Since 2005, the Aesthetic & Plastic Surgery Institute at UC Irvine has been approved for a fully integrated residency program. Prior to this format change, the program was an independent program, which was established in the 1960's. The program accepts two medical students for a six-year educational training experience in plastic surgery. The director of the Aesthetic & Plastic Surgery Institute oversees the educational portion of the program. When students successfully complete the program, they will be eligible to sit for their boards in plastic surgery.
UC Irvine Medical Center Rotation
UC Irvine Medical Center has a broad clinical base with a concentration of critical care, trauma and burn experience. The medical center has a designated as a Level I Trauma Center and houses an adult and pediatric burn unit. Thus, the clinical goals of this rotation are to become skilled in the following principles and techniques of critical care:
Interdisciplinary burn service rounds are led by Garrett Wirth, M.D., and Keyian Paydar M.D. The multidisciplinary structure of this service also develops skills in effective interdisciplinary relationships for care of critically-ill patients, which is found in few other programs. Residents participate in the comprehensive care of burn patients from acute care through rehabilitation.
Hand and Upper Extremity Rotation
This rotation is performed at UC Irvine Medical Center under the direction of Neil Ford Jones, M.D.; and Long Beach Veterans Hospital and St. Jude Medical Center under the direction of Donald Bittner, M.D. In addition, a variety of faculty members offer more exposure through their practices. UC Irvine has a Level I Trauma Center, caring for hand trauma and replantation cases. Both orthopaedic and plastic surgeons are faculty for this service. Microvascular call is staffed by the plastic surgery residents and attendings in plastic surgery. The primary goal of this rotation is to master the principles of management, surgery and therapy of hand and upper extremity disorders in adults and children. It also provides a strong digital and extremity replantation experience and reinforces the goals of strengthening microsurgical experience. This rotation is supplemented by monthly conferences and by several annual symposia in anatomy, internal fixation and other relevant topics.
Head and Neck Rotation
An in-depth head and neck experience is available. The goals of education, experience and operative management in head and neck oncologic surgery is achieved by a multidisciplinary Head and Neck Service staffed by teams from Plastic Surgery, Otolaryngology and the General Surgery Oncology service. Further, facial call is shared equally with the ENT service, alternating every other week. Additional cases are done in combination at Kaiser Sand Canyon and Anaheim.
This rotation is centered on the Pediatric Plastic Surgery Service at UC Irvine, Long Beach Memorial, Children's Hospital of Orange County (CHOC) and California Hospital under the Direction of Dan Jaffurs, M.D. (UCI and LBM) and Libby Wilson, M.D. (CH). The primary goals of these rotations are to learn the principles and techniques of cleft lip and palate, craniofacial, and other congenital and acquired anomalies. The related goals of outpatient pre- and post-operative evaluation