PMID- 35180747 OWN - NLM STAT- MEDLINE DCOM- 20220810 LR - 20220815 IS - 1536-3708 (Electronic) IS - 0148-7043 (Linking) VI - 89 IP - 2 DP - 2022 Aug 1 TI - A Systematic Review on the Implementation and Educational Value of Resident Aesthetic Clinics. PG - 152-158 LID - 10.1097/SAP.0000000000003101 [doi] AB - BACKGROUND: Resident aesthetic clinics (RACs) provide plastic surgery residents with hands-on aesthetic surgery training. Although RACs have demonstrated successful surgical outcomes without compromising patient care, few studies have evaluated the efficacy or educational value of RACs to increase resident confidence and competence in procedures. In addition, clinic structures vary widely among institutions, with each clinic offering a unique patient volume, caseload, and degree of resident autonomy that impacts the clinic's educational value. This systematic review identifies existing RAC practices, compares clinic structures, and proposes a curriculum framework to maximize educational value for residents. METHODS: Following PRISMA guidelines, we performed a systematic review of plastic surgery residency training program RACs. We queried PubMed, Embase, and Web of Science from January 2000 to April 2020. Eligible articles were original articles that discussed RAC structure and educational value. Data abstracted included details on clinic structure (eg, volume, location, cost, clinic operations) and trainee-perceived educational value (eg, resident satisfaction, resident confidence in procedures). RESULTS: Of 1199 identified publications, 10 met the inclusion criteria: 6 single-site studies and 4 national survey studies. Among the single-site studies, annual volumes ranged from 22 to 68 patients/year and 35 to 81 cases/year. Resident aesthetic clinics were all staffed by full-time academic faculty (100%); one-third also were staffed by adjunct faculty and 17% also by community plastic surgeons. Resident involvement varied by hours in clinic and degree of autonomy. The survey studies found that RACs increase resident confidence and competence in performing aesthetic procedures and identified critical challenges to RAC implementation (eg, financial viability, continuity of care) that limited RAC educational value. Based on this review's findings, we propose a 6-step RAC curriculum framework for training programs seeking to establish an RAC and maximize the clinic's educational value. CONCLUSIONS: Resident aesthetic clinics are increasingly important for providing plastic surgery residents with aesthetic training. Patient and case volume, degree of resident autonomy, and clinic attending physicians are critical determinants of the educational value of RACs. We hope our findings can aid plastic surgery training programs in better organizing educational and sustainable RACs. CI - Copyright (c) 2022 Wolters Kluwer Health, Inc. All rights reserved. FAU - Chen, Jonlin AU - Chen J AD - From the Department of Plastic and Reconstructive Surgery, The Johns Hopkins School of Medicine, Baltimore, MD. FAU - Lee, Erica AU - Lee E FAU - El Eter, Leen AU - El Eter L FAU - Cooney, Carisa M AU - Cooney CM FAU - Broderick, Kristen P AU - Broderick KP LA - eng PT - Journal Article PT - Systematic Review DEP - 20220221 PL - United States TA - Ann Plast Surg JT - Annals of plastic surgery JID - 7805336 SB - IM MH - Clinical Competence MH - Education, Medical, Graduate MH - Esthetics MH - Humans MH - *Internship and Residency MH - *Surgery, Plastic/education COIS- Conflicts of interest and sources of funding: The authors have no relevant financial disclosures to declare, and there was no funding obtained for the production of this article. EDAT- 2022/02/19 06:00 MHDA- 2022/08/11 06:00 CRDT- 2022/02/18 20:16 PHST- 2022/02/19 06:00 [pubmed] PHST- 2022/08/11 06:00 [medline] PHST- 2022/02/18 20:16 [entrez] AID - 00000637-202208000-00006 [pii] AID - 10.1097/SAP.0000000000003101 [doi] PST - ppublish SO - Ann Plast Surg. 2022 Aug 1;89(2):152-158. doi: 10.1097/SAP.0000000000003101. Epub 2022 Feb 21.