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The Aesthetic Surgery Education and Research Foundation

Differences in Surgical Practices for Transgender Mastectomy Print
Researchers: Ali R. Abtahi, DO, MSc

Grant Award: ASERF Interim Grant

Amount Awarded: $2,300

Project Name: Differences in Surgical Practices for Transgender Mastectomy

Project Summary: The purpose of this study is to evaluate the differences in surgical practices among surgeons performing transgender mastectomies throughout the United States. Currently, no evidence-based “best practices” or standards of care have been developed for chest masculinization, particularly regarding appropriate preoperative evaluation, surgical approaches, protocols for handling breast specimens, and postoperative screening and/or referral regimens.

Our goal is to report on the varying practices among surgeons throughout the United States and how such factors such as practice type (private vs. academic vs. hospital employment), region or payment model (insurance vs. self-pay vs. crowd sourcing vs. Medicaid) may affect pre/post-operative management and/or operative decision-making.

We hope to better understand what practice patterns are most common, the rationale behind these practices, and determine whether these procedures would benefit from formal guidelines established by an American Society for Aesthetic Plastic Surgery (The Aesthetic Society) or American Society of Plastic Surgeons (ASPS) sanctioned expert panel.
Current Trends in Aesthetic Surgery Fellowship Training Print
Researchers: Jacob N. Grow, MD and Andrew Kochuba, MD (Co-PIs)

Grant Award: ASERF Interim Grant

Amount Awarded: $2,000

Project Name: Current Trends in Aesthetic Surgery Fellowship Training

Project Summary: The purpose of this project is to investigate application trends for aesthetic surgery fellowships and how this may relate to hand, microsurgery and craniofacial fellowships. Specifically, we are interested in changes that may have occurred over time with regards to the number of applicants and positions offered for each fellowship sub-specialty. We also hope to estimate the percentage of plastic surgery residents that have sought continued training through fellowships.

With The Aesthetic Society formalizing the aesthetic surgery fellowship match process, the development of accredited microsurgical training, and general increase in plastic surgery residency positions, we hypothesize that both the number of fellowship applicants as well as fellowship positions offered will show an increase over time. This will apply to both aesthetic surgery as well as the other sub-specialties. By comparing the number of applicants to the number of positions offered, we will also seek to identify how competitive placement into each fellowship may be. Additionally, we predict that the percentage of residents seeking fellowships has also increased, suggesting that further training is becoming more common amongst residents. This may initiate further discussion concerning training gaps during residency, as well as the trend toward sub-specialization amongst practicing plastic surgeons.

We feel that our research will provide important information for our society as we navigate the future of our specialty and expectations of our trainees.
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