The Scope of Plastic Surgery According to 2434 Allopathic Medical Students in the United States
The Scope of Plastic Surgery According to 2434 Allopathic Medical Students in the United States
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美国 2434 名对抗疗法医学生的整形外科范围
DOI：
10.1097/prs.0000000000000164
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发表时间：
2014
影响因子：
3.6
通讯作者：
J. Losee
中科院分区：
文献类型：
--
作者：
R. E. Kling;H. Nayar;M. Harhay;Patrick O Emelife;E. Manders;N. Ahuja;J. Losee
背景：一般公众和医生经常将整形手术等同于美容手术。作者调查了美国医学生是否存在这种看法。方法：一个全国性的调查第一和第二年对抗疗法医学生进行。学生们被要求确定46个特定的程序是否由整形外科医生执行：12个美容和34个重建程序，这些程序进一步分为三个亚组（一般重建和乳房，颅面，手和下肢）。结果如下：在发出的问卷中，来自44所医学院的2434份问卷被收回（回复率为23%）; 90.7%的美容、66.0%的一般重建和乳房、51.0%的颅面以及33.4%的手和下肢手术被正确识别。自我报告的对整形手术的兴趣（1 =完全不感兴趣，10 =非常感兴趣）与正确识别的美容手术数量无关。然而，与正确识别的重建程序存在非线性关系;与兴趣水平为1至5的人相比，选择10的人平均得分高出6.5分（14.2比20.7）（p < 0.01）。预期的外科职业生涯与所有部门更正确识别的手术相关，但与任何部门的年份（第一与第二）或地区（东北，南部，中部，西部）无关。结论：美国医学生不知道整形手术的真正范围。早期接触整形外科的基本方面可以作为一种手段，增加在该领域的兴趣和知识，并帮助教育后代的参考医生。
Background: The general public and physicians often equate plastic surgery with cosmetic surgery. The authors investigate whether this perception is present in U.S. medical students. Methods: A national survey of first- and second-year allopathic medical students was conducted. Students were asked to determine whether 46 specific procedures are performed by plastic surgeons: 12 aesthetic and 34 reconstructive procedures, which were further separated into three subgroups (general reconstruction and breast, craniofacial, and hand and lower extremity). Results: Of the questionnaires sent out, 2434 from 44 medical schools were returned completed (23 percent response rate); 90.7 percent of aesthetic, 66.0 percent of general reconstruction and breast, 51.0 percent of craniofacial, and 33.4 percent of hand and lower extremity procedures were correctly identified. There was no relationship with self-reported interest in plastic surgery (1 = not at all interested to 10 = extremely interested) and the number of correctly identified aesthetic procedures. However, there was a nonlinear relationship with correctly identified reconstructive procedures; compared to those with an interest level of 1 to 5, those who chose 10 scored on average 6.5 points higher (14.2 versus 20.7) (p < 0.01). An anticipated career in surgery was associated with more correctly identified procedures across all sections but neither year (first versus second) nor region (Northeast, South, Central, West) with any section. Conclusions: U.S. medical students are unaware of the true scope of plastic surgery. Early exposure to basic aspects of plastic surgery could serve as a means of increasing interest and knowledge in the field and help educate future generations of referring physicians.