Demographic status and training needs of aesthetic plastic surgeons in government and private hospitals: evidence from Guangdong, China

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Methods: A cross-sectional survey with a self-administered questionnaire was conducted from January to December, 2022 in Guangdong, China. In-depth interviews were conducted with key informants to gain insights on the current demographic status. Demographic data and training needs assessment were collected and compared with the chi-square test, Fisher’s test, Mann-Whitney U-test using R software. Results: The disparity of surgeons’ demographic data between private and government hospitals was small. Over 60% of practicing aesthetic plastic surgeons transferred from other specialties, and one third of them had less than three years of working experience. Half of surgeons attended training less than three times with an affordable expense of 1000-5000RMB. Almost 80% of them had strong willingness to attend a continuing training program. They prefer to attend further study in a tertiary hospital, with a short topic-focused training course and operation demonstrations. Their favorable training contents were rhinoplasty, eye surgery, and new technologies. Our questionnaire survey revealed the likelihood that the surgeons had a graduate degree in government hospitals outweighed those in private hospitals (P<0.05). Results also showed that the government hospitals focused more on repair and reconstructive surgery and academic research, whereas, private hospitals focused on market needs and were more profit-driven, where the organizational needs had influence on their different training needs for aesthetic plastic surgeons. Conclusion: It would be favorable to take the demographic status of aesthetic plastic surgeons and organizational needs into consideration in designing a continuing training program in plastic surgery." } { "@context": "http://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": "1", "item": { "@id": "https://f1000research.com/", "name": "Home" } }, { "@type": "ListItem", "position": "2", "item": { "@id": "https://f1000research.com/browse/articles", "name": "Browse" } }, { "@type": "ListItem", "position": "3", "item": { "@id": "https://f1000research.com/articles/12-774/v2", "name": "Demographic status and training needs of aesthetic plastic surgeons..." } } ] } Home Browse Demographic status and training needs of aesthetic plastic surgeons... ALL Metrics - Views Downloads Get PDF Get XML Cite How to cite this article Yi Y, Wang Z, Hu G et al. Demographic status and training needs of aesthetic plastic surgeons in government and private hospitals: evidence from Guangdong, China [version 2; peer review: 1 approved, 1 approved with reservations] . F1000Research 2024, 12 :774 ( https://doi.org/10.12688/f1000research.132709.2 ) NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article. Close Copy Citation Details Export Export Citation Sciwheel EndNote Ref. Manager Bibtex ProCite Sente EXPORT Select a format first Track Share ▬ ✚ Research Article Revised Demographic status and training needs of aesthetic plastic surgeons in government and private hospitals: evidence from Guangdong, China [version 2; peer review: 1 approved, 1 approved with reservations] Yanhua Yi https://orcid.org/0000-0001-8690-952X 1 * , Zhifeng Wang 1 * , Guijie Hu 2 * , [...] Shiwei Zhao 3 , Yongbin Li 1 , Bo Chen 1 , Zhen Xiang 4 , Qiaojun Zhang 5 , Wei Lu 1 , Jian Liu 1 , Yongping Xue 1 , Hongmian Li 6 , Cimin Wu 7 , Wuxiang Shi 8 , Zhenyu Gong 1 Yanhua Yi https://orcid.org/0000-0001-8690-952X 1 * , Zhifeng Wang 1 * , [...] Guijie Hu 2 * , Shiwei Zhao 3 , Yongbin Li 1 , Bo Chen 1 , Zhen Xiang 4 , Qiaojun Zhang 5 , Wei Lu 1 , Jian Liu 1 , Yongping Xue 1 , Hongmian Li 6 , Cimin Wu 7 , Wuxiang Shi 8 , Zhenyu Gong 1 * Equal contributors PUBLISHED 01 Aug 2024 Author details Author details 1 Department of Burn, Would Repair Surgery and Plastic Surgery, Department of Aesthetic Surgery, Affiliated Hospital of Guilin Medical University, Guilin, Guangxi, China 2 Department of Medical Statistics, Maternal and Child Health Hospital, Guangxi Zhuang Autonomous Region, Nanning, Guangxi, China 3 Guilin Hospital of the Second Xiangya Hospital of Center South University, Guilin, Guangxi, China 4 Center of Health Management, Affiliated Hospital of Guilin Medical University, Guilin, Guangxi, China 5 Guangxi Normal University, Guilin, Guangxi, China 6 Research Center of Medical Sciences, The People's Hospital of Guangxi Zhuang Autonomous Region Guangxi Academy of Medical Sciences, Nanning, Guangxi, China 7 Department of Stomatology, Nanxishan Hospital of Guangxi Zhuang Autonomous Region, Guilin, Guangxi, China 8 Health Management Unit, Faculty of Humanities and Management, Guilin Medical University, Guilin, Guangxi, China Yanhua Yi Roles: Conceptualization, Data Curation, Formal Analysis, Methodology, Project Administration Zhifeng Wang Roles: Conceptualization, Data Curation, Formal Analysis, Investigation Guijie Hu Roles: Data Curation, Investigation, Methodology, Validation Shiwei Zhao Roles: Formal Analysis, Investigation Yongbin Li Roles: Investigation Bo Chen Roles: Investigation Zhen Xiang Roles: Data Curation, Investigation, Methodology Qiaojun Zhang Roles: Investigation, Writing – Original Draft Preparation Wei Lu Roles: Data Curation, Investigation Jian Liu Roles: Data Curation, Investigation Yongping Xue Roles: Formal Analysis, Investigation Hongmian Li Roles: Funding Acquisition, Writing – Review & Editing Cimin Wu Roles: Funding Acquisition Wuxiang Shi Roles: Funding Acquisition, Writing – Review & Editing Zhenyu Gong Roles: Project Administration, Writing – Review & Editing OPEN PEER REVIEW DETAILS REVIEWER STATUS Abstract Purpose: This study aims to survey the demographic status of aesthetic plastic surgeons in an economically developed region and to investigate their continuing training needs in contents, training methods, and barriers in private and government hospitals. Methods: A cross-sectional survey with a self-administered questionnaire was conducted from January to December, 2022 in Guangdong, China. In-depth interviews were conducted with key informants to gain insights on the current demographic status. Demographic data and training needs assessment were collected and compared with the chi-square test, Fisher’s test, Mann-Whitney U-test using R software. Results: The disparity of surgeons’ demographic data between