- Email: [email protected]
UKTEAS: United Kingdom training experience in aesthetic surgery
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Journal of Plastic, Reconstructive & Aesthetic Surgery (2016) xx, 1e2
CORRESPONDENCE AND COMMUNICATIONS UKTEAS: United Kingdom training experience in aesthetic surgery Dear Sir Cosmetic surgery plays a vital part of training in Plastic Surgery. In the UK the indicative logbook requires one hundred procedures to be performed or supervised during their training. The literature highlights a significant reduction in the training available in the public sector.1,2 The aim of this survey was to highlight current practice in cosmetic surgery in the UK training programme. A Survey Monkey was sent to all Plastic Surgery trainees in the UK via the trainee representatives, social media and Plasta. There are approximately 307 plastic surgery trainees. 32 trainees responded (9.6%). Trainees were asked for the number of assisted and performed procedures and rated; 0, 1e5, 5e10, >10. Trainees included: ST3 15%, ST4 15%, ST5 15%, ST6 18%, ST7 25%, ST8 12%. For analysis, the following results the number of trainees that have assisted or performed at least one procedure. Facial aesthetics (assisted, performed): Pinnaplasty 32, 26; Rhinoplasty, 29, 3; Face lift 26, 4; Open Brow lift 25, 10, Endoscopic brow lift 18, 2 Upper lid blepharoplasty, 29, 23; Lower lid blepharoplasty 20, 2 (See Graph 1). Trunk & Abdomen: Mini-abdominoplasty 22, 16; Standard abdominoplasty 32, 27; Fleur-de-lys abdominoplasty 29, 14; Lipoabdominoplasty 19, 8; Body lift 14, 1; Thigh lift 15, 4. Body Contouring: High volume liposuction 21, 10; Lipotransfer 28, 27; Brachioplasty 22, 4. Breast: Augmentation 32, 26; Mastopexy 31, 25; Breast reduction 31, 28. 66% of trainees are considering a fellowship in aesthetic surgery. 68% of trainees had concerns about meeting their competencies during their training programme. Despite the fact the majority of responses were by senior trainees, there are significant deficiencies in the experience trainees have acquired in cosmetic surgery.
Operations such as lower lid blepharoplasty, brachioplasty and body lift are poorly represented. Further strategies are required to cover aspects of cosmetic surgery which are not well covered in the public
Graph 1 No. of procedures performed; Assisted (A), Performed (P).
Figure 1 The site will allow trainees with consultant approval to “sign up” to the private lists.
http://dx.doi.org/10.1016/j.bjps.2016.04.005 1748-6815/ª 2016 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. Please cite this article in press as: Smith J, et al., UKTEAS: United Kingdom training experience in aesthetic surgery, Journal of Plastic, Reconstructive & Aesthetic Surgery (2016), http://dx.doi.org/10.1016/j.bjps.2016.04.005
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2 sector. Reduction in cosmetic surgical training either necessitates an adaptation to the current FRCS curriculum or enforced aesthetic fellowships. The authors are in the process of developing a secure online resource allowing trainees access to consultant approved private sector rotas and theatre lists. The resource will not include any patient information (Figure 1). The results of this study have been submitted to the BAPRAS Committee.
Conflict of interest None declared.
Funding
Correspondence and communications
References 1. Goodenough J. A mismatch in aesthetic training requirements and practice for the plastic surgery trainee. J Plast Reconstr Aesthet Surg 2013 Oct;66(10):1445e6. 2. Whitaker IS, Mason L, Boyce DE, et al. An analysis of 1361 aesthetic procedures from 2000 to 2005 in a large regional plastic surgery unit: implications for cosmetic surgery training. J Plast Reconstr Aesthet Surg 2007;60(4):437e9.
J. Smith A. Kilshaw A. Williams Department of Plastic Surgery, Bradford Royal Infirmary, Duckworth Lane, Bradford, BD9 6RJ, UK E-mail address: [email protected]
None declared.
