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How low can we go: Achieving postoperative day 1 discharge after deep inferior epigastric perforator, a safe and feasible goal.
[BACKGROUND] Although rare reports describe discharge to be possible within 48 hours for patients undergoing autologous breast reconstruction, average length of stay remains around 3 days. This study aimed to demonstrate that patients can b…
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Young Adult and Adolescent Gender-affirming Care: Defining Perioperative Protocols.
[BACKGROUND] Adolescents and young adults who undergo gender-affirming care require special consideration in the postoperative period. This study evaluated pain management and perioperative details during our clinic's transition to outpatie…
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Progress With Shortcomings: An Examination of Demographic Representation in Integrated Plastic Surgery Residencies.
[BACKGROUND] This retrospective study investigates progress in representation among Black, Hispanic, American Indian/Alaska Native (AIAN) Native Hawaiian/Pacific Islander (NHPI), and female demographics in plastic surgery and other surgical…
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Results of a Pilot Virtual Microsurgery Course for Plastic Surgeons in LMICs.
[BACKGROUND] The Plastic Surgery Foundation's Surgeons in Humanitarian Alliance for Reconstruction, Research and Education (SHARE) program seeks to expand surgical capacity worldwide through mentorship and training for local plastic surgeon…
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Management of Plastic Surgery Complications at a Tertiary Medical Center after Aesthetic Procedures.
[BACKGROUND] The aesthetic plastic surgery industry has seen tremendous growth, with Americans spending an estimated 20 billion dollars on procedures in 2020. However, the effect of complications from these procedures on the healthcare syst…
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Comparing Trends in Medicare Reimbursement and Inflation within Plastic Surgery Subspecialties.
[BACKGROUND] Over the past decade across multiple surgical specialties, Medicare reimbursement rates have remained stagnant, failing to keep pace with inflation. An internal comparison of subspecialties within plastic surgery has not yet be…
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Defining the Incidence of the Impostor Phenomenon in Academic Plastic Surgery: A Multi-Institutional Survey Study.
[BACKGROUND] Impostor phenomenon occurs when high-achieving individuals have persistent self-doubt despite objective measures of competence and success, and has been associated with professional burnout and attenuated career advancement in …
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Differences in Applicant Perceptions of Virtual Interviews Between Integrated Plastic Surgery and Subspecialty Fellowship Applicants.
[OBJECTIVE] We aim to survey and compare integrated plastic surgery and plastic surgery subspecialty fellowship applicants on their experiences with virtual interviews and to determine if there are differences between them. [DESIGN] An IRB…
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Plastic Surgery Diversity, Equity, and Inclusion Mentorship Program and Workshop: A Single Institution's Experience.
Several minority groups and students without home plastic surgery programs remain underrepresented in plastic surgery. To address these barriers, our division created the Plastic Surgery Diversity, Equity, and Inclusion Mentorship Program a…
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The Cost of Doing Business: An Appraisal of Relative Value Units in Plastic Surgery and Other Surgical Subspecialties.
[BACKGROUND] The relationship between procedural complexity and relative value units (RVUs) awarded has been studied within some specialties, but it has not yet been compared across different surgical disciplines. This study aims to analyze…
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Glabellar Botulinum Toxin Injection Improves Depression Scores: A Systematic Review and Meta-Analysis.
[BACKGROUND] Depression is a leading cause of disability worldwide. Preliminary evidence suggests that glabellar onabotulinumtoxinA injections improve depression scores with few side effects compared to current first-line antidepressant med…
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Topical Dimethyl Sulfoxide for Congested Nipple-areolar Complexes in Breast Surgery: A Pilot Study.
[UNLABELLED] Necrosis of the nipple-areolar complex (NAC) is a major complication of breast surgery that most commonly results from venous congestion. Several conservative rescue therapies have been proposed for relieving NAC congestion, bu…
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Ethical Dilemmas in Global Plastic Surgery: Divergent Perspectives of Local and Visiting Surgeons.
