Viewing abstract #113

Patient attitudes toward resident participation in cosmetic versus reconstructive outpatient consultations

Katherine H. Carruthers, M.S., James D. McMahan, M.D., Anne Taylor, M.D., Zach Barnes, M.D., Gregory Pearson, M.D., Ergun Kocak, M.D., M.S.

2013-02-19

Presenter: Ergun Kocak, M.D., M.S.

Affidavit:

Director Name:

Presentation Category: Clinical
Abstract Category: Aesthetics

Purpose
In some teaching institutions it is common practice to exclude residents from participation in consultations with patients who are seeking cosmetic surgery. The goal of this study was to determine whether cosmetic patients had a different view about resident involvement than reconstructive patients and to evaluate what factors might be linked to patient attitudes on this topic.

Methods
New patients were asked to complete a survey at their initial consultation. This survey asked patients to identity themselves as either cosmetic or reconstructive and to indicate the location on their body where they were having surgery. Additionally, a series of statements regarding resident involvement was present with a 5-point Likert-type rating system to assess each patient's attitudes about a range of factors, such as resident gender and seniority.

Results
119 patients participated in the study. Of this population, 59.7% (n=71) were classified as reconstructive patients, 40.3% (n=48) were classified as cosmetic patients. Based on responses, it was determined that reconstructive patients were more approving of resident involvement in their care than cosmetic patients. When factors were analyzed, the body part being examined appeared to have a more significant effect on cosmetic patients compared to reconstructive ones.

Conclusion
Although there are some differences in the way resident participation is perceived by cosmetic and reconstructive patient populations, neither group is strongly opposed to having residents assist their primary physicians. Based on these findings, training programs should begin to allow residents to become more involved in the care of cosmetic patients.