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Departmental Status: A Key to Future Plastic Surgery Education.

The Journal of Cranio lastic surgeons are trained in a wide variety of aesthetic and P reconstructive procedures encompassing all areas of human body. As plastic surgery continues to be a dynamic and ever-expanding field of clinical and investigational practice, it has become more complex in the last decades of the 20th century. This complexity has triggered discussions regarding the ideal training model. The challenges of mastering the expanding scope of plastic surgery upon graduation have resulted in an appreciation among leaders in the field that more emphasis should be placed on hands-on experience during residency training. Consensus seems to exist that improving the quality of plastic surgery training during residency is critical. Leaders in the field have commented that only through improvement in the quality of training will plastic surgery as a specialty continue to prosper. An adequately trained plastic surgeon should not only have the ability to perform operations but also have sound knowledge and discretionary judgment. Therefore, it is important that the training should be of the highest quality and that it should make the residents ‘‘future ready.’’ On the other hand, increasing numbers of general surgeons, oral surgeons, orthopedic surgeons, and otolaryngologists are providing their own aesthetic/reconstructive services. This may likely continue to increase as numerous subspecialty fellowship training programs exist. Moreover, increased subspecialization of practicing plastic surgeons may also influence the availability of providers doing broad-based plastic surgery. Another factor that influences plastic surgery residents training is the costs generated directly and indirectly by academic plastic surgery programs. At least 75% of the faculty salaries and financial support for ancillary and research personnel are based on the revenue achieved from clinical practice and indemnity insurance. In this challenging environment, it is important to realize that the goal of residency training is not only to educate about the current level of practice but also to anticipate the future role of the plastic surgery as a specialty. Although exposure to all fields in plastic