[BACKGROUND] As more of the world's resources are directed toward improving patient access to safe surgical and anesthesia care, there is a growing concern that volunteer surgeons' "desire to help" has numerous unintended consequences. The …
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Standardized Letters of Recommendation in Plastic Surgery: The Impact of Gender and Race.
[BACKGROUND] In the last few decades, standardized letters of recommendation have seen increasing popularity among various medical specialties and have been shown to demonstrate score inflation and gender bias in some select specialties. Th…
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Using the Disruptive Score to Identify Publications That Changed Plastic Surgery Practice.
[PURPOSE] The impact of academic publications is often characterized by the total number of future citations. However, this metric does not adequately characterize the true impact in terms of changing practices or paradigms. A new metric ca…
- The Impact of the SARS-CoV-2 (COVID-19) Pandemic on the 2020 to 2021 Integrated Plastic Surgery Residency Cycle.
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Integrated Plastic Surgery Residency Applicant Perceptions of Virtual Interviews.
[PURPOSE] The 2020-2021 interview cycle for integrated plastic surgery applicants was the first to be held virtually because of the COVID-19 pandemic. Here, we detail the largest study on integrated plastic surgery applicant perceptions aft…
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The Plastic Surgery Learning Module: Improving Plastic Surgery Education for Medical Students.
[BACKGROUND] Medical students receive limited exposure to the field of plastic surgery because most students will not rotate in plastic surgery, especially those at schools without dedicated plastic surgery residency programs. This study ai…
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Improving the Standardized Letter of Recommendation in the Plastic Surgery Resident Selection Process.
[OBJECTIVE] The American Council of Academic Plastic Surgeons (ACAPS) Plastic Surgery Recommendation Form is a standardized letter of recommendation (SLOR) used in the plastic surgery resident selection process since 2012. This study aims t…
- Discussion: Mentorship in Plastic Surgery: A Critical Appraisal of Where We Stand and What We Can Do Better.
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Philanthropy in Plastic Surgery: Best Practices and Measuring Impact.
[BACKGROUND] Philanthropy in plastic surgery supports research, clinical care, academic infrastructure, and education in the United States and internationally. Plastic surgeons have opportunities to innovatively address unmet needs in their…
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The Influence of Academic Pedigree on Integrated Plastic Surgery Resident Training Location.
[INTRODUCTION] Plastic surgery residencies are among the most competitive programs for graduate medical education. While board scores and research output are well-studied indicators of match success, no studies describe the association betw…
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Prevalence of Workforce Diversity Research Among Surgical Specialties in the United States: How Does Plastic Surgery Compare?
[BACKGROUND] Plastic surgeons are not as diverse as expected in relation to the increasingly diverse patient and medical student population. The authors assess the state of diversity in 8 primary surgical specialties in the United States an…
- Reply: Diversity in Plastic Surgery: Trends in Minority Representation among Applicants and Residents.
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Diversity in Plastic Surgery: Trends in Female Representation at Plastic Surgery Meetings.
[BACKGROUND] Prior studies have shown that roadblocks exist for women to achieve higher career levels in plastic surgery. The authors evaluate female representation as lecturers, panelists, and moderators at national and regional plastic su…
- Discussion: The Impact of Race, Age, Gender, Income, and Level of Education on Motivations to Pursue Cosmetic Surgery and Surgeon Selection at an Academic Institution.
- Discussion: Melting the Plastic Ceiling: Where We Currently Stand on Measures to Support Women in Academic Plastic Surgery.
- The Plastic Surgery Residency Interview Revisited: Virtual Interviews and Beyond.
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Diversity in Plastic Surgery: Trends in Minority Representation among Applicants and Residents.
[BACKGROUND] Prior studies have shown a lack of diversity among plastic surgery trainees. The authors evaluate trends in minority representation among applicants to plastic surgery and the correlation with practicing residents, compared to …
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Evaluation of Information Sources in Plastic Surgery Decision-making.
Background Today, patients can access a myriad of information sources regarding plastic surgery procedures prior to meeting with a surgeon. Despite their widespread use, the role of these sources in a patient's decision-making remains undef…