GOALS AND OBJECTIVES – AESTHETIC PLASTIC SURGERY
OVERVIEW
The goal of this rotation is to provide each resident with a breadth and variety of aesthetic cases
and experience during a four month rotation. The expectation is that residents will gain experience by
performing all parts of all common aesthetic procedures under appropriate faculty supervision. The
resident will be expected to act in the capacity of surgical assistant/observer to faculty to gain exposure
and experience with all common aesthetic procedures. The resident will act as primary surgeon for all
common aesthetic procedures through the resident clinic. Residents will be expected to evaluate patients
presenting for common aesthetic procedures, develop a treatment plan, and execute the plan under faculty
supervision.
The resident will learn to set priorities and manage time to balance patient care, practice
requirements, outside activities and personal life. The resident will manage a practice, including finances
and human resources, and demonstrate the capability of managing a plastic surgery practice, including an
office, outpatient clinics and specialty care units. The resident will employ information technology
appropriately for patient care. The resident will understand how to manage patient flow effectively,
including admissions, bookings for investigations and treatments including surgery, and discharge
planning. The resident should implement processes to ensure personal practice improvement.
At the end of this rotation, residents should be competent to establish their own plastic surgery
practices. On this rotation, there is a particular emphasis of the development and evaluation of the
Medical Expert, Manager and Professional CanMEDS roles.
CanMEDS COMPETENCIES
Medical Expert
1. Perform a history that is relevant, concise, accurate, and appropriate to the patient’s problem(s)
2. Perform a physical examination that is adequate and appropriate for the clinical problem(s)
3. Uses all of the pertinent information to arrive at complete and accurate clinical decisions for the
aesthetic surgery patient
4. Demonstrate an understanding of the anatomy of the face, trunk, and limbs as it pertains to the
aesthetic surgery patient
5. Recognize preoperative risk and utilizes appropriate approaches to minimize such risks
6. Demonstrate an approach to the assessment and management of common aesthetic surgery
problems of the face: facelift, rhinoplasty, blepharoplasty
7. Demonstrate an approach to the assessment and management of common aesthetic surgery
problems of the breasts: reduction, mastopexy, augmentation
8. Develop an approach to the assessment and management of common aesthetic surgery problems
of the trunk: abdominoplasty, liposuction, fat transfer, arm lift, thigh lift
9. Selects appropriate
devices and products used in nonsurgical facial rejuvenation:
neuromodulators, soft tissue fillers, energy based treatments
10. Selects appropriate devices and products used in breast surgery including implants and internal
support structures
11. Perform common breast procedures including breast reduction, mastopexy, and breast
augmentation
12. Perform common body contouring procedures including abdominoplasty and liposuction
13. Perform injection of neuromodulators and soft tissue fillers
14. Provide postoperative care and recognize complications for aesthetic surgery patients
15. Order appropriate investigations and consultations for patients
Communicator
1. Discuss the patient's beliefs, concerns, and specifically focuses on the patient's expectations
Obtain informed consent, providing sufficient information regarding risks and benefits of
treatment alternatives
Collaborator
1. Recognize that the care of aesthetic surgery patients requires the ability to work effectively in a
healthcare team comprised of a range of healthcare workers
2. Demonstrate an understanding of the importance of collaboration
3. Collaborate well with other physicians and allied healthcare personnel in achieving optimal
comprehensive care for patients seeking aesthetic surgical procedures
Manager
1. Demonstrate an understanding of the practice management aspects of an aesthetic surgery
practice
2. Organize, coordinate, and schedule aesthetic surgery procedures
3. Manage time appropriately in the completion of both patient care tasks and educational
responsibilities
4. Coordinate investigations and consultations for patients
5. Make appropriate plans for patient visits and surgery
6. Manage and direct other allied health care personnel to achieve optimal comprehensive care for
patients seeking aesthetic surgical procedures
Health Advocate
1. Demonstrate awareness of the factors beyond surgical care that contribute to quality of life for
patients, including risk factor control such as tobacco use and obesity, and advises patients
appropriately to minimize risk
Scholar
1. Prepare adequately for teaching rounds, case discussions, and operating room cases
Professional
1. Conduct themselves in a responsible, punctual, and ethical manner
2. Present themselves in a professional manner to both patients and other members of the healthcare
team
3. Demonstrate an appreciation of the emotional and ethical issues surrounding the care of aesthetic
surgery patients
4. Demonstrate sensitivity towards issues of gender, race, and culture
5. Demonstrate an understanding of the financial aspects of an aesthetic surgery practice
6. Recognize their limits, make independent decisions when appropriate, and keep the faculty
appropriately informed
7. Maintain and complete a procedural case log that accurately reflects the resident’s surgical
experience