Assessing gender-affirming surgery training in plastic surgery sub-internships: Insights into the current landscape

IF 2 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery Pub Date : 2025-04-02 DOI:10.1016/j.bjps.2025.03.055

Matthew F. McLaughlin , Siyou Song , Kiet Phong , Esther A. Kim

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Abstract

Interest in gender-affirming surgery (GAS) is growing in plastic and reconstructive surgery (PRS), yet GAS exposure during PRS sub-internships remains underemphasized. This study assessed GAS exposure during these rotations via a cross-sectional survey to applicants to a single institution’s 2024 integrated residency program, examining demographics and exposure differences by region, program size, and type. Of 295 applicants, 73 (25%) responded. GAS exposure occurred in 78% of reported sub-internships (120/154). Students at medium-sized programs had higher odds of GAS exposure than those at small programs (odds ratio [OR] = 14.3, p = 0.026). Compared to Southern programs, students in the Midwest had higher clinic exposure (OR = 9.85, p = 0.050), and those in the West had greater facial GAS exposure (OR = 5.13, p = 0.048). Ninety percent of respondents believed GAS exposure is at least moderately important for sub-interns. While GAS exposure is increasing, regional and program disparities persist. Clearer expectations could help students align their rotations with educational goals and better prepare them for residency.

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来源期刊

Journal of Plastic Reconstructive and Aesthetic Surgery 医学-外科

CiteScore

3.10

自引率

11.10%

发文量

578

审稿时长

3.5 months

期刊介绍： JPRAS An International Journal of Surgical Reconstruction is one of the world''s leading international journals, covering all the reconstructive and aesthetic aspects of plastic surgery. The journal presents the latest surgical procedures with audit and outcome studies of new and established techniques in plastic surgery including: cleft lip and palate and other heads and neck surgery, hand surgery, lower limb trauma, burns, skin cancer, breast surgery and aesthetic surgery.