AI Article Synopsis
- The study investigates primary care doctors' perceptions of various plastic surgery fields through an anonymous online survey in Portugal.
- Out of 20 clinical cases related to plastic surgery, only nine were widely recognized as belonging to the specialty by the respondents.
- The findings reveal a significant underestimation of plastic surgery's role, highlighting the need for better education for primary care doctors to ensure appropriate patient referrals.
Article Abstract
Background: Plastic surgery is characterized by a broad spectrum of aesthetic and reconstructive surgical expertise that is not defined by an anatomic area. The authors sought to identify primary care doctors' perceptions of different fields of plastic surgery.
Methods: A short, anonymous, web-based survey was administered to primary care doctors in Portugal. Respondents were asked to choose the specialist they perceived to be an expert for 29 specific clinical areas, including 20 that are the core of plastic surgery practice. Specialists for selection included the following choices: dermatologist, general surgeon, maxillofacial surgeon, vascular surgeon, neurosurgeon, orthopedic surgeon, otolaryngologist, and plastic surgeon.
Results: A total of 430 complete answers to the survey were collected. Out of the 20 clinical cases related to plastic surgery, only nine were attributed to plastic surgery in the majority of the answers: thumb reimplantation (64,2%), abdominoplasty (93%), breast reduction (94%), otoplasty (62,3%), skin graft for a burn (97,7%), breast reconstruction (94,9%), complex open wound (57,2%), facial reanimation (36,7%) and first web space contracture of the hand (78,6%).
Conclusions: There is a clear underestimation of the role of plastic surgery in a wide range of conditions, which may lead to the downsizing of plastic surgery departments in the national health system. It is of utmost importance to educate primary care doctors so that patients are referred correctly and in a timely manner.
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| http://dx.doi.org/10.1016/j.bjps.2023.10.072 | DOI Listing |
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