Aesthetic surgical training: the Lenox Hill model

Area of Science:

• Medical Education
• Plastic Surgery Training
• Surgical Residency Programs

Background:

• Aesthetic surgery residency programs require robust training in surgical techniques and practice management.
• Supervised, real-world surgical experience is crucial for developing proficient aesthetic surgeons.

Purpose of the Study:

• To evaluate a novel residency program enhancing aesthetic surgery training through simulated private practice.
• To assess the program's effectiveness in managing financial, liability, and educational aspects of resident training.

Main Methods:

• Four chief residents completed a 3-month simulated private practice rotation.
• Patients were recruited via a free screening clinic, with specific consent forms for resident-as-surgeon procedures.
• Residents managed all aspects of patient care, including appointments, OR booking, and administrative duties, supported by a hospital fee schedule.

Main Results:

• Residents performed 30-40 primary surgeries and 50-60 first assistant roles during their rotation.
• The program successfully addressed financial support and liability, with rare patient discontent resolved through multidisciplinary conferences.
• The program has maintained full certification for participating university programs for seven years without litigation.

Conclusions:

• This aesthetic surgery residency model effectively prepares residents for independent practice by integrating surgical volume, practice management, and didactic learning.
• The program demonstrates a successful approach to resident training in aesthetic surgery, ensuring patient safety and program integrity.