Narrative Description of Program
Plastic Surgery was accredited as a residency at UTMB Galveston on November 30, 1949. It continued as an independent program for three residents yearly until converting to a five-year integrated program in 1998. Six years later, the residency program was approved for expansion to a six-year integrated program, recognizing the need for additional rotations that had to be provided outside Plastic Surgery. Residents are primarily based at UTMB Galveston and the Shriner’s Hospital for Children Galveston which is located across the street and connected by a walkway. This includes activities on Galveston and at the off-island surgery center and office space at Victory Lakes. Off-campus rotations occur at the Shriner’s Hospital Houston, St. Joseph’s Hospital, and MD Anderson. These are all located geographically close and are served with the addition of a 3-bedroom apartment for the residents maintained nearby in Houston. Residents experience progressive complexity of cases and independence as they rotate through the services. The block diagram is pending approval by the RRC for Plastic Surgery in October 2012. Information about the facilities at which the residents rotate and the faculty present at the different locations are included in this website. The residency goals and objectives, evaluation, supervisory and other policies are all present as well. After the last site visit of 2011, Plastic Surgery at UTMB was afforded full accreditation, 4-year cycle, no citations. The block diagram and the rotation schedules are located on this website, as are the several past months of conference schedules.
Residents are active participants in regional and national plastic surgical associations, with presentations at many meetings. Residents also participate in committee work of national plastic and hand surgical organizations. In addition, the residents have a book fund and full access to the on-line revisions of the plastic surgical texts. Please look at our surgical simulations labs (below) and the visiting professors program.
Below is a sample rotation schedule.
Surgical Simulation Center
Simulation-based training is now a component of all 5 years of general surgery residency. Interns participate in a "Boot Camp" program of simulation center workshops on basic surgical skills from suturing/knot-tying to chest tubes and ultrasound-guided central venous catheter placement. These sessions are taught by faculty and senior residents. All residents complete the Fundamentals of Laparoscopic Surgery (FLS) curriculum prior to performing laparoscopic cases. Twice-monthly workshops in the Simulation Center cover a range of topics from vascular and GI anastomoses to advanced laparoscopic and robotic procedures. Simulation is also used to teach and assess core competencies such as communication, professionalism and systems-based practice. The Simulation Center is home to a variety of specialized curricula, educational research projects and quality improvement efforts.
Microsurgical Skills Training Curriculum for UTMB Plastic Surgery Residents
Microsurgery is an important technique used by many surgical specialties, including Plastic Surgery. Microsurgery generally involves vessels of such small size that use of an operative microscope and specialized instruments are required. Although microsurgery allows surgeons to reconstruct defects that may otherwise be uncorrectable, it requires a high level of skill. Individual operative technique is the main determinant of microsurgical success. Traditionally, the opportunity to practice microsurgical techniques has been restricted to patients undergoing operations. Current changes in healthcare require revision of the surgical training curriculum. At the University of Texas Medical Branch, Plastic Surgery residents progress through a microsurgical skills training curriculum in a microscope-equipped laboratory. Junior residents begin with low‐fidelity techniques (e.g., suturing small‐caliber tubing) while senior residents progress to high‐fidelity techniques (e.g., rat anastomoses).
Hand Surgery Training for UTMB Plastic Surgery Residents
Residency training at the University of Texas Medical Branch's Division of Plastic Surgery aims to allow residents to become facile with newer techniques which are constantly evolving to finally become tomorrow's standard of care. Hand surgery training is an important component of plastic surgery training. Small joint replacement in the hand and wrist is performed for post-traumatic and degenerative diseases of the joints. Total small joint arthroplasty requires precision surgical skills to obtain excellent results. Meticulous techniques in pyrocarbon arthroplasty are being mastered by residents in this cadaveric workshop prior to employing these skills to help patients in the operating room. Junior residents perform these techniques in certain hand joints while seniors perform technically more complex surgeries in the finger and thumb joints. A variety of faculty-led workshops occur during the academic year.