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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评估整形外科实习中的性别肯定手术培训：对当前形势的洞察

对性别确认手术（GAS）的兴趣在整形和重建手术（PRS）中不断增长，但在PRS子实习期间的GAS暴露仍然没有得到重视。本研究通过对单一机构2024年综合住院医师计划的申请人进行横断面调查，评估了这些轮岗期间的气体暴露情况，并根据地区、计划规模和类型检查了人口统计数据和暴露差异。在295名申请者中，有73人（25%）做出了回应。气体暴露发生在78%的报告子实习（120/154）。中等规模课程的学生比小型课程的学生有更高的GAS暴露几率（比值比[OR] = 14.3, p = 0.026）。与南方项目相比，中西部的学生有更高的临床暴露（OR = 9.85, p = 0.050），而西部的学生有更高的面部气体暴露（OR = 5.13, p = 0.048）。90%的受访者认为，对副实习生来说，接触GAS至少是中等程度的重要。虽然天然气暴露量正在增加，但区域和项目差异仍然存在。更明确的期望可以帮助学生将他们的轮岗与教育目标结合起来，更好地为住院医生做好准备。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.