PMID- 26146599
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20150706
LR  - 20200930
IS  - 2169-7574 (Print)
IS  - 2169-7574 (Electronic)
IS  - 2169-7574 (Linking)
VI  - 3
IP  - 3
DP  - 2015 Mar
TI  - Identification of Best Practices for Resident Aesthetic Clinics in Plastic 
      Surgery Training: The ACAPS National Survey.
PG  - e370
LID - 10.1097/01.GOX.0000464864.49568.18 [doi]
LID - e370
AB  - INTRODUCTION: Resident aesthetic clinics (RACs) have demonstrated good outcomes 
      and acceptable patient satisfaction, but few studies have evaluated their 
      educational, financial, or medicolegal components. We sought to determine RAC 
      best practices. METHODS: We surveyed American Council of Academic Plastic Surgeon 
      members (n = 399), focusing on operational details, resident supervision, patient 
      safety, medicolegal history, financial viability, and research opportunities. Of 
      the 96 respondents, 63 reported having a RAC, and 56% of plastic surgery 
      residency program directors responded. RESULTS: RACs averaged 243 patient 
      encounters and 53.9 procedures annually, having been in existence for 19.6 years 
      (mean). Full-time faculty (73%) supervised chief residents (84%) in all aspects 
      of care (65%). Of the 63 RACs, 45 were accredited, 40 had licensed procedural 
      suites, 28 had inclusion/exclusion criteria, and 31 used anesthesiologists. 
      Seventeen had overnight capability, and 17 had a Life Safety Plan. No cases of 
      malignant hyperthermia occurred, but 1 facility death was reported. Sixteen RACs 
      had been involved in a lawsuit, and 33 respondents reported financial viability 
      of the RACs. Net revenue was transferred to both the residents' educational fund 
      (41%) and divisional/departmental overhead (37%). Quality measures included case 
      logs (78%), morbidity/mortality conference (62%), resident surveys (52%), and 
      patient satisfaction scores (46%). Of 63 respondents, 14 have presented or 
      published RAC-specific research; 80 of 96 of those who were surveyed believed 
      RACs enhanced education. CONCLUSIONS: RACs are an important component of plastic 
      surgery education. Most clinics are financially viable but carry high malpractice 
      risk and consume significant resources. Best practices, to maximize patient 
      safety and optimize resident education, include use of accredited procedural 
      rooms and direct faculty supervision of all components of care.
FAU - Hultman, C Scott
AU  - Hultman CS
AD  - Division of Plastic Surgery, University Of North Carolina, Chapel Hill, N.C.; 
      Department of Plastic Surgery, University of Wisconsin, Madison, Wis.; Department 
      of Plastic Surgery, Johns Hopkins University, Baltimore, Md.; Department of 
      Plastic Surgery, Vanderbilt University, Nashville, Tenn.; Department of Plastic 
      Surgery, Wake Forest University, Winston-Salem, N.C.; Department of Plastic 
      Surgery, Icahn School of Medicine at Mt. Sinai, New York, N.Y.; and Department of 
      Plastic Surgery, The Ohio State University, Columbus, Ohio.
FAU - Wu, Cindy
AU  - Wu C
AD  - Division of Plastic Surgery, University Of North Carolina, Chapel Hill, N.C.; 
      Department of Plastic Surgery, University of Wisconsin, Madison, Wis.; Department 
      of Plastic Surgery, Johns Hopkins University, Baltimore, Md.; Department of 
      Plastic Surgery, Vanderbilt University, Nashville, Tenn.; Department of Plastic 
      Surgery, Wake Forest University, Winston-Salem, N.C.; Department of Plastic 
      Surgery, Icahn School of Medicine at Mt. Sinai, New York, N.Y.; and Department of 
      Plastic Surgery, The Ohio State University, Columbus, Ohio.
FAU - Bentz, Michael L
AU  - Bentz ML
AD  - Division of Plastic Surgery, University Of North Carolina, Chapel Hill, N.C.; 
      Department of Plastic Surgery, University of Wisconsin, Madison, Wis.; Department 
      of Plastic Surgery, Johns Hopkins University, Baltimore, Md.; Department of 
      Plastic Surgery, Vanderbilt University, Nashville, Tenn.; Department of Plastic 
      Surgery, Wake Forest University, Winston-Salem, N.C.; Department of Plastic 
      Surgery, Icahn School of Medicine at Mt. Sinai, New York, N.Y.; and Department of 
      Plastic Surgery, The Ohio State University, Columbus, Ohio.
