ACAPS Overseas Rotation Survey Results
21 individuals filled out the survey.
Program Name (Question 1) / Program Director (Question 2)Mayo Clinic Arizona / Anthony Smith
UC Davis / Michael Wong
Stanford / Gordon Lee
Grand Rapids Medical Education partners/MSU / Ronald Ford
UTMB Galveston / Linda Phillips
uva / Tom Gampper
Johns Hopkins/Univ of Maryland / Scott Lifchez
University of Florida / Bruce Mast
Penn State Hershey Plastic Surgery / Timothy Johnson
Medstar Georgetown Hospital / Stephen Baker
University of Cincinnati / W John Kitzmiller
BaylorScott & White/Texas A&M / Robert Weber
Mount Sinai, NY / Lester Silver
University of Oklahoma / Kamal Sawan
ucla medical center / George Rudkin
University of Wisconsin / A Neil Salyapongse
UCSD / Amanda Gosman
Douglas Rothkopf / Douglas Rothkopf
University of Miami/ Jackson Health Systems / Seth Thaller
Lehigh Valley Health Network / Robert Murphy
cooper/CMSRU / Martha Matthews
3 Does your program sponsor overseas mission trips with residents?
If you answered yes to question 3 please answer questions 4 through 7.
4 Do faculty attend and supervise?
5 What 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 reconstruction
· Cleft lip and palate, congenital hand, burn reconstruction
· Cleft lip, cleft palate, etc
· Cleft lip, palate, hand surgery, burn reconstruction, skin grafting, local flaps.
· Cleft,facial deformities, burns
· Hand and cleft
· Mostly cleft lip and palate
· Pediatric craniofacial, adult head and neck
· The 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, India
6 Are RRC requirements met so that residents can count cases?
7 Do you partner with another organization?
7a If so, whom?
· 1-Komedyplast, 2-Tran Tien Foundation in Hue, VN
· ConnectMed International
· Faith in Action
· Interplast South
· Medishare
· Operation Smile
· Operation Smile, Project Haiti
· Resurge (aka Interplast)
· Several
· U Miami
8 Does your program support residents seeking non-program sponsored overseas mission trips?
If you answered yes to question 8 please answer questions 9 through 12.
9 Do faculty attend and supervise?
10 What types of surgical procedures are done?
· Cleft
· Cleft lip and palate
· Cleft lip and palate, burn reconstruction
· Cleft 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,etc
· Cleft, burns, hand
· Cleft, general, hand
· Cleft, hand
· Clefts, burns
· Depends on location; can be full spectrum
· Hand
11 Are RRC requirements met so that residents can count cases?
12 Do you partner with another organization?
12 a If so, whom?
· Healing the Children
· Health Volunteers Overseas and others
· Interface
· Mayan Families
· Operation Smile, Porject Haiti
· Several
13 Comments:
· 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 supportive
· Prgram 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. SRT
· We 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.