4 March 2016
Please cite this article in press as: Smith J, et al., UKTEAS: United Kingdom training experience in aesthetic surgery, Journal of Plastic, Reconstructive & Aesthetic Surgery (2016), http://dx.doi.org/10.1016/j.bjps.2016.04.005
MODEL
Journal of Plastic, Reconstructive & Aesthetic Surgery (2016) xx, 1e2
CORRESPONDENCE AND COMMUNICATIONS UKTEAS: United Kingdom training experience in aesthetic surgery Dear Sir Cosmetic surgery plays a vital part of training in Plastic Surgery. In the UK the indicative logbook requires one hundred procedures to be performed or supervised during their training. The literature highlights a significant reduction in the training available in the public sector.1,2 The aim of this survey was to highlight current practice in cosmetic surgery in the UK training programme. A Survey Monkey was sent to all Plastic Surgery trainees in the UK via the trainee representatives, social media and Plasta. There are approximately 307 plastic surgery trainees. 32 trainees responded (9.6%). Trainees were asked for the number of assisted and performed procedures and rated; 0, 1e5, 5e10, >10. Trainees included: ST3 15%, ST4 15%, ST5 15%, ST6 18%, ST7 25%, ST8 12%. For analysis, the following results the number of trainees that have assisted or performed at least one procedure. Facial aesthetics (assisted, performed): Pinnaplasty 32, 26; Rhinoplasty, 29, 3; Face lift 26, 4; Open Brow lift 25, 10, Endoscopic brow lift 18, 2 Upper lid blepharoplasty, 29, 23; Lower lid blepharoplasty 20, 2 (See Graph 1). Trunk & Abdomen: Mini-abdominoplasty 22, 16; Standard abdominoplasty 32, 27; Fleur-de-lys abdominoplasty 29, 14; Lipoabdominoplasty 19, 8; Body lift 14, 1; Thigh lift 15, 4. Body Contouring: High volume liposuction 21, 10; Lipotransfer 28, 27; Brachioplasty 22, 4. Breast: Augmentation 32, 26; Mastopexy 31, 25; Breast reduction 31, 28. 66% of trainees are considering a fellowship in aesthetic surgery. 68% of trainees had concerns about meeting their competencies during their training programme. Despite the fact the majority of responses were by senior trainees, there are significant deficiencies in the experience trainees have acquired in cosmetic surgery.
Operations such as lower lid blepharoplasty, brachioplasty and body lift are poorly represented. Further strategies are required to cover aspects of cosmetic surgery which are not well covered in the public
Graph 1 No. of procedures performed; Assisted (A), Performed (P).
Figure 1 The site will allow trainees with consultant approval to “sign up” to the private lists.
http://dx.doi.org/10.1016/j.bjps.2016.04.005 1748-6815/ª 2016 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. Please cite this article in press as: Smith J, et al., UKTEAS: United Kingdom training experience in aesthetic surgery, Journal of Plastic, Reconstructive & Aesthetic Surgery (2016), http://dx.doi.org/10.1016/j.bjps.2016.04.005
+
MODEL
2 sector. Reduction in cosmetic surgical training either necessitates an adaptation to the current FRCS curriculum or enforced aesthetic fellowships. The authors are in the process of developing a secure online resource allowing trainees access to consultant approved private sector rotas and theatre lists. The resource will not include any patient information (Figure 1). The results of this study have been submitted to the BAPRAS Committee.
Conflict of interest None declared.
Funding
Correspondence and communications
References 1. Goodenough J. A mismatch in aesthetic training requirements and practice for the plastic surgery trainee. J Plast Reconstr Aesthet Surg 2013 Oct;66(10):1445e6. 2. Whitaker IS, Mason L, Boyce DE, et al. An analysis of 1361 aesthetic procedures from 2000 to 2005 in a large regional plastic surgery unit: implications for cosmetic surgery training. J Plast Reconstr Aesthet Surg 2007;60(4):437e9.
J. Smith A. Kilshaw A. Williams Department of Plastic Surgery, Bradford Royal Infirmary, Duckworth Lane, Bradford, BD9 6RJ, UK E-mail address: [email protected]
None declared.
4 March 2016
Please cite this article in press as: Smith J, et al., UKTEAS: United Kingdom training experience in aesthetic surgery, Journal of Plastic, Reconstructive & Aesthetic Surgery (2016), http://dx.doi.org/10.1016/j.bjps.2016.04.005