FAU - Redett, Richard J
AU  - Redett RJ
AD  - Division of Plastic Surgery, University Of North Carolina, Chapel Hill, N.C.; 
      Department of Plastic Surgery, University of Wisconsin, Madison, Wis.; Department 
      of Plastic Surgery, Johns Hopkins University, Baltimore, Md.; Department of 
      Plastic Surgery, Vanderbilt University, Nashville, Tenn.; Department of Plastic 
      Surgery, Wake Forest University, Winston-Salem, N.C.; Department of Plastic 
      Surgery, Icahn School of Medicine at Mt. Sinai, New York, N.Y.; and Department of 
      Plastic Surgery, The Ohio State University, Columbus, Ohio.
FAU - Shack, R Bruce
AU  - Shack RB
AD  - Division of Plastic Surgery, University Of North Carolina, Chapel Hill, N.C.; 
      Department of Plastic Surgery, University of Wisconsin, Madison, Wis.; Department 
      of Plastic Surgery, Johns Hopkins University, Baltimore, Md.; Department of 
      Plastic Surgery, Vanderbilt University, Nashville, Tenn.; Department of Plastic 
      Surgery, Wake Forest University, Winston-Salem, N.C.; Department of Plastic 
      Surgery, Icahn School of Medicine at Mt. Sinai, New York, N.Y.; and Department of 
      Plastic Surgery, The Ohio State University, Columbus, Ohio.
FAU - David, Lisa R
AU  - David LR
AD  - Division of Plastic Surgery, University Of North Carolina, Chapel Hill, N.C.; 
      Department of Plastic Surgery, University of Wisconsin, Madison, Wis.; Department 
      of Plastic Surgery, Johns Hopkins University, Baltimore, Md.; Department of 
      Plastic Surgery, Vanderbilt University, Nashville, Tenn.; Department of Plastic 
      Surgery, Wake Forest University, Winston-Salem, N.C.; Department of Plastic 
      Surgery, Icahn School of Medicine at Mt. Sinai, New York, N.Y.; and Department of 
      Plastic Surgery, The Ohio State University, Columbus, Ohio.
FAU - Taub, Peter J
AU  - Taub PJ
AD  - Division of Plastic Surgery, University Of North Carolina, Chapel Hill, N.C.; 
      Department of Plastic Surgery, University of Wisconsin, Madison, Wis.; Department 
      of Plastic Surgery, Johns Hopkins University, Baltimore, Md.; Department of 
      Plastic Surgery, Vanderbilt University, Nashville, Tenn.; Department of Plastic 
      Surgery, Wake Forest University, Winston-Salem, N.C.; Department of Plastic 
      Surgery, Icahn School of Medicine at Mt. Sinai, New York, N.Y.; and Department of 
      Plastic Surgery, The Ohio State University, Columbus, Ohio.
FAU - Janis, Jeffrey E
AU  - Janis JE
AD  - Division of Plastic Surgery, University Of North Carolina, Chapel Hill, N.C.; 
      Department of Plastic Surgery, University of Wisconsin, Madison, Wis.; Department 
      of Plastic Surgery, Johns Hopkins University, Baltimore, Md.; Department of 
      Plastic Surgery, Vanderbilt University, Nashville, Tenn.; Department of Plastic 
      Surgery, Wake Forest University, Winston-Salem, N.C.; Department of Plastic 
      Surgery, Icahn School of Medicine at Mt. Sinai, New York, N.Y.; and Department of 
      Plastic Surgery, The Ohio State University, Columbus, Ohio.
LA  - eng
PT  - Journal Article
DEP - 20150704
PL  - United States
TA  - Plast Reconstr Surg Glob Open
JT  - Plastic and reconstructive surgery. Global open
JID - 101622231
PMC - PMC4448722
COIS- Disclosure: Drs. Hultman, Bentz, David, Taub, and Janis currently hold officer or 
      chair positions on the American Council of Academic Plastic Surgeons. Neither of 
      the other authors has any financial disclosures. This study was supported, in 
      part, by the UNC Ethel and James Valone Plastic Surgery Research Endowment. The 
      Article Processing Charge was paid for by the authors.
EDAT- 2015/07/07 06:00
MHDA- 2015/07/07 06:01
PMCR- 2015/07/04
CRDT- 2015/07/07 06:00
PHST- 2015/07/07 06:00 [entrez]
PHST- 2015/07/07 06:00 [pubmed]
PHST- 2015/07/07 06:01 [medline]
PHST- 2015/07/04 00:00 [pmc-release]
AID - 10.1097/01.GOX.0000464864.49568.18 [doi]
PST - epublish
SO  - Plast Reconstr Surg Glob Open. 2015 Jul 4;3(3):e370. doi: 
      10.1097/01.GOX.0000464864.49568.18. eCollection 2015 Mar.