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33건 · 최신순-
Physician perspectives on breast implant illness: A survey of members of the American Society of Plastic Surgeons.
[PURPOSE] Increasing patient reports of breast implant illness (BII), a broad constellation of symptoms noted by certain patients with breast implants, has prompted the plastic surgery community to explore this clinical entity. Although cur…
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Using Facial Recognition Software to Quantify Perceived Age Reduction in Patients Undergoing Blepharoplasty.
[INTRODUCTION] Changes to periorbital morphology, including decreased skin elasticity and ptosis, contribute to the appearance of an aging face. Consequently, many patients seek blepharoplasty surgery to address these changes. However, obje…
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Interprogram Differences in Core General, Core Plastic, and Plastic Surgery-Adjacent Training.
[BACKGROUND] Plastic surgery training continues to evolve with integrated residents spending more time in plastic versus general surgery. Herein, we provide an updated description of interprogram differences in core general, core plastic, a…
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Differences in accessibility and cost of plastic surgery sub-internships and away rotations for international and US medical students.
[BACKGROUND] Sub-internships are crucial for plastic and reconstructive surgery (PRS) residency matching. However, access is affected by economic and systemic barriers, particularly for international medical graduates (IMGs) and medical stu…
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Rural Representation: Factors Associated With Geographic Distribution of Plastic Surgeons in Rural United States Counties.
[BACKGROUND] Residents of rural areas in the United States (US) experience health care disparities, including limited access to plastic and reconstructive surgery (PRS). This study aims to characterize the geographic distribution of board-c…
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Are We Speaking the Same Language? A Systematic Review on the Use of Consistent Language in Reporting Fat Necrosis in Autologous Fat Grafting of the Breast.
[BACKGROUND] Autologous fat grafting is a widely adopted approach to optimize outcomes in breast reconstruction and augmentation. Although fat necrosis is a well-known consequence of autologous fat grafting, it remains inconsistently define…
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Reintroducing Flap Reconstruction: One Institution's Safe Return to Flap Surgery during the COVID-19 Pandemic.
[BACKGROUND] Prevention of nosocomial coronavirus disease 2019 (COVID-19) infection for patients undergoing flap-based reconstructive surgery is crucial to providing care and maintaining operative volume and income to support plastic surge…
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The impact of COVID-19 pandemic on free tissue transfer outcomes: A NSQIP analysis.
[BACKGROUND] The COVID-19 pandemic significantly impacted hospital resources and patient care, although its effect on free tissue transfer procedures is poorly understood. We conducted the current study to investigate the potential impact o…
- Inclusive Language, Inclusive Practice: American Society of Plastic Surgeons Member Responses to a Gender Identity Question.
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Evaluating Diversity Promotion on Integrated Plastic Surgery Residency Program Websites and Instagram Accounts.
[BACKGROUND] Medical students applying to residency, including those from underrepresented groups, strongly value cultural fit and program diversity. Program websites and social media are thus an influential information source for prospecti…
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A Systematic Review on the Implementation and Educational Value of Resident Aesthetic Clinics.
[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 eval…
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Differences in operative self-assessment between male and female plastic surgery residents: A survey of 8,149 cases.
[BACKGROUND] Previous studies show female residents tend to underrate and male residents to overrate their own performance. We sought to determine if plastic surgery resident trainee self-evaluations differ by resident sex. [METHODS] We ex…
- Fox eye surgery: Who we cut when we pick up the knife.
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An Analysis of Gender Bias in Plastic Surgery Resident Assessment.
[BACKGROUND] Previous studies have shown men and women attending physicians rate or provide operating room (OR) autonomy differently to men and women residents, with men attendings providing higher ratings and more OR autonomy to men reside…
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The Zoom Boom: How Video Calling Impacts Attitudes Towards Aesthetic Surgery in the COVID-19 Era.
[BACKGROUND] The COVID-19 pandemic has led to the widespread adoption of video calling. A parallel growth in aesthetic surgery demand has been documented. [OBJECTIVES] The authors sought to identify associations between video call engageme…
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Establishing a Culture of Patient Safety, Quality, and Service in Plastic Surgery: Integrating the Fractal Model.