private and government hospitals was small. Over 60% of practicing aesthetic plastic surgeons transferred from other specialties, and one third of them had less than three years of working experience. Half of surgeons attended training less than three times with an affordable expense of 1000-5000RMB. Almost 80% of them had strong willingness to attend a continuing training program. They prefer to attend further study in a tertiary hospital, with a short topic-focused training course and operation demonstrations. Their favorable training contents were rhinoplasty, eye surgery, and new technologies. Our questionnaire survey revealed the likelihood that the surgeons had a graduate degree in government hospitals outweighed those in private hospitals (P<0.05). Results also showed that the government hospitals focused more on repair and reconstructive surgery and academic research, whereas, private hospitals focused on market needs and were more profit-driven, where the organizational needs had influence on their different training needs for aesthetic plastic surgeons. Conclusion: It would be favorable to take the demographic status of aesthetic plastic surgeons and organizational needs into consideration in designing a continuing training program in plastic surgery. READ ALL READ LESS Keywords Aesthetic plastic surgeon; demographic status; continuing medical training; needs assessment; China Corresponding Author(s) Hongmian Li ( [email protected] ) Cimin Wu ( [email protected] ) Wuxiang Shi ( [email protected] ) Zhenyu Gong ( [email protected] ) Close Corresponding authors: Hongmian Li, Cimin Wu, Wuxiang Shi, Zhenyu Gong Competing interests: No competing interests were disclosed. Grant information: This work was supported by the Guilin Medical College Teaching Research and Reform Project (JG202136) and Social Medicine and Health Management Bagui Scholars Fund of Guangxi Zhuang Autonomous Region and the Lijiang Scholar Award in Guilin (2022). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Copyright: © 2024 Yi Y et al . This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. How to cite: Yi Y, Wang Z, Hu G et al. Demographic status and training needs of aesthetic plastic surgeons in government and private hospitals: evidence from Guangdong, China [version 2; peer review: 1 approved, 1 approved with reservations] . F1000Research 2024, 12 :774 ( https://doi.org/10.12688/f1000research.132709.2 ) First published: 03 Jul 2023, 12 :774 ( https://doi.org/10.12688/f1000research.132709.1 ) Latest published: 01 Aug 2024, 12 :774 ( https://doi.org/10.12688/f1000research.132709.2 ) Revised Amendments from Version 1 I corrected some typos and added a part of "Limitation" as the first peer reviewer suggested. I corrected some typos and added a part of "Limitation" as the first peer reviewer suggested. See the authors' detailed response to the review by Leonard Knoedler READ REVIEWER RESPONSES Introduction Rapid economic development and “selfie culture” have driven the Chinese plastic surgery market to grow extremely fast in recent years. 1 , 2 It is expected that the total amount of spending on plastic procedures has increased up to approximately 122 billion US dollars by 2019, which ranks third in the world following United States and Brazil. 3 As a result, the past decade has witnessed drastic development of private aesthetic plastic hospitals, owing to high demand for all kinds of cosmetic plastic surgeries. 4 Meanwhile, surgical doctors area transferring their original practicing specialty into aesthetic plastic surgery after obtaining a training certificate from a tertiary government hospital recognized by the provincial health commission. The government hospitals serve as a training base for medical students who pursue a master degree or PhD degree in plastic surgery and also play pivot roles in continuing training for these doctors who’ve switched from other surgical specialties. 5 Private hospitals tend to develop even faster than government hospitals due to more flexibility in management and favorable government policies. The total number of aesthetic plastic procedures in private hospitals has exceeded that of government hospitals. 6 Our first hypothesis is that the difference of demographic status between aesthetic plastic surgeons in government hospitals and private hospitals would have different continuing medical training needs. It has been documented that continuing medical training programs are significant to improve their serving quality for health professionals. 7 , 8 There have been various training programs available for the aesthetic plastic surgeons in recent years, which include conference sessions, further clinical education, operation demonstrations, and online training courses. But almost all those programs are organized and dictated by hospitals or organizations, the needs of learners have rarely been assessed. 9 As Goldstein training mode suggests that training candidates, training contents, organizational requirements be the three important factors while in designing a good health training program. 10 Our second hypothesis is the difference between private and government hospital in medical service would lead to different training needs. Objectives: To date, there is a paucity of data investigating the current demographic status of aesthetic plastic surgeons both in government hospitals and private hospitals in China, and their respective needs in continuing training. To test the above two hypotheses, this study aims to survey the demographic status of aesthetic plastic surgeons from both governmental and private hospitals, and investigate their continuing medical training needs in contents, methods, and barriers within. Methods Ethics Ethical approval for this study was obtained from the Ethics Committee of the Guilin Medical University Hospital (approval number: 21-216). Since this research is carried out in the field of continuing medical education (CME) program or in a workshop, informed verbal consent was obtained from all participants. Study design A mixed study combining a self-administered questionnaire survey with CME participants and in-depth interview with key informants was used. Study site The study site was conducted from January to December, 2022 in Guangdong, China. As a coastal province in South China, Guangdong’s GDP in 2021 surpassed 1.5 trillion US dollars, which ranked first in China. 