, attending supervision, and time as key factors affecting autonomy.
  • Attending surgeons identified patient safety as the primary deterrent to resident autonomy.

Conclusions:

  • A majority of plastic surgery residents feel prepared, yet specific training deficiencies persist in aesthetic and craniofacial surgery.
  • Plastic surgery programs must balance promoting resident autonomy with ensuring patient safety, productivity, and financial viability.