Our Summary

This research paper compares the tools used to evaluate surgical skills in general surgery and plastic surgery. The researchers reviewed a number of studies on this topic, looking at how these skills are measured and what aspects are considered important.

They found that while there are well-developed methods for assessing both technical skills (like how well a surgeon can handle instruments or manage a surgery) and non-technical skills (like communication and leadership) in general surgery, the same cannot be said for plastic surgery.

The review showed that more than half of the studies on general surgery focused on technical skills and a few also looked at non-technical skills. On the other hand, while many of the studies on plastic surgery also focused on technical skills, none of them looked at non-technical skills alone.

The researchers conclude that plastic surgery training programs should think about using similar assessment tools as those used in general surgery. They also suggest that more research should be done to better understand how to evaluate non-technical skills in plastic surgery.

FAQs

  1. What are the differences in the evaluation of surgical skills between general surgery and plastic surgery?
  2. What are the technical and non-technical skills assessed in general surgery?
  3. What suggestions do the researchers make for the improvement of plastic surgery training programs?

Doctor’s Tip

One helpful tip a doctor might tell a patient about reconstructive surgery is to carefully follow post-operative instructions provided by the surgeon. This may include proper wound care, restrictions on physical activity, and attending follow-up appointments. Following these instructions can help ensure a successful outcome and minimize the risk of complications.

Suitable For

Patients who may benefit from reconstructive surgery include:

  1. Individuals who have suffered traumatic injuries, such as burns or fractures, that have resulted in physical deformities or functional impairments.
  2. Patients with congenital anomalies, such as cleft lip and palate, craniofacial abnormalities, or hand deformities.
  3. Cancer patients undergoing mastectomy or other treatments that result in significant changes to their appearance.
  4. Individuals seeking to correct previous cosmetic surgery procedures that have led to unsatisfactory results or complications.
  5. Patients with medical conditions, such as obesity or diabetes, that have caused physical changes that can be improved through surgery.
  6. Individuals experiencing age-related changes, such as sagging skin or loss of facial volume, who wish to restore a more youthful appearance.

Timeline

Before reconstructive surgery:

  1. Patient consultation with plastic surgeon to discuss goals, expectations, and potential risks.
  2. Pre-operative evaluations and tests to ensure patient is medically cleared for surgery.
  3. Patient education on pre-operative instructions, including medications to avoid and fasting requirements.
  4. Surgical planning and preparation, which may involve imaging studies and discussions with other healthcare providers.
  5. Consent forms signed by patient acknowledging understanding of procedure and risks.

After reconstructive surgery:

  1. Post-operative care instructions provided to patient, including wound care, activity restrictions, and follow-up appointments.
  2. Pain management and monitoring for any complications or signs of infection.
  3. Healing process, including swelling, bruising, and potential scarring.
  4. Follow-up appointments with plastic surgeon to monitor progress and address any concerns.
  5. Rehabilitation or physical therapy, if needed, to aid in recovery and optimize results.

What to Ask Your Doctor

Some questions a patient should ask their doctor about reconstructive surgery include:

  1. What specific experience do you have performing this type of reconstructive surgery?
  2. What are the potential risks and complications associated with this surgery?
  3. How long is the recovery period and what can I expect during the healing process?
  4. Will I need multiple surgeries to achieve the desired outcome?
  5. What are the expected results of the surgery and are there any limitations or potential challenges?
  6. What type of anesthesia will be used during the surgery?
  7. What is the cost of the surgery and will it be covered by insurance?
  8. Are there alternative treatment options available?
  9. How many patients have you treated with similar conditions and what has been their outcome?
  10. What post-operative care and follow-up appointments will be necessary?

These questions can help patients feel more informed and confident about undergoing reconstructive surgery.

Reference

Authors: Won P, Premaratne ID, Stoneburner J, Naidu P, Collier ZJ, Yenikomshian HA, Carey JN. Journal: J Plast Reconstr Aesthet Surg. 2023 Dec;87:238-250. doi: 10.1016/j.bjps.2023.10.055. Epub 2023 Oct 14. PMID: 37922663