American Council of Academic Plastic Surgeons - American ...



INCLUDEPICTURE "" \* MERGEFORMATINET INCLUDEPICTURE "" \* MERGEFORMATINET INCLUDEPICTURE "" \* MERGEFORMATINET INCLUDEPICTURE "" \* MERGEFORMATINET INCLUDEPICTURE "" \* MERGEFORMATINET ACAPS Overseas Rotation Survey Results21 individuals filled out the survey.Program Name (Question 1)Program Director (Question 2)Mayo Clinic ArizonaAnthony SmithUC DavisMichael WongStanfordGordon LeeGrand Rapids Medical Education partners/MSURonald FordUTMB GalvestonLinda PhillipsuvaTom GampperJohns Hopkins/Univ of MarylandScott LifchezUniversity of FloridaBruce MastPenn State Hershey Plastic SurgeryTimothy JohnsonMedstar Georgetown HospitalStephen BakerUniversity of CincinnatiW John KitzmillerBaylorScott & White/Texas A&MRobert WeberMount Sinai, NYLester SilverUniversity of OklahomaKamal Sawanucla medical centerGeorge RudkinUniversity of WisconsinA Neil SalyapongseUCSDAmanda GosmanDouglas RothkopfDouglas RothkopfUniversity of Miami/ Jackson Health SystemsSeth ThallerLehigh Valley Health NetworkRobert Murphycooper/CMSRUMartha Matthews3Does your program sponsor overseas mission trips with residents? If you answered yes to question 3 please answer questions 4 through 7.4Do faculty attend and supervise? 5What types of surgical procedures are done?Clefts, burns (2 responses)Cleft, burns, hand (2 responses)At one site-broad group of surgeries At another site-cleft/craniofacial.Cleft lip and palate, congenital craniofacial, post burn reconstructionCleft lip and palate, congenital hand, burn reconstructionCleft lip, cleft palate, etcCleft lip, palate, hand surgery, burn reconstruction, skin grafting, local flaps.Cleft,facial deformities, burnsHand and cleftMostly cleft lip and palatePediatric craniofacial, adult head and neckThe full spectrum of plastic surgery (cleft, burn, hand, general recon, secondary facial procedures)...okay...no cosmetic.Typically cleft lip and palate surgery; occasional other minor procedures. Guwahati, India6Are RRC requirements met so that residents can count cases? 7Do you partner with another organization?7aIf so, whom?1-Komedyplast, 2-Tran Tien Foundation in Hue, VNConnectMed InternationalFaith in ActionInterplast SouthMedishareOperation SmileOperation Smile, Project HaitiResurge (aka Interplast)SeveralU Miami8Does your program support residents seeking non-program sponsored overseas mission trips? If you answered yes to question 8 please answer questions 9 through 12.9Do faculty attend and supervise? 10What types of surgical procedures are done?CleftCleft lip and palateCleft lip and palate, burn reconstructionCleft lip, palate, hand surgery, burn reconstruction, local flaps. Most of our residents are part of PROGRAM-SPONSORED trips. Rarely do they go on non-sponsored trips on their own.Cleft lip, palate,etcCleft, burns, handCleft, general, handCleft, handClefts, burnsDepends on location; can be full spectrumHand11Are RRC requirements met so that residents can count cases? 12Do you partner with another organization?12 aIf so, whom?Healing the ChildrenHealth Volunteers Overseas and othersInterfaceMayan FamiliesOperation Smile, Porject HaitiSeveral 13Comments:For question #6, we do not have our resident count cases when they go on international mission trips. I am not aware of a formal approval by the RRC/ ACGME to be able to count these cases at this time.I object to overseas cases being counted in the same way as domestic cases, in that there is minimal to no follow up and fairly minimal preoperative, as well as the fact that in some of the organizations, the resident is supervised by a surgeon who does not do cleft surgery in the US. Your question- do faculty attend and supervise- does not really cover the entire topic of supervision. If the faculty member is actually a breast surgeon who only does clefts once a year in foreign countries, and has never seen his 1 year postop results, I have a hard time accepting that this is equivalent training to working with an experienced cleft surgeon.Our DIO is not supportivePrgram sponsorship refers to endorsement by the program and not financial sponsorship.UF has been going to Honduras for more than 20 years. The residents go for the experience and NOT for augmenting or providing operative exposure to cleft lip/palate.We also take advantage of other opportunities/requests that may come up from time to time re:work abroad.We do not count cases for sponsored trips because i was not aware that had been approved?We have already completed a survey about plastic surgery mission trips and will publish our data. SRTWe have supported residents doing international work with Rotaplast and Operation Smile. We have supported residents taking a year off for medical missions between PGY 3 and PGY 4 clinical years.We value the experience, but it is difficult to set up two week rotations as opposed to one. This is why we do not seek RRC approval. ................
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