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Updated: Jun 27, 2025

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Resident Exposure and Involvement in Core Procedural Competencies within Pediatric Plastic Surgery.

Josephine A D'Abbondanza1, Jessica G Shih1, Aaron D C Knox2

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Plastic Surgery (Oakville, Ont.)
|April 29, 2024
PubMed
Summary
This summary is machine-generated.

Canadian plastic surgery residents have limited exposure to core pediatric cases, logging an average of only 55.6 procedures. This variability across programs may impact training competency in pediatric plastic surgery.

Keywords:
case logscompetency based medical educationcore procedural competenciesentrustable professional activitiespediatric proceduressurgical education

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Area of Science:

  • Medical Education
  • Plastic Surgery
  • Pediatric Surgery

Background:

  • Competency-based residency training is being implemented in plastic surgery.
  • Previous studies identified key plastic surgery competencies.
  • Data indicate limited pediatric exposure for Canadian plastic surgery graduates.

Purpose of the Study:

  • To assess the exposure and involvement of plastic surgery residents in core pediatric cases.
  • To identify the quantity and types of pediatric procedures logged by residents.
  • To analyze the variation in pediatric case exposure across Canadian training programs.

Main Methods:

  • Retrospective, multicenter review of plastic surgery resident case logs (2004-2014).
  • Inclusion of 10 Canadian, English-speaking training programs.
  • Coding of cases based on 8 core pediatric competencies using a modified Delphi technique.

Main Results:

  • 5.2% (3061/59405) of logged cases were core pediatric procedures.
  • Average of 55.6 ± 23.0 pediatric cases logged per resident.
  • Significant variability in case numbers (85-731) and resident roles (predominantly assistant).

Conclusions:

  • Plastic surgery residency programs show significant variability in pediatric case exposure.
  • Residents have limited involvement in core pediatric plastic surgery procedures.
  • Further curriculum development and simulation may be necessary to meet pediatric competency recommendations.