Focused Subspecialty Training in Plastic Surgery Residency: An Objective Assessment of the Cleveland Clinic Pilot...

Many senior-level plastic surgery residents have a firm idea regarding the complexion of their future practice.

Rather than continuing with traditional rotations in the sixth year, it is suggested that chief residents have the option of a 6-month focused training experience in their final year of plastic surgery training.

A pilot program of focused training in the subspecialty area of the chief resident's interest was initiated at our institution in July 2022. Areas of focus began with aesthetic surgery, whereas hand/microsurgery, gender-affirming, and craniofacial surgery were under development. Objective means of assessing the value of the resident's experience were developed, including blinded program surveys completed by participating and nonparticipating residents and attending surgeons, case log activity, and academic productivity.

Objective assessment demonstrated that the pilot was favorably received by all residents and participating staff. All residents expressed interest in participating during their chief year and requested the program continue. Furthermore, 10 (48%) residents were interested in pursuing a formal fellowship different than their focused training experience. Attendees unanimously agreed that the pilot offered a substantial advantage and improvement to the current residency training model and supported its continuation. Notably, there were no major criticisms, logistical problems, or administrative burdens encountered.

Given the increasing complexity of plastic surgery practice and rising competition from other specialties, a focused training experience before postgraduate fellowship or formal practice may represent an alternative means of enhancing plastic surgery education. The current pilot attempts to test and objectify this concept.