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Competency versus performance in plastic surgery: navigating through new technologies and medical devices.
The purpose of this article is to examine how plastic surgeons learn to use novel technology in their practices. In addition, a critical evaluation of current teaching methods as they relate to surgeon competence in these new technologies i…
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Effects of managed care on teaching, research, and clinical practice in academic plastic surgery.
The aim of this study was to determine: 1) if there have been changes in teaching, research, and clinical practice in academic plastic surgery in recent years; and 2) if there have been, are they associated with changes in the managed care …
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Competitive forces and academic plastic surgery.
Economic constraints developing as a result of rising health care costs in the United States pose significant challenges for and threats to the survival of academic plastic surgery. Declining clinical revenues, competition for patients and …
- Paying private practitioners to teach.
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Tissue repair after Mohs surgery. A plastic surgeon's view.
[BACKGROUND] Goals of the treatment for skin cancer include completeness of removal of the lesion, minimal functional disability, and a good aesthetic result. With increasing standards for the quality assurance and the demand for cost-effec…
- Academic plastic surgery: perspectives in a changing health care environment.
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Reconstruction after Mohs cancer excision.
At our institution, 363 skin defects following Mohs excision for carcinoma were repaired in a two-year period. The majority of the patients were women (62%). Most repairs were to the nose (42%), and almost all followed basal cell carcinoma …
- Certification: a shared responsibility.
- Cancer surveillance after augmentation mammoplasty.
- Mammography of the augmented breast.
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Repeated skin expansion to resurface a massive thigh wound.
We report here a patient who sustained posttraumatic skin and soft-tissue loss of the right thigh. Replacement of approximately 750 cm2 of split-thickness skin graft with adjacent skin serially expanded and advanced demonstrates the applica…
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Tissue expansion as an adjunctive technique for the management of difficult wounds.
Replacement of lost or injured tissues with similar tissues is a major goal of the reconstructive surgeon. A relatively new modality, tissue expansion, appears to be an helpful adjunct in achieving this goal by providing tissues for reconst…
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Use of ultrasound to locate a "lost" tissue expander injection port.
We have presented a rapid and reliable method of finding lost injection valves. (A frustrating footnote, however, is that 1 week later the port had again migrated and could not be located. Since the further anticipated gain was marginal, th…
- Medical considerations in ambulatory surgery.
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The circular excision.
A simple, practical alternative to the traditional method of excising small cutaneous lesions is described. It has the advantages of decreased length of final closure and flexibility in determining the orientation of final incisions in area…
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Dog bites.
Dog bites can be prevented by proper education of children, appropriate selection of family pets and the restraint of guard dogs in the community. An unusually high incidence of bites by German shepherds was observed in this study. Treatmen…
- Breast reconstruction following mastectomy.
- Keratoconjunctivitis sicca symptoms appearing after blepharoplasty. The "dry eye" syndrome.
- Breast prostheses.
- Chest burns in the young girl.
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Breast reconstruction after radical mastectomy.
The loss of the female breast by mastectomy for treatment of carcinoma is frequently a depressing psychologic experience. While some women learn to cope with the loss, others do not despite the use of specially constructed brassieres. Adapt…