11 In this developed economic region, it is estimated that there are more than ten government hospitals with aesthetic plastic departments and two hundred private plastic hospitals with almost eight hundred aesthetic plastic surgeons in total. Study population Various CME key informants were identified in consultation with specialists at the department of plastic and aesthetic surgery in Nanfang hospital, Southern Medical University, which is the organizer for many CME programs. This list was expanded after the initial interviews, as the earlier interviewees suggested more informants. Recruitment stopped after the data were considered to be saturated by the researchers. The final informants were the directors of the plastic departments, the heads of medical associations, CME providers (affiliated hospitals of universities), CME users (plastic surgeons). The survey population of CME users included doctors, graduate students when they were attending a continuing medical education program or in a workshop. However, participants who had been employed for less than six months or would retire within a year were excluded. Data collection method and instruments Based on literature reviews and experts’ consultation, we adapted a questionnaire which was reviewed by a statistician, two epidemiologists, four dermatologists, and two plastic and aesthetic surgeons to ensure its validity. The questionnaire included their demographic information on plastic surgeons, their frequency in attend CME, their preferred contents, type of CME, an barriers and facilitators in attending CME. A small pilot study was conducted to verify suitability of the questions before survey. In-depth interviews were conducted with multiple key informants, including the directors of the plastic departments, the heads of medical associations, CME providers (affiliated hospitals of universities), CME users (plastic surgeons). The interview topics included comments on the current status of aesthetic plastic surgeons, current continuing training programs, potential problems, and solutions for the improvement. All interviews were taped and transcribed verbatim for thematic analysis. Statistical methods All data analyses were performed using R version 3.5.2 and EpiDisplay package . Categorical data were given as counts and percentages, to compare the difference in demographic information and training needs assessment, the chi-square test, Fisher’s test, were used as appropriate for categorical variables. Mann-Whitney U-test was use to compare the knowledge gap for major aesthetic surgical procedures between surgeons in private and government hospitals. Statistical significance was set at 5%. Results Demographic information and needs assessment on aesthetic plastic surgeons Demographic data of aesthetic plastic surgeon 290 out of 356 attendees completed the questionnaire survey, the responding rate was 81.5%. 240 surgeons were practicing aesthetic plastic surgery after excluding those cosmetic dermatologists, and cosmetic doctors in traditional Chinese medicine. Shown in Table 1 , the distribution of gender, age groups, and years of practice, professional technical titles, and original working department among the 144 surgeons from government hospitals and 96 from private hospital was nearly the same. In general, over sixty percent of the surgeons were under 40 years of age, one third of the surgeons had less than three years of working experience with junior professional technical titles. Almost two thirds of surgeons’ original working departments were not aesthetic plastic surgery. The distribution of educational degree between these hospitals was statistically different. There were more doctors with a graduate degree in government hospitals. Table 1. Demographic data of aesthetic plastic surgeons from government and private hospitals. Government hospital (N=144) Private hospital (N=96) P value Gender 0.25 Male 90 (62.5) 52 (54.2) Female 54 (37.5) 44 (45.8) Age group (years) 0.69 50 12 (8.3) 12 (12.5) Educational degree <0.01 Associate degree or below 6 (4.2) 10 (10.4) Bachelor 72 (50) 61 (63.5) Graduate 66 (45.8) 25 (26) Years of practice 0.96 1-3 year 48 (33.3) 31 (32.3) 3-5 year 19 (13.2) 15 (15.6) 5-10 year 35 (24.3) 23 (24) >10 year 42 (29.2) 27 (28.1) Professional technical title 0.17 Senior 45 (31.2) 20 (20.8) Junior 59 (41) 42 (43.8) Primary 40 (27.8) 34 (35.4) Original working department 0.62 Other specialty 56 (38.9) 32 (33.3) Aesthetic plastic surgery 54 (37.5) 37 (38.5) Other surgery 34 (23.6) 27 (28.1) Table 2 summarized the current training status and study objectives for surgeons. Overall, there were some similarities between surgeons of government and private hospitals, half of the surgeons attended training less than three times with an affordable expense of 1000-5000RMB, surgeons in private hospitals were more likely to spend more than 10,000 RMB in training. The majority of them had strong willingness to attend training to improve their practical skills, gain clinical experience, and learn latest technologies. Table 2. Current training status and training objectives. Government hospital (N=144) Private hospital (N=96) P value Numbers of training in a year 0.60 1-3 74 (51.4) 49 (51) 3-5 39 (27.1) 26 (27.1) >5 29 (20.1) 17 (17.7) Seldom 2 (1.4) 4 (4.2) Training expense in a year (RMB) 0.05 20000 4 (2.8) 8 (8.3) Willingness on training 0.88 Very strong 89 (61.8) 57 (59.4) Strong 19 (13.2) 16 (16.7) Fairly 35 (24.3) 22 (22.9) No 1 (0.7) 1 (1) Study objectives Theory 47 (32.6) 20 (20.8) 0.06 Practical skills 112 (77.8) 74 (77.1) 1.00 Clinical experience 89 (61.8) 49 (51) 0.13 Communication skills 34 (23.6) 17 (17.7) 0.35 Aesthetic judgment 24 (16.7) 22 (22.9) 0.30 Team work 19 (13.2) 15 (15.6) 0.73 Scientific writing 22 (15.3) 12 (12.5) 0.68 Latest technology 48 (33.3) 38 (39.6) 0.39 Table 3 concluded the surgeons’ favorable training methods and reported obstacles. Further study in a tertiary hospital, short training course focusing in specific topic by corresponding experts, and operation demonstration were regarded as the top three favorable choices. The number one obstacle was “nobody replaces me at work”, however, training expenses was the second obstacle for doctors in governmental hospitals and the third one for doctors in private hospital, in converse, “I cannot learn the skills I want” was second obstacle and third one for doctors in private and government hospital respectively. Table 3. Favorable methods and obstacles for training. Government hospital (N=144) Private hospital (N=96) P value Favorable training methods Further study in tertiary hospital 99 (68.8) 49 (51) 0.01 Attend short focus training course by experts 61 (42.4) 43 (44.8) 0.81 Online computer courses 28 (19.4) 18 (18.8) 1.00 Online courses on smart phone 54 (37.5) 43 (44.8) 0.32 Attend conference 54 (37.5) 42 (43.8) 0.40 Operation demonstration 64 (44.4) 48 (50) 0.48 Obstacles in training I am not allowed by hospital 41 (28.5) 20 (20.8) 0.24 Nobody replaces me at work 80 (55.6) 59 (61.5) 0.44 I am not allowed due to family reasons 25 (17.4) 9 (9.4) 0.12 I cannot afford the training 53 (36.8) 29 (30.2) 0.36 I cannot learn the skills I wanted 46 (31.9) 43 (44.8) 0.06 Table 4 summarized their interest in major surgical procedures and self-assessed knowledge gap. For surgeons in private hospitals, 69.2% of them intended to learn rhinoplasty, and eye plastic surgery. Fat transplant was their third interesting procedures, which coincided with their self-assessed knowledge gap. For surgeons working in government hospitals, their top three interesting surgical procedures were eye plastic surgery, rhinoplasty, and minimally invasive plastic surgery, in terms of knowledge gap, they believed that they had more knowledge gap in external genitalia, perineal surgery, rather than eye plastic surgery. Table 4. Summary of major surgical procedures intended to study and self-assessed knowledge gap by aesthetic plastic surgeons. Government hospital (N=144) Private hospital (N=96) P value Major surgical procedures Rhinoplasty 49 (58.3) 45 (69.2) 0.232 Eye plastic surgery 62 (73.8) 42 (64.6) 0.302 Fat transplant plastic surgery 34 (40.5) 32 (49.2) 0.368 Breast plastic surgery 15 (17.9) 19 (29.2) 0.149 Minimally invasive plastic surgery 39 (46.4) 16 (24.6) 0.010 Thread lifting 18 (21.4) 13 (20) 0.992 Knowledge gap * , median (IQR) Gap in eye plastic surgery 1 (0,2) 2 (1,2) 0.866 Rhinoplasty 2 (1,3) 2 (0,2) 0.770 Ear plastic surgery 1 (0,2) 1 (1,2) 0.897 Facial wrinkles and contours 1 (1,2) 1 (1,2) 0.648 Lip plastic surgery 1 (0,2) 1 (1,2) 0.288 Hair transplant 1 (0,2) 1 (0,2) 0.484 Breast plastic surgery 1 (0,2) 1 (1,2) 0.941 Bariatric surgery and body shaping 1 (0,2) 1 (1,2) 0.742 External genitalia, perineal surgery 2 (0,2) 1 (0,2) 0.355 New technologies such as fat transplant, endoscope, and other minimally invasive plastic surgery 2 (0,2) 2 (0,2) 0.593 * Knowledge gap, was calculated by the expected value minus the current assessed value, a five-point Likert scale. Qualitative analysis on the current continuing training system for aesthetic plastic surgeons Continuing medical education programs are under the management and organization of medical associations at municipal or provincial levels. Doctors in government hospitals are required to abstain a minimum credit by attending different continuing education programs. However, the doctors in private hospitals are not compulsory required to get the credits. In-depth interviews revealed that most continuing training conferences were co-organized by government and private hospitals. As non-profit medical organizations, the department of aesthetic plastic surgery in most government hospitals, were merged with burn surgery, therefore, they focused more on their social responsibility in repair and reconstructive surgery. Meanwhile, as a base to train medical students, government hospitals paid more attention on academic development and research on basic and clinical technologies. By contrast, private aesthetic plastic hospitals were for-profit originations and laid more emphasis on improving customers’ experience. Since aesthetic plastic procedure were not covered by insurance schemes, customers were more likely to visit private hospitals for operations owing to more comfortable environment and individualized services. These organizational differences between government hospitals and private hospitals determined the different requirements of aesthetic plastic surgeons in their respective institutions, reflecting their needs difference in continuing medical training. Discussion This study suggested that after decades of rapid development of Chinese plastic surgery, the demographic data in private hospitals were quite similar to that of the government hospitals in such an economic developed province. In general, the plastic surgeons were young, with comparatively limited experience. In addition, almost two-thirds of them transferred from other specialties. The only difference was almost half of the doctors in government hospitals had a graduate degree, whereas, a quarter of them had a graduate degree in private hospitals. From the demographic data we concluded that it would be imperative to reinforce continuing training for aesthetic plastic surgery, meanwhile, considering the difference in demographic status. In this study, the fact that half of the surgeons attended continuing training no more than three times in a year with limited affordable expense had great significance on planners in designing programs. Although most surgeons preferred to further their studies in a tertiary hospital, the chances were very limited. 12 , 13 This study suggested that a short course focused on specific topic with operation procedures demonstrations by experts would be a favorable training method, a similar finding to other research in surgical education. 14 Meanwhile, more attention should be laid on skills improvement in designing training curriculum, and with more consideration of reasonable price and flexible time for attendees. This study also revealed a fact that rhinoplasty and new technologies such as fat transplant, minimally invasive plastic surgery were greatly concerning procedures for surgeons either in government hospitals or in private hospitals. To a certain extent, these training needs reflect the needs of the aesthetic market. Since the study site is located in southern China, and there is a big percentage of population with low nasal deformity, the focus on rhinoplasty has also increased accordingly. Minimally invasive cosmetic surgery has grown significantly in the world in recent years, and fat grafting technology is a hot spot in the current market in facial rejuvenation and breast augmentation. The results of self-assessed knowledge gap showed surgeons in government hospitals intend to acquire more continuing medical training in genitoperineal surgery, a newly popular surgical procedure in recent years while the surgeons in private hospitals believed more improvement