INTERNATIONAL:

Plastic Surgery

Chapter 6, Charter on Training of Medical Specialists in the EU

Requirements for the Specialty Plastic, Reconstructive and Aesthetic Surgery

Adopted by the UEMS European Board of Plastic, Reconstructive and Aesthetic Surgery in its Brussels meeting November 1994, updated June 2001

DEFINITION of the SPECIALTY

Plastic, Reconstructive and Aesthetic Surgery is a specialty concerned with acute and non-acute conditions which may be congenital or acquired as a result of trauma, disease, degeneration or ageing in patients of both sexes and all ages. Its aim is the restoration or improvement of function and the normalisation of appearance and well-being.

The SYLLABUS of PLASTIC SURGERY

The plastic surgeon must have acquired and must maintain specialised knowledge relating to the diagnosis, pre-operative, operative and post-operative management and reconstruction where appropriate in the following areas of primary responsibility:

HEAD AND NECK 1. Facial trauma, 2. Orthognatic surgery, 3. TMJ disorders, 4. Craniofacial surgery, 5. Cleft lip and palate, 6. Lip and upper aero-digestive cancer, 7. Facial bone tumours, 8. Salivary gland, 9. Ear, 10. Nose, 11. Eyelids, 12. Congenital/acquired neck anomalies, 13.Scalp reconstruction, 14. Facial palsy, 15. Other head and neck procedures

BREAST 1. Breast mound reconstruction, 2. Nipple-areola complex reconstruction, 3. Revisional surgery for breast reconstruction, 4. Glandulectomy for gynecomastia with/without liposuction, 5. Other breast procedures

TRUNK AND ABDOMEN 1. Mediastinitis, chest wall and trunk reconstruction, 2. Pectus excavatum/carinatum, 3. Poland syndrome, 4. Spina bifida, 5. Axillary reconstruction, 6. Axillary node dissection, 7. Abdominal wall reconstruction, 8. Other trunk-abdomen procedures

HAND AND UPPER EXTREMITIES 1. Tendon surgery, 2. Fractures and dislocations, 3. Arthrodesis and arthroplasty, 4. Peripheral nerve surgery, 5. Compression nerve syndromes, 6. Tendon transfers 7. Brachial plexus, 8. Compartimental syndrome of the upper limb, 9. Arthritis (rheumatoid, lupus, gout, psoriasis), 10. Dupuytren, 11. Congenital hand anomalies, 12. Amputation and replantation surgery, 13. Skin cover of the upper extremity, 14. Hand burns, 15. Thumb reconstruction, 16. Hand tumours, 17. Wrist, 18. Other hand procedures

LOWER EXTREMITIES 1. Excision of tumours of the lower extremities, 2. Inguinal/groin lymph node dissection, 3. Surgery for open/complex fracture of the lower extremities, 4. Treatment of vascular ulcer, 5. Diabetic foot, 6. Other lower extremity procedures

GENITALIA 1. Surgery for hypospadias, 2. Surgery for epispadias or extrophy of bladder, 3. Surgery for Peyronie's disease, 4. Fournier's gangrene, 5. Gender reassignment surgery/penis replantation, 6. Vaginal reconstruction, 7. Other genitalia procedures

SKIN AND ADNEXA 1. Excision of skin lesions, 2. Tumour excision, 3. Sentinel lymph node biopsy, 4. Skin expansion, 5. Vascular anomalies, 6. Scar revision, 7. Other skin/adnexa procedures

BURNS 1. Thermal burns, 2. Surgery for electrical burns, 3. Surgery for chemical burns, 4. Surgery for extravasation injuries, 5. Other burn procedures

PRESSURE SORES 1. Reconstruction with direct closure, 2. Reconstruction with pedicled flap, 3. other pressure sore procedures

LYMPHEDEMA 1. Excision and graft/flap repair, 2. Microvascular procedure for lymphedema,3. Other lymphedema procedures

AESTHETIC SURGERY 1. Facial aesthetic surgery, 2. Breast, 3. Body contouring, 4. Hair restoration surgery, 5. Other aesthetic procedures

BASIC SCIENCES RELATED TO THE SPECIALTY

ETHICS IN PLASTIC SURGERY
NEW DEVELOPMENTS IN PLASTIC SURGERY


Prof. Dr. med. Alfred Berger
Alexis-Carrel-Str. 4
30625 Hannover
Tel: 0511 778396
Berger-Alfred@t-online.de