[PROBLEM] There are obstacles to effective nationwide implementation of a culture of patient safety. Plastic surgery faces unique challenges in this area because quality measures are not as well-established as in other fields. Plastic surge…
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Online Patient Resources for Breast Implant-Associated Anaplastic Large Cell Lymphoma: A Readability Analysis.
[INTRODUCTION] Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is an emerging issue facing the medical community. Government organizations such as the US Food and Drug Administration and specialty groups including the Am…
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Patient-Related Risk Factors for Worsened Abdominal Well-Being after Autologous Breast Reconstruction.
[BACKGROUND] Patient-reported lower satisfaction with the abdomen preoperatively is a strong predictor of undergoing DIEP flap surgery. The authors evaluated physical well-being of the abdomen before and after flap-based breast reconstructi…
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Postoperative Complications of Panniculectomy and Abdominoplasty: A Retrospective Review.
[BACKGROUND] Recent studies of panniculectomy outcomes have reported variable complication rates ranging from 8.65% to 56%. Meanwhile, reported abdominoplasty complication rates are considerably lower (~4%). This discrepancy may be attribut…
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Breast Reduction in Adults: Identifying Risk Factors for Overall 30-Day Postoperative Complications.
[BACKGROUND] Breast reduction is a commonly performed procedure. Understanding the postoperative complication profile is important for preoperative planning and patient education. [OBJECTIVES] The authors sought to assess complication rate…
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Women Continue to Be Underrepresented in Surgery: A Study of AMA and ACGME Data from 2000 to 2016.
[OBJECTIVE] In the past decade women have comprised nearly half of U.S. medical school graduates. However, women remain underrepresented among surgical residents and practicing surgeons. We conducted the current study to assess recent trend…
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Integrated Plastic Surgery Match: Trends in Research Productivity of Successful Candidates.
[BACKGROUND] Plastic surgery continues to be one of the most competitive specialties in the residency match. Research productivity is a key component of the selection process. Nevertheless, potential applicants have a poor understanding of …
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Comparing Operative Performance between Independent and Integrated Plastic Surgery Residents.
[BACKGROUND] Anecdotally, faculty report that independent residents' operative skills differ from those of their integrated peers. This study compared operative competency between integrated (postgraduate years 4 to 6) and independent plast…
- Increasing Diversity in Plastic Surgery.
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Understanding Surgical Resident and Fellow Perspectives on Their Operative Performance Feedback Needs: A Qualitative Study.
[OBJECTIVE] Operative performance feedback is essential for surgical training. We aimed to understand surgical trainees' views on their operative performance feedback needs and to characterize feedback to elucidate factors affecting its val…
- Reply: Increasing Diversity in Plastic Surgery.
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The Therapeutic Efficacy of Botulinum Toxin in Treating Scleroderma-Associated Raynaud's Phenomenon: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial.
[OBJECTIVE] To assess the therapeutic efficacy of local injections of botulinum toxin type A (Btx-A) in improving blood flow to the hands of patients with Raynaud's phenomenon (RP) secondary to scleroderma. [METHODS] In this randomized, do…
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Empirical validation of the Operative Entrustability Assessment using resident performance in autologous breast reconstruction and hand surgery.
[BACKGROUND] In 2013, we developed the Operative Entrustability Assessment (OEA) to facilitate evaluation and documentation of resident operative skills. This web-based tool provides real-time, transparent feedback to residents on operative…
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Business Education for Plastic Surgeons: A Systematic Review, Development, and Implementation of a Business Principles Curriculum in a Residency Program.
[BACKGROUND] Rising health care costs, decreasing reimbursement rates, and changes in American health care are forcing physicians to become increasingly business-minded. Both academic and private plastic surgeons can benefit from being educ…
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Matching Procedures at the Time of Immediate Breast Reconstruction: An American College of Surgeons National Surgical Quality Improvement Program Study of 24,191 Patients.
[BACKGROUND] The purpose of this study was to assess for compounded risk of postoperative morbidity with the addition of a simultaneous contralateral breast matching procedure at the time of mastectomy and immediate breast reconstruction. …