should be made on plastic surgery for eyes, since blepharoplasty is the most popular procedure in China. The difference in training objectives was due to the different customer groups and social roles for government and private hospitals. Specifically, the government hospitals also took social responsibility for reparative and reconstructive surgery, while, the private hospitals were more market-oriented, mainly focusing on aesthetic plastic surgery. This study tested the hypothesis that the demographic difference for aesthetic plastic surgeons between government and private hospitals were getting narrower. However, the organizational difference had influence on their respective training needs, which coincided with the Goldstein training mode. 12 , 13 Limitation The study was conducted in Guangdong province, the most economically developed province in China. Since the development of the plastic and cosmetic surgery industry is closely related to socio-economic development, the conclusions drawn from this study are somewhat representative. The continuing education needs of plastic surgeons change with the needs of society. This study suggests that we should fully consider the nature of public and private institutions, the characteristics of the population, and so on, when planning continuing education and carrying out corresponding reforms. However, due to the limitation of time and funding when we conduct research, our research group mainly comes from the people who attend academic conferences. Therefore, there may be some selection bias in this study. We need to be cautious when drawing further conclusions. Conclusion The demographic disparity of aesthetic plastic surgeons between government hospitals and private hospitals was small. Continuing medical training is very important to improve the training and education of the large number of young aesthetic plastic surgeons in China. To design the training curriculum focused on practical skills, especially a short training course elicited by experts in rhinoplasty, eye surgery, and new technologies such as fat transplant, minimal invasive plastic surgery would be favorable. Meanwhile, the demographic status of aesthetic plastic surgeons and organizational needs should be taken into consideration. Data availability Underlying data DANS-EASY: DEMOGRAPHIC STATUS AND TRAINING NEEDS OF AESTHETIC PLASTIC SURGEONS IN GOVERNMENT AND PRIVATE HOSPITALS: EVIDENCE FROM GUANGDONG, CHINA, https://doi.org/10.17026/dans-2cu-x92u . 14 This project contains the following underlying data: • Demographic status and training needs of aesthetic plastic surgeons in government and private hospitals-evidence from Guangdong China.csv Extended data DANS-EASY: DEMOGRAPHIC STATUS AND TRAINING NEEDS OF AESTHETIC PLASTIC SURGEONS IN GOVERNMENT AND PRIVATE HOSPITALS: EVIDENCE FROM GUANGDONG, CHINA, https://doi.org/10.17026/dans-2cu-x92u . 14 This project contains the following extended data: • questionaire and interview frame in Chinese.pdf Data are available under the terms of the Creative Commons Zero “No rights reserved” data waiver (CC0 1.0 Public domain dedication). References 1. Pan S, Yin K, Zhang Y, et al. : The transforming training pathway of plastic and craniofacial surgery in China. J. Craniofac. 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Xiaowen F: An Evolution Analysis of Regional Economic Development Disparities in Guangdong Based on the FPCA. Studies on China’s Special Economic Zones 3. Springer; 2020; 103–113. 12. AriasSantiago S, GutiérrezSalmerón MT, BuendiaEisman A, et al. : A comparative study of dyslipidaemia in men and women with androgenic alopecia. Acta Derm. Venereol. 2010; 90 : 485–487. PubMed Abstract | Publisher Full Text 13. Goldstein RF, Boyle JA, Lo C, et al. : Facilitators and barriers to behaviour change within a lifestyle program for women with obesity to prevent excess gestational weight gain: a mixed methods evaluation. BMC Pregnancy Childbirth. 2021; 21 : 569. PubMed Abstract | Publisher Full Text | Free Full Text 14. Dr Yi YH : Demographic status and training needs of aesthetic plastic surgeons in government and private hospitals: evidence from Guangdong, China. DANS; 2023. Guilin Medical University. Publisher Full Text Comments on this article Comments (0) Version 2 VERSION 2 PUBLISHED 03 Jul 2023 ADD YOUR COMMENT Comment Author details Author details 1 Department of Burn, Would Repair Surgery and Plastic Surgery, Department of Aesthetic Surgery, Affiliated Hospital of Guilin Medical University, Guilin, Guangxi, China 2 Department of Medical Statistics, Maternal and Child Health Hospital, Guangxi Zhuang Autonomous Region, Nanning, Guangxi, China 3 Guilin Hospital of the Second Xiangya Hospital of Center South University, Guilin, Guangxi, China 4 Center of Health Management, Affiliated Hospital of Guilin Medical University, Guilin, Guangxi, China 5 Guangxi Normal University, Guilin, Guangxi, China 6 Research Center of Medical Sciences, The People's Hospital of Guangxi Zhuang Autonomous Region Guangxi Academy of Medical Sciences, Nanning, Guangxi, China 7 Department of Stomatology, Nanxishan Hospital of Guangxi Zhuang Autonomous Region, Guilin, Guangxi, China 8 Health Management Unit, Faculty of Humanities and Management, Guilin Medical University, Guilin, Guangxi, China Yanhua Yi Roles: Conceptualization, Data Curation, Formal Analysis, Methodology, Project Administration Zhifeng Wang Roles: Conceptualization, Data Curation, Formal Analysis, Investigation Guijie Hu Roles: Data Curation, Investigation, Methodology, Validation Shiwei Zhao Roles: Formal Analysis, Investigation Yongbin Li Roles: Investigation Bo Chen Roles: Investigation Zhen Xiang Roles: Data Curation, Investigation, Methodology Qiaojun Zhang Roles: Investigation, Writing – Original Draft Preparation Wei Lu Roles: Data Curation, Investigation Jian Liu Roles: Data Curation, Investigation Yongping Xue Roles: Formal Analysis, Investigation Hongmian Li Roles: Funding Acquisition, Writing – Review & Editing Cimin Wu Roles: Funding Acquisition Wuxiang Shi Roles: Funding Acquisition, Writing – Review & Editing Zhenyu Gong Roles: Project Administration, Writing – Review & Editing Competing interests No competing interests were disclosed. Grant information This work was supported by the Guilin Medical College Teaching Research and Reform Project (JG202136) and Social Medicine and Health Management Bagui Scholars Fund of Guangxi Zhuang Autonomous Region and the Lijiang Scholar Award in Guilin (2022). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Article Versions (2) version 2 Revised Published: 01 Aug 2024, 12:774 https://doi.org/10.12688/f1000research.132709.2 version 1 Published: 03 Jul 2023, 12:774 https://doi.org/10.12688/f1000research.132709.1 Copyright © 2024 Yi Y et al . This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Download Export To Sciwheel Bibtex EndNote ProCite Ref. Manager (RIS) Sente metrics Views Downloads F1000Research - - PubMed Central info_outline Data from PMC are received and updated monthly. - - Citations open_in_new 0 open_in_new 0 open_in_new SEE MORE DETAILS CITE how to cite this article Yi Y, Wang Z, Hu G et al. Demographic status and training needs of aesthetic plastic surgeons in government and private hospitals: evidence from Guangdong, China [version 2; peer review: 1 approved, 1 approved with reservations] . F1000Research 2024, 12 :774 ( https://doi.org/10.12688/f1000research.132709.2 ) NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article. COPY CITATION DETAILS track receive updates on this article Track an article to receive email alerts on any updates to this article. TRACK THIS ARTICLE Share Open Peer Review Current Reviewer Status: ? Key to Reviewer Statuses VIEW HIDE Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions Version 1 VERSION 1 PUBLISHED 03 Jul 2023 Views 0 Cite How to cite this report: Valente D. Reviewer Report For: Demographic status and training needs of aesthetic plastic surgeons in government and private hospitals: evidence from Guangdong, China [version 2; peer review: 1 approved, 1 approved with reservations] . F1000Research 2024, 12 :774 ( https://doi.org/10.5256/f1000research.145650.r229131 ) The direct URL for this report is: https://f1000research.com/articles/12-774/v1#referee-response-229131 NOTE: it is important to ensure the information in square brackets after the title is included in this citation. Close Copy Citation Details Reviewer Report 16 Jul 2024 Denis Valente , Universidade Federal de Ciências da Saúde de Porto Alegre, Rio Grande do Sul, Brazil Approved VIEWS 0 https://doi.org/10.5256/f1000research.145650.r229131 The manuscript is suitable for indexing. I would like to highlight some points: Purpose : The study's aim is clearly stated, providing context for the research. Methods : The methodology is well-described, including the use of ... Continue reading READ ALL The manuscript is suitable for indexing. I would like to highlight some points: Purpose : The study's aim is clearly stated, providing context for the research. Methods : The methodology is well-described, including the use of a cross-sectional survey, in-depth interviews, and statistical tests. Results : The results are detailed and informative, providing insights into the demographic data of surgeons and their training needs. Discussion : The discussion effectively summarizes the findings and suggests practical applications for the results. Is the work clearly and accurately presented and does it cite the current literature? Yes Is the study design appropriate and is the work technically sound? Yes Are sufficient details of methods and analysis provided to allow replication by others? Yes If applicable, is the statistical analysis and its interpretation appropriate? Yes Are all the source data underlying the results available to ensure full reproducibility? Yes Are the conclusions drawn adequately supported by the results? Yes Competing Interests: No competing interests were disclosed. Reviewer Expertise: Plastic surgery I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard. Close READ LESS CITE CITE HOW TO CITE THIS REPORT Valente D. Reviewer Report For: Demographic status and training needs of aesthetic plastic surgeons in government and private hospitals: evidence from Guangdong, China [version 2; peer review: 1 approved, 1 approved with reservations] . F1000Research 2024, 12 :774 ( https://doi.org/10.5256/f1000research.145650.r229131 ) The direct URL for this report is: https://f1000research.com/articles/12-774/v1#referee-response-229131 NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article. COPY CITATION DETAILS Report a concern Respond or Comment COMMENT ON THIS REPORT Views 0 Cite How to cite this report: Knoedler L. Reviewer Report For: Demographic status and training needs of aesthetic plastic surgeons in government and private hospitals: evidence from Guangdong, China [version 2; peer review: 1 approved, 1 approved with reservations] . F1000Research 2024, 12 :774 ( https://doi.org/10.5256/f1000research.145650.r195192 ) The direct URL for this report is: https://f1000research.com/articles/12-774/v1#referee-response-195192 NOTE: it is important to ensure the information in square brackets after the title is included in this citation. Close Copy Citation Details Reviewer Report 14 Aug 2023 Leonard Knoedler , University Hospital Regensburg, Regensburg, Germany Approved with Reservations VIEWS 0 https://doi.org/10.5256/f1000research.145650.r195192 I commend the authors on an interesting and well-written manuscript investigating the demographic status and training needs of aesthetic plastic surgeons in government and private hospitals. In further detail, the authors elucidated the needs and demographics of aesthetic plastic surgeons ... Continue reading READ ALL I commend the authors on an interesting and well-written manuscript investigating the demographic status and training needs of aesthetic plastic surgeons in government and private hospitals. In further detail, the authors elucidated the needs and demographics of aesthetic plastic surgeons in Guangdong, China. Please make the following changes to the manuscript: 1. Please rework the wording and grammar. 2. Please include a LIMITATIONS section in your discussion. While your work might be of interest to the readership of F1000Research, this work is limited to Guangdong. Therefore, further research is warranted to assess the transferability of your findings in a nationawide/worldwide context. 