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1.
Can J Surg ; 63(5): E454-E459, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33107817

RESUMO

SUMMARY: Small surgical residency programs like plastic surgery can be challenging environments to accommodate parental leave. This study aimed to report the experiences, attitudes and perceived support of Canadian plastic surgery residents, recent graduates and staff surgeons with respect to pregnancy and parenting during training. Residents and staff surgeons were invited via email to participate in an online survey. The results presented here explore experiences of pregnancy and parental leave of current plastic surgery residents and staff surgeons. Residents' and staff surgeons' perceptions of program director support, policies, negative comments and the impact of parental leave on the workload of others were also explored. Although the findings suggest that there may be improvements in the support of program directors, there continues to be a negative attitude in surgical culture toward pregnancy during residency. The perceived confusion of respondents with respect to programspecific policies emphasizes the need for open conversations and standardization of parental leave.


Assuntos
Atitude do Pessoal de Saúde , Internato e Residência/estatística & dados numéricos , Licença Parental/estatística & dados numéricos , Gravidez/psicologia , Cirurgia Plástica/educação , Adulto , Canadá , Feminino , Humanos , Internato e Residência/organização & administração , Masculino , Pessoa de Meia-Idade , Diretores Médicos/psicologia , Políticas , Gravidez/estatística & dados numéricos , Cirurgiões/psicologia , Cirurgiões/estatística & dados numéricos , Cirurgia Plástica/psicologia , Cirurgia Plástica/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos , Carga de Trabalho/psicologia , Carga de Trabalho/estatística & dados numéricos
2.
Plast Reconstr Surg ; 146(4): 464e-473e, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32970014

RESUMO

BACKGROUND: Physician burnout is a well-known problem and widespread issue in the field of medicine. Recently, more attention has been given to the significance of burnout among plastic surgeons. The cause of burnout is multifactorial, with emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment all playing a role. The objective of this article is to provide practical measures to help plastic surgeons in identifying the signs of burnout, thereby mitigating its consequences. METHODS: A literature review was performed to determine the comprehensive findings of previous research conducted on burnout among plastic surgeons. Particular interest was given to successful tactics used in managing work-related stress. Wellness strategies and resources from both academic and private medical settings were also obtained to further review methods for burnout management. RESULTS: There is a wide range of causes and risk factors for burnout among plastic surgeons. The majority of cases correlate with increased workload, loss of physician autonomy, and, in the context of trainees, lack of mentorship. Managing burnout can be supported by identification through survey tools. Establishing a wellness committee is also useful to develop institution-specific interventions. Equally as important, individuals must take steps to manage and minimize their burnout. CONCLUSIONS: This article provides practical strategies for institutions to identify and manage burnout among plastic surgeons. It is obvious that causes of burnout vary in different settings such as academic and community hospitals; therefore, it is critical for institutions to individualize their approach to burnout.


Assuntos
Esgotamento Profissional/diagnóstico , Esgotamento Profissional/terapia , Cirurgia Plástica/psicologia , Esgotamento Profissional/etiologia , Humanos , Fatores de Risco
4.
J Relig Health ; 59(2): 804-815, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30701424

RESUMO

This study aims to investigate the relationship between individuals' attitudes about acceptance of aesthetic surgery (e.g. rhinoplasty, autoplasty, blepharoplasty, and mammaplasty) and some of the worship practices in Islamic religion such as performing prayer, fasting, and going to pilgrimage. Although many people think that aesthetic surgery is inappropriate in Islamic religion, no studies in the literature were found to have investigated this issue. This study collected data through a questionnaire administered to 96 patients who applied to our Plastic Surgery Clinic and underwent various surgical operations and 96 patients who were recommended plastic surgery but rejected to have one; the questionnaire aimed to identify the participants' frequency of religious worship practices and appropriateness of aesthetic surgery to their beliefs. The participants responded on the frequency of religious worship levels according to the options in the questionnaire. The "Acceptance of Cosmetic Surgery Scale" was utilized in order to identify their attitudes towards aesthetic surgery. Levels of performing prayers, fasting, and going to pilgrimage in the groups that accepted surgery and in the groups that rejected surgery were significantly different (p < 0.001, p = 0.008, p < 0.001). In two different groups, the Acceptance of Aesthetic Surgery Scale scores were significantly different within the prayer groups and fasting groups (p < 0.001, p < 0.001, p = 0.001, p < 0.001). While the group that accepted surgery indicated no significant differences between those who thought about going to pilgrimage and who did not (p = 0.650), there was a significant difference in the group that rejected surgery (p < 0.001). While 14.6% of the participants in the group that accepted surgery considered aesthetic surgery a sin, this proportion was 56.3% in the group that rejected surgery, and this difference was significant (p < 0.001). In both surgery groups, there were differences in the scale scores of those who considered aesthetic surgery a sin and those who did not (p < 0.001, p < 0.001). There was a significant relationship between worship practices, one of the biggest indicators of the level of belief in Islamic religion, and aesthetic surgery attitudes. However, despite the fact that belief levels affect the decision of having an operation in plastic surgery, in case of serious health problems, the decision of having an operation becomes more important religious beliefs.


Assuntos
Islamismo , Espiritualidade , Cirurgia Plástica/psicologia , Atitude , Jejum , Feminino , Humanos , Religião e Medicina , Inquéritos e Questionários
5.
J Relig Health ; 59(1): 535-543, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31172393

RESUMO

There is an increasing interest in the effects of preoperative anxiety on the course and outcomes of surgical treatments and also in the studies about the anxiety-decreasing interventions. The present study aims to identify the relationship between the preoperative anxiety level of the individuals prior to aesthetic surgery operations such as nose, ear, eyelid, and mammoplasty and religious rituals such as performing prayers, fasting, and going to pilgrimage. The frequency of performing the religious rituals was identified through a questionnaire. The questionnaire included questions about the religious rituals such as performing prayers, going to a pilgrimage, and fasting as well as questions about sociodemographic features such as gender, age, and education level of the patients. Preoperative anxiety level was measured using the "Anxiety Specific to Surgery Questionnaire." The nonparametric Mann-Whitney U test was used for the scale score comparisons of the two independent groups. The scale score comparisons of more than two groups were performed using the Kruskal-Wallis test. The relationships between age and scale scores were analyzed using the Spearman's correlation coefficient. The study involved 117 patients who were planned to undergo an aesthetic surgery operation. The scale scores were significantly different according to the pilgrimage groups (p = 0.004). The scale scores were significantly different according to the level of fasting (p = 0.022). No significant differences were found between the scales scores of the groups who reported the frequency of performing prayer as never, sometimes or five times (p = 0.515). In conclusion, the present study found that Muslim people who performed religious rituals more often experienced less preoperative anxiety levels in plastic surgeries, which indicates that the belief level is an effective factor in preoperative anxiety levels. The findings of the present study indicate that patients' beliefs and worship practices should be taken into consideration by doctors, operating room personnel, and even all health workers in order to decrease the anxiety levels of patients who will undergo surgery.


Assuntos
Ansiedade/psicologia , Islamismo/psicologia , Período Pré-Operatório , Qualidade de Vida/psicologia , Espiritualidade , Cirurgia Plástica/psicologia , Adulto , Ansiedade/epidemiologia , Ansiedade/etiologia , Jejum , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Religião e Medicina , Estresse Psicológico/epidemiologia , Estresse Psicológico/psicologia , Inquéritos e Questionários , Turquia/epidemiologia
6.
Obstet Gynecol ; 135(1): 249-250, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31856120

RESUMO

"Female genital cosmetic surgery" is a broad term that comprises numerous procedures, including labiaplasty, clitoral hood reduction, hymenoplasty, labia majora augmentation, vaginoplasty, and G-spot amplification. Both patient interest in and performance of cosmetic genital procedures have increased during the past decade. Lack of published studies and standardized nomenclature related to female genital cosmetic surgical procedures and their outcomes translates to a lack of clear information on incidence and prevalence and limited data on risks and benefits. Women should be informed about the lack of high-quality data that support the effectiveness of genital cosmetic surgical procedures and counseled about their potential complications, including pain, bleeding, infection, scarring, adhesions, altered sensation, dyspareunia, and need for reoperation. Obstetrician-gynecologists should have sufficient training to recognize women with sexual function disorders as well as those with depression, anxiety, and other psychiatric conditions. Individuals should be assessed, if indicated, for body dysmorphic disorder. In women who have suspected psychological concerns, a referral for evaluation should occur before considering surgery. As for all procedures, obstetrician-gynecologists who perform genital cosmetic surgical procedures should inform prospective patients about their experience and surgical outcomes. Patients should be made aware that surgery or procedures to alter sexual appearance or function (excluding procedures performed for clinical indications, such as clinically diagnosed female sexual dysfunction, pain with intercourse, interference in athletic activities, previous obstetric or straddle injury, reversing female genital cutting, vaginal prolapse, incontinence, or gender affirmation surgery) are not medically indicated, pose substantial risk, and their safety and effectiveness have not been established.


Assuntos
Complicações Pós-Operatórias/epidemiologia , Cirurgia Plástica/efeitos adversos , Cirurgia Plástica/ética , Vagina/cirurgia , Medicina Baseada em Evidências , Feminino , Humanos , Medição de Risco , Segurança , Cirurgia Plástica/psicologia , Resultado do Tratamento
7.
Obstet Gynecol ; 135(1): e36-e42, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31856125

RESUMO

"Female genital cosmetic surgery" is a broad term that comprises numerous procedures, including labiaplasty, clitoral hood reduction, hymenoplasty, labia majora augmentation, vaginoplasty, and G-spot amplification. Both patient interest in and performance of cosmetic genital procedures have increased during the past decade. Lack of published studies and standardized nomenclature related to female genital cosmetic surgical procedures and their outcomes translates to a lack of clear information on incidence and prevalence and limited data on risks and benefits. Women should be informed about the lack of high-quality data that support the effectiveness of genital cosmetic surgical procedures and counseled about their potential complications, including pain, bleeding, infection, scarring, adhesions, altered sensation, dyspareunia, and need for reoperation. Obstetrician-gynecologists should have sufficient training to recognize women with sexual function disorders as well as those with depression, anxiety, and other psychiatric conditions. Individuals should be assessed, if indicated, for body dysmorphic disorder. In women who have suspected psychological concerns, a referral for evaluation should occur before considering surgery. As for all procedures, obstetrician-gynecologists who perform genital cosmetic surgical procedures should inform prospective patients about their experience and surgical outcomes. Patients should be made aware that surgery or procedures to alter sexual appearance or function (excluding procedures performed for clinical indications, such as clinically diagnosed female sexual dysfunction, pain with intercourse, interference in athletic activities, previous obstetric or straddle injury, reversing female genital cutting, vaginal prolapse, incontinence, or gender affirmation surgery) are not medically indicated, pose substantial risk, and their safety and effectiveness have not been established.


Assuntos
Complicações Pós-Operatórias/epidemiologia , Cirurgia Plástica/efeitos adversos , Cirurgia Plástica/ética , Vagina/cirurgia , Medicina Baseada em Evidências , Feminino , Humanos , Medição de Risco , Segurança , Cirurgia Plástica/psicologia , Resultado do Tratamento
9.
Rev. bras. cir. plást ; 34(3): 344-348, jul.-sep. 2019. ilus, tab
Artigo em Inglês, Português | LILACS | ID: biblio-1047150

RESUMO

Introdução: A maior exposição nas mídias sociais gerou uma maior autoavaliação e a consequente busca pela aparência ideal. Dessa forma, a motivação de utilizar métodos cirúrgicos para melhora da aparência física cresce exponencialmente. Métodos: Foram distribuídos 3 questionários para 64 alunos: "Body Shape Questionnaire" (BSQ), "Escala de Investimento Corporal" (EIC) e "Questionário de interesse em cirurgias plásticas futuras" (QICPF). A partir da tabulação dos dados, foi realizada a análise estatística quantitativa por meio do teste qui-quadrado e risco relativo, para estudo objetivo e cruzado dos questionários. Resultados: O BSQ médio foi de 98,04, a relação de maior pontuação nesse questionário com QIRCP apresentou Risco Relativo (RR=2,41 e p=0,002). A média do EIC foi de 91 e, quando relacionado com QIRCP, não se apresentou estatisticamente relevante (RR=0,94 e p=0,83). Quanto à pergunta objetiva de satisfação corporal e o QIRCP, nota-se que a maior insatisfação corporal é fator de risco para querer realizar mais cirurgias plásticas (RR=1,94 e p=0,003) e as mulheres apresentam-se como o gênero de maior interesse (RR=3,01 e p=0,01). Conclusões: A análise estatística para a população estudada sugere que BSQ elevado, insatisfação corporal e mulheres apresentam maior interesse em realizar cirurgia plástica.


Introduction: Social media has generated an increase in selfevaluation and the search for the ideal appearance. Thus, the motivation to use surgical methods to improve physical appearance has grown exponentially. Methods: The Body Shape Questionnaire (BSQ), Body Investment Scale (BIS), and Questionnaire of Interest in Future Plastic Surgeries (QIFPS) were administered to 64 students. Once the data were collected, a quantitative statistical analysis using the chi-square test and relative risk (RR) was conducted. Results: The BSQ mean was 98.04, the relation of greater punctuation in this questionnaire with QIFPS presented an RR of 2.41; (p = 0.002). The mean BIS score was 91; compared to the QIFPS, it was not statistically relevant (RR = 0.94; p = 0.83). Regarding the objective question of body satisfaction and QIFPS, highest body dissatisfaction was a risk factor for desiring more plastic surgeries (RR = 1.94; p = 0.003), as was female sex (RR = 3.01; p = 0.01). Conclusions: Our findings suggest that a high BSQ score, high body dissatisfaction, and female sex are risk factors for a desire to undergo plastic surgery.


Assuntos
Humanos , História do Século XXI , Satisfação Pessoal , Cirurgia Plástica , Imagem Corporal , Análise Estatística , Inquéritos e Questionários , Estética , Aparência Física , Cirurgia Plástica/psicologia , Cirurgia Plástica/estatística & dados numéricos , Cirurgia Plástica/ética , Imagem Corporal/psicologia , Estética/psicologia
11.
Plast Reconstr Surg ; 144(2): 499-504, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31348367

RESUMO

BACKGROUND: The use of social media to discuss topics related to and within plastic surgery has become widespread in recent years; however, it remains unclear how to use this abundance of largely untapped data to propagate educational research in the field of plastic surgery. In this prospective, observational study, the authors aimed to delineate which plastic surgery-related topics evoked a significant emotional response within the study population and to assess the utility of motivational artificial intelligence within the field of plastic surgery. METHODS: Over a 4-month period (January to April of 2018), Cognovi Lab's artificial intelligence technology was used to search and analyze emotional reactions to several commonly hashtagged words. This innovative software uses several key metrics to describe its findings, including awareness, engagement, and motivation. RESULTS: Of the search terms examined, "nose job" had the most awareness during the study period, and the topic that most engaged consumers emotionally was "liposuction." Interestingly, "liposuction" ranked only fifth in terms of awareness. Consumers showed the strongest positive motivation toward the subjects of "plastic surgery" and "cosmetic surgery," and the lowest motivation toward the topic of "tummy tucks." CONCLUSIONS: This analysis by Cognovi Labs is the first quantitative effort to use the plethora of data on social media to interpret patient motivations and subsequent behavior. Moving forward, artificial intelligence technology will make it possible to predict which plastic surgery products, procedures, and practices will be successful. The findings presented in this article describe the unique viewpoint and power that this technology can deliver.


Assuntos
Inteligência Artificial/estatística & dados numéricos , Satisfação do Paciente/estatística & dados numéricos , Mídias Sociais/estatística & dados numéricos , Cirurgia Plástica/métodos , Bases de Dados Factuais , Inteligência Emocional , Estética , Feminino , Humanos , Aprendizado de Máquina , Masculino , Estudos Prospectivos , Cirurgia Plástica/psicologia , Resultado do Tratamento
12.
Body Image ; 30: 64-74, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31174082

RESUMO

In this study, we examined the relations between drag queens' gendered performance styles and body change attitudes and behaviors. We also examined potential mediating and moderating variables in these links via two moderated mediation models. Participants consisted of 192 drag queen performers who completed a web-based survey. Hyper-feminine but not gender fluid drag was positively related to disordered eating, acceptance of cosmetic surgery, internalization of cultural standards of beauty, and upward appearance comparison. Both internalization of cultural standards of beauty and upward appearance comparison mediated the hyper-feminine drag and disordered eating link. Beauty internalization also mediated the hyper-feminine drag and acceptance of cosmetic surgery link but upward appearance comparison did not. We discovered two significant conditional indirect effects, in which the indirect effect of the hyper-feminine drag on both disordered eating and acceptance of cosmetic surgery via internalization of cultural standards of beauty were stronger for those with high levels of drag identity salience. Finally, we found a conditional direct effect, where hyper-feminine drag predicted acceptance of cosmetic surgery among drag queens with high and average levels of drag identity salience but not low levels.


Assuntos
Beleza , Imagem Corporal/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/diagnóstico , Cirurgia Plástica/psicologia , Adolescente , Adulto , Atitude , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Identidade de Gênero , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
13.
Plast Reconstr Surg ; 143(4): 1259-1265, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30921153

RESUMO

BACKGROUND: Social media play an important role in plastic surgery, yet there are limited studies in the literature to guide plastic surgeons' social networking practices. To address this deficiency and provide further insight, the authors set out to investigate the public's attitude toward plastic surgery using Twitter, a popular social media platform. The authors examined a large body of messages (tweets) related to plastic surgery using novel techniques of natural language processing and sentiment analysis. METHODS: The authors collected over 1 million tweets with the keywords "plastic," "cosmetic," "aesthetic," and "reconstruction" surgery spanning from 2012 to 2016 from the Twitter Gardenhose feed. Using hedonometrics, the authors extracted the average happiness/positivity (havg) of tweets and created word-shift graphs to determine the most influential words. RESULTS: The positivity scores for keywords "plastic," "cosmetic," "aesthetic," and "reconstruction" surgery were 5.72, 6.00, 6.16, and 6.09, respectively. In relation to "plastic," keywords "cosmetic" and "aesthetic" were more positive because they lacked antagonistic words, such as "fake," "ugly," "bad," "fails," or "wrong." The keyword "reconstruction," however, was more positively associated than the term "plastic" because of an increase in positive words, such as "honor," "amazing," "successful," and "respect." CONCLUSIONS: Tweets containing the term "plastic" surgery trended toward negativity, and may be explained by the increase in unfavorable, associative words. Conversely, related terms such as "aesthetic," "cosmetic," and "reconstruction" were more favorably regarded because of the lack of antagonistic words and the presence of supportive words. The authors' results are informative and may serve to guide plastic surgeons' social media practices.


Assuntos
Percepção , Mídias Sociais/estatística & dados numéricos , Cirurgia Plástica/psicologia , Atitude Frente a Saúde , Estética/psicologia , Felicidade , Humanos , Cirurgia Plástica/estatística & dados numéricos , Terminologia como Assunto
14.
Plast Reconstr Surg ; 143(2): 619-630, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30688911

RESUMO

BACKGROUND: Social media discussions are alive among plastic surgeons. This article represents a primer on beginning to understand how the public would seek out plastic surgeons and how demographics shape their preferences. METHODS: An anonymous 31-question survey was crowdsourced by means of MTurk. RESULTS: There were a total of 527 respondents. Of these respondents, 33 percent follow plastic surgeons on social media, with those aged younger than 35 years 3.9 times more likely to do so. Google was the first place people would look for a plastic surgeon (46 percent). When asked what was the most influential of all online methods for selecting a surgeon, practice website ranked first (25 percent), but social media platforms ranked higher as a whole (35 percent). Those considering surgical or noninvasive procedures are thee times more likely to select social media platforms as the most influential online method in selecting a surgeon and five times more likely to follow a plastic surgeon on social media. The majority would prefer not seeing the surgeon's private life displayed on social media (39 percent). Respondents were evenly split regarding whether graphic surgical images would lead them to unfollow accounts. Ninety-six percent of the general public were unclear of the type of board certification a plastic surgeon should hold. CONCLUSIONS: Clear differences in engagement and perception exist in the public based on age, sex, parental status, and reported country of origin. Social media will soon become a critical strategy in outreach and engagement and a valuable tool in clearing misconceptions within plastic surgery.


Assuntos
Demografia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Preferência do Paciente/estatística & dados numéricos , Profissionalismo , Mídias Sociais/ética , Cirurgiões/ética , Cirurgia Plástica/ética , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Técnicas Cosméticas/ética , Técnicas Cosméticas/psicologia , Crowdsourcing , Feminino , Pesquisas sobre Serviços de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Educação de Pacientes como Assunto/ética , Educação de Pacientes como Assunto/métodos , Preferência do Paciente/psicologia , Procedimentos Cirúrgicos Reconstrutivos/ética , Procedimentos Cirúrgicos Reconstrutivos/psicologia , Mídias Sociais/estatística & dados numéricos , Cirurgia Plástica/psicologia , Adulto Jovem
15.
J Plast Reconstr Aesthet Surg ; 72(5): 813-820, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30638894

RESUMO

BACKGROUND: In our previous retrospective study, we detected an increased quality of life after aesthetic abdominoplasty. In this survey, we analyzed quality of life, self-esteem, emotional stability, and mental health before and after aesthetic abdominoplasty prospectively. METHODS: Twenty-two female patients were surveyed before and six months after their surgeries. The testing instrument consisted of a self-developed indication-specific questionnaire and four standardized tests (Questions on Life Satisfaction plus a specified part body image, Rosenberg Self-Esteem Scale, Freiburg Personality Inventory, and Patient Health Questionnaire-4). RESULTS: Significantly increased values were found concerning feeling comfortable in swimwear in front of the mirror or the sexual partner and at social or professional activities (each p=0.000). Women had less problems doing sports (p=0.029) and felt more feminine (p=0.012). Sum scores of general life satisfaction (p=0.016) and scores of the items leisure activity (p=0.003), relaxing abilities (p=0.002), and sexuality (p=0.046) showed significant improvements. The body image improved in general (p=0.010) and in particular in the items abdomen, hips, and waist (each p=0.000). Emotional stability increased significantly (p=0.029). We detected a mild mental depression in 27% and a moderate depression in 32% of our patients before surgery. Depressive disorders were significantly reduced (p=0.004) down to mild depression in 18% and moderate depression in 9% of the patients. CONCLUSION: Positive results for quality of life shown in the retrospective study were confirmed. Abdominoplasty improves general life satisfaction and satisfaction with health and outer appearance and increases emotional stability. Depressive patients showed a significant improvement after aesthetic abdominoplasty.


Assuntos
Abdominoplastia , Qualidade de Vida , Cirurgia Plástica/psicologia , Abdominoplastia/psicologia , Adulto , Idoso , Imagem Corporal/psicologia , Humanos , Pessoa de Meia-Idade , Satisfação do Paciente , Estudos Prospectivos , Qualidade de Vida/psicologia , Autoimagem , Inquéritos e Questionários , Adulto Jovem
17.
Plast Reconstr Surg ; 143(2): 640-645, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30531627

RESUMO

BACKGROUND: Integrated plastic surgery residency applicants sometimes complete research fellowships before residency. The average productivity and the impact of these fellowships on subsequent application to residency are unknown. The purpose of this study was to provide objective data to better understand the utility and productivity of a research fellowship. METHODS: A national survey was conducted in which integrated plastic surgery residency applicants from 2013 to 2016 were surveyed regarding their experiences with research fellowships. American Council of Academic Plastic Surgeons members were also surveyed to elicit their perspectives on the value of these fellowships. RESULTS: Six hundred twenty-one integrated plastic surgery applicants from 2013 to 2016 were included in the study. Twenty-five percent of applicants participated in a research fellowship. Applicants who completed research fellowships were more likely to match into plastic surgery compared to those who did not (97 percent versus 81 percent, respectively; p < 0.05). Fellows were highly satisfied with their fellowship experience and produced an average of five publications and presentations per fellowship year. Sixty-three percent of research fellowships were performed to strengthen applications to categorical integrated plastic surgery residency. American Council of Academic Plastic Surgeons members considered three or four publications/presentations productive. Most do not recommend research fellowships to all medical students. CONCLUSIONS: Research fellowships can effectively prepare for categorical plastic surgery by improving publication and presentation experience. This is the first study to show that applicants who completed research fellowships were highly satisfied with their experience, accomplished higher than expected levels of productivity, and statistically significantly matched into an integrated plastic surgery residency more often than applicants without research fellowships.


Assuntos
Pesquisa Biomédica/educação , Bolsas de Estudo , Internato e Residência , Critérios de Admissão Escolar/estatística & dados numéricos , Cirurgia Plástica/educação , Atitude do Pessoal de Saúde , Pesquisa Biomédica/estatística & dados numéricos , Eficiência , Bolsas de Estudo/estatística & dados numéricos , Humanos , Editoração , Estudantes de Medicina/psicologia , Estudantes de Medicina/estatística & dados numéricos , Cirurgia Plástica/psicologia , Inquéritos e Questionários , Estados Unidos
18.
Ann Plast Surg ; 82(2): 133-136, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30570564

RESUMO

In the United States, 54 million people live in a designated health service area with either no plastic surgeon or less than 1 plastic surgeon per 100,000 population. Previous studies demonstrate that patients in rural communities often have limitations with access to basic primary care services and subspecialty care services. Such limitations can have significant adverse impacts on health care and quality of life. Plastic and reconstructive surgeons offer unique advantages especially within rural settings given their broad scope of surgical skillsets. The purposes of this study are to illustrate the shortage of plastic and reconstructive surgeons within rural America catchment regions, identify and outline certain care offerings provided by these surgical specialists, and highlight the potential impact having such specialists directly involved in provision of care to patients within rural community settings. Our group will present data demonstrating misperceptions and an unawareness by hospital administrators on routine care services provided through plastic surgery practices. We will also report on selective surgical offerings of 2 rural-based plastic surgeons and outline certain financial and reimbursement findings from their practices, while also illustrating the impact of their practice on their patients and the health care systems they provide coverage.


Assuntos
Procedimentos Cirúrgicos Reconstrutivos/psicologia , Serviços de Saúde Rural/tendências , População Rural/estatística & dados numéricos , Cirurgia Plástica/psicologia , Humanos , Estados Unidos
19.
Niger Postgrad Med J ; 25(4): 257-263, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30588948

RESUMO

Background: Female genital cosmetic surgery (FGCS) is performed in other to restore or enhance the female genitalia. Materials and Methods: This is a cross-sectional study assessing the knowledge and attitude of 310 women attending gynaecology clinic towards FGCS at University College Hospital, Ibadan, Nigeria. Data were analysed using SPSS 20. Results: Mean age of respondents was 33.28 ± 7.68 years. Majority were married (76.1%) in monogamous family (87.7%) and almost half (49.7%) were multipara. About 56.1% had vaginal delivery of which 84.5% had perineal tear or/and episiotomy. Overall, 27.7% had heard about FGCS and 84.2% had positive attitude towards the procedure. Respondents' age, marital status and occupation were associated with their knowledge and attitude to FGCS. Women with skilled occupation were more likely to have the knowledge and positive attitude to FGCS. Conclusion: The knowledge of FGCS was low; however, majority had positive attitude towards it because of its associated sexual and psychological satisfaction.


Assuntos
Genitália Feminina/cirurgia , Conhecimentos, Atitudes e Prática em Saúde , Cirurgia Plástica , Adulto , Estudos Transversais , Feminino , Hospitais de Ensino , Humanos , Pessoa de Meia-Idade , Nigéria , Rejuvenescimento/psicologia , Cirurgia Plástica/psicologia , Inquéritos e Questionários
20.
Aesthetic Plast Surg ; 42(6): 1635-1647, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30019242

RESUMO

INTRODUCTION: The assessment of outcomes in aesthetic rhinoplasty is highly relevant because patient satisfaction and improved health-related quality of life (QoL) are the predominant factors in determining success. The patient-reported outcome measures (PROMs) employed in rhinoplasty research studies are remarkably diverse, thus yielding difficulties with data analysis. The aim of this article is to provide a comprehensive review of the literature to reveal the relevance of the QoL assessment for rhinosurgeons. METHODS: A systematic literature search with the terms "Rhinoplasty" and "Quality of Life" was conducted using PubMed/MEDLINE, Google Scholar and Cochrane databases. Primarily, all publications related to QoL following aesthetic rhinoplasty between 2002 and 2017 were identified. As a secondary selection, we focused on articles with a prospective study design, a significant cohort size (at least 50 patients) and a follow-up period of at least 6 months after aesthetic rhinoplasty. RESULTS: A total of 62 PROM studies assessing QoL following aesthetic rhinoplasties were obtained. We ascertained an increasing publication rate of QoL articles over the last 15 years. Only 17 studies satisfied comprehensive inclusion criteria of a high qualitative study selection. The Rhinoplasty Outcome Evaluation was the most frequently used QoL questionnaire of the secondary selection (70.6%). The total number of 16 various questionnaires exhibit high heterogeneity. CONCLUSION: Our data strengthen the increasing importance of the assessment of QoL after rhinoplasty. Despite a lack of reliable publications with considerable heterogeneity and large variability in outcomes, functional-aesthetic rhinoplasty leads to a significant improvement of patient's health-related QoL. LEVEL OF EVIDENCE II: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .


Assuntos
Satisfação do Paciente , Qualidade de Vida , Rinoplastia/métodos , Rinoplastia/psicologia , Feminino , Humanos , Masculino , Nariz/cirurgia , Medidas de Resultados Relatados pelo Paciente , Medição de Risco , Cirurgia Plástica/métodos , Cirurgia Plástica/psicologia , Resultado do Tratamento , Estados Unidos
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