3. Please add the following references to provide a broader picture of current trends in plastic surgery. This field is branching out rapidly, exploring new fields and addressing novel challenges. I find it, therefore, crucial to state how broad and diverse the field of plastic surgery is. a) DOI: 10.1007/s00266-022-02990-9 b) DOI: 10.1016/j.bjps.2022.08.059 c) DOI: 10.1097/SCS.0000000000009106 Is the work clearly and accurately presented and does it cite the current literature? Yes Is the study design appropriate and is the work technically sound? Yes Are sufficient details of methods and analysis provided to allow replication by others? Yes If applicable, is the statistical analysis and its interpretation appropriate? Yes Are all the source data underlying the results available to ensure full reproducibility? Yes Are the conclusions drawn adequately supported by the results? Yes References 1. Knoedler L, Oezdemir B, Moog P, Prantl L, et al.: Thinking like a Lawyer-Human Rights and Their Association with the Plastic Surgeon of Today. Aesthetic Plast Surg . 2023; 47 (1): 490-497 PubMed Abstract | Publisher Full Text 2. Odenthal J, Knoedler L, Oezdemir B, Prantl L, et al.: How to attract our future? - Perception of plastic surgery among medical students. J Plast Reconstr Aesthet Surg . 2023; 80 : 4-12 PubMed Abstract | Publisher Full Text 3. Knoedler L, Knoedler S, Chartier C, Panayi AC, et al.: The Rise of Facial Palsy on Social Media Over the Last 5 Years. J Craniofac Surg . 34 (2): 564-570 PubMed Abstract | Publisher Full Text Competing Interests: No competing interests were disclosed. Reviewer Expertise: Plastic Surgery I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above. Close READ LESS CITE CITE HOW TO CITE THIS REPORT Knoedler L. Reviewer Report For: Demographic status and training needs of aesthetic plastic surgeons in government and private hospitals: evidence from Guangdong, China [version 2; peer review: 1 approved, 1 approved with reservations] . F1000Research 2024, 12 :774 ( https://doi.org/10.5256/f1000research.145650.r195192 ) The direct URL for this report is: https://f1000research.com/articles/12-774/v1#referee-response-195192 NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article. COPY CITATION DETAILS Report a concern Author Response 30 Aug 2023 Yanhua Yi , Department of Burn, Would Repair Surgery and Plastic Surgery, Department of Aesthetic Surgery, Affiliated Hospital of Guilin Medical University, Guilin, China 30 Aug 2023 Author Response I am the first author of this manuscript. I appreciate very much for the reviewer's comments. Although Guangdong province is one of the most economicly developed province in China, and ... Continue reading I am the first author of this manuscript. I appreciate very much for the reviewer's comments. Although Guangdong province is one of the most economicly developed province in China, and largest in scale in plastic and easthetic surgery, the human resources of plastic surgery in Guangdong is a good representative of China. However, the limitations of this research in evident, we should be careful in generalization. Plastic surgery is changing over time. I appreciate the reviewer's several interesting references suggested. I am the first author of this manuscript. I appreciate very much for the reviewer's comments. Although Guangdong province is one of the most economicly developed province in China, and largest in scale in plastic and easthetic surgery, the human resources of plastic surgery in Guangdong is a good representative of China. However, the limitations of this research in evident, we should be careful in generalization. Plastic surgery is changing over time. I appreciate the reviewer's several interesting references suggested. Competing Interests: No competing interests were disclosed. Close Report a concern Respond or Comment COMMENTS ON THIS REPORT Author Response 30 Aug 2023 Yanhua Yi , Department of Burn, Would Repair Surgery and Plastic Surgery, Department of Aesthetic Surgery, Affiliated Hospital of Guilin Medical University, Guilin, China 30 Aug 2023 Author Response I am the first author of this manuscript. I appreciate very much for the reviewer's comments. Although Guangdong province is one of the most economicly developed province in China, and ... Continue reading I am the first author of this manuscript. I appreciate very much for the reviewer's comments. Although Guangdong province is one of the most economicly developed province in China, and largest in scale in plastic and easthetic surgery, the human resources of plastic surgery in Guangdong is a good representative of China. However, the limitations of this research in evident, we should be careful in generalization. Plastic surgery is changing over time. I appreciate the reviewer's several interesting references suggested. I am the first author of this manuscript. I appreciate very much for the reviewer's comments. Although Guangdong province is one of the most economicly developed province in China, and largest in scale in plastic and easthetic surgery, the human resources of plastic surgery in Guangdong is a good representative of China. However, the limitations of this research in evident, we should be careful in generalization. Plastic surgery is changing over time. I appreciate the reviewer's several interesting references suggested. Competing Interests: No competing interests were disclosed. Close Report a concern COMMENT ON THIS REPORT Comments on this article Comments (0) Version 2 VERSION 2 PUBLISHED 03 Jul 2023 ADD YOUR COMMENT Comment keyboard_arrow_left keyboard_arrow_right Open Peer Review Reviewer Status info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions Reviewer Reports Invited Reviewers 1 2 Version 2 (revision) 01 Aug 24 Version 1 03 Jul 23 read read Leonard Knoedler , University Hospital Regensburg, Regensburg, Germany Denis Valente , Universidade Federal de Ciências da Saúde de Porto Alegre, Rio Grande do Sul, Brazil Comments on this article All Comments (0) Add a comment Sign up for content alerts Sign Up You are now signed up to receive this alert Browse by related subjects keyboard_arrow_left Back to all reports Reviewer Report 0 Views copyright © 2024 Valente D. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 16 Jul 2024 | for Version 1 Denis Valente , Universidade Federal de Ciências da Saúde de Porto Alegre, Rio Grande do Sul, Brazil 0 Views copyright © 2024 Valente D. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. format_quote Cite this report speaker_notes Responses (0) Approved info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions The manuscript is suitable for indexing. I would like to highlight some points: Purpose : The study's aim is clearly stated, providing context for the research. Methods : The methodology is well-described, including the use of a cross-sectional survey, in-depth interviews, and statistical tests. Results : The results are detailed and informative, providing insights into the demographic data of surgeons and their training needs. Discussion : The discussion effectively summarizes the findings and suggests practical applications for the results. Is the work clearly and accurately presented and does it cite the current literature? Yes Is the study design appropriate and is the work technically sound? Yes Are sufficient details of methods and analysis provided to allow replication by others? Yes If applicable, is the statistical analysis and its interpretation appropriate? Yes Are all the source data underlying the results available to ensure full reproducibility? Yes Are the conclusions drawn adequately supported by the results? Yes Competing Interests No competing interests were disclosed. Reviewer Expertise Plastic surgery I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard. reply Respond to this report Responses (0) Valente D. Peer Review Report For: Demographic status and training needs of aesthetic plastic surgeons in government and private hospitals: evidence from Guangdong, China [version 2; peer review: 1 approved, 1 approved with reservations] . F1000Research 2024, 12 :774 ( https://doi.org/10.5256/f1000research.145650.r229131) NOTE: it is important to ensure the information in square brackets after the title is included in this citation. The direct URL for this report is: https://f1000research.com/articles/12-774/v1#referee-response-229131 keyboard_arrow_left Back to all reports Reviewer Report 0 Views copyright © 2023 Knoedler L. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 14 Aug 2023 | for Version 1 Leonard Knoedler , University Hospital Regensburg, Regensburg, Germany 0 Views copyright © 2023 Knoedler L. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. format_quote Cite this report speaker_notes Responses (1) Approved With Reservations info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions I commend the authors on an interesting and well-written manuscript investigating the demographic status and training needs of aesthetic plastic surgeons in government and private hospitals. In further detail, the authors elucidated the needs and demographics of aesthetic plastic surgeons in Guangdong, China. Please make the following changes to the manuscript: 1. Please rework the wording and grammar. 2. Please include a LIMITATIONS section in your discussion. While your work might be of interest to the readership of F1000Research, this work is limited to Guangdong. Therefore, further research is warranted to assess the transferability of your findings in a nationawide/worldwide context. 3. Please add the following references to provide a broader picture of current trends in plastic surgery. This field is branching out rapidly, exploring new fields and addressing novel challenges. I find it, therefore, crucial to state how broad and diverse the field of plastic surgery is. a) DOI: 10.1007/s00266-022-02990-9 b) DOI: 10.1016/j.bjps.2022.08.059 c) DOI: 10.1097/SCS.0000000000009106 Is the work clearly and accurately presented and does it cite the current literature? Yes Is the study design appropriate and is the work technically sound? Yes Are sufficient details of methods and analysis provided to allow replication by others? Yes If applicable, is the statistical analysis and its interpretation appropriate? Yes Are all the source data underlying the results available to ensure full reproducibility? Yes Are the conclusions drawn adequately supported by the results? Yes References 1. Knoedler L, Oezdemir B, Moog P, Prantl L, et al.: Thinking like a Lawyer-Human Rights and Their Association with the Plastic Surgeon of Today. Aesthetic Plast Surg . 2023; 47 (1): 490-497 PubMed Abstract | Publisher Full Text 2. Odenthal J, Knoedler L, Oezdemir B, Prantl L, et al.: How to attract our future? - Perception of plastic surgery among medical students. J Plast Reconstr Aesthet Surg . 2023; 80 : 4-12 PubMed Abstract | Publisher Full Text 3. Knoedler L, Knoedler S, Chartier C, Panayi AC, et al.: The Rise of Facial Palsy on Social Media Over the Last 5 Years. J Craniofac Surg . 34 (2): 564-570 PubMed Abstract | Publisher Full Text Competing Interests No competing interests were disclosed. Reviewer Expertise Plastic Surgery I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above. reply Respond to this report Responses (1) Author Response 30 Aug 2023 Yanhua Yi, Department of Burn, Would Repair Surgery and Plastic Surgery, Department of Aesthetic Surgery, Affiliated Hospital of Guilin Medical University, Guilin, China I am the first author of this manuscript. I appreciate very much for the reviewer's comments. Although Guangdong province is one of the most economicly developed province in China, and largest in scale in plastic and easthetic surgery, the human resources of plastic surgery in Guangdong is a good representative of China. However, the limitations of this research in evident, we should be careful in generalization. Plastic surgery is changing over time. I appreciate the reviewer's several interesting references suggested. View more View less Competing Interests No competing interests were disclosed. reply Respond Report a concern Knoedler L. Peer Review Report For: Demographic status and training needs of aesthetic plastic surgeons in government and private hospitals: evidence from Guangdong, China [version 2; peer review: 1 approved, 1 approved with reservations] . F1000Research 2024, 12 :774 ( https://doi.org/10.5256/f1000research.145650.r195192) NOTE: it is important to ensure the information in square brackets after the title is included in this citation. The direct URL for this report is: https://f1000research.com/articles/12-774/v1#referee-response-195192 Alongside their report, reviewers assign a status to the article: Approved - the paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations - A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved - fundamental flaws in the paper seriously undermine the findings and conclusions Adjust parameters to alter display View on desktop for interactive features Includes Interactive Elements View on desktop for interactive features Competing Interests Policy Provide sufficient details of any financial or non-financial competing interests to enable users to assess whether your comments might lead a reasonable person to question your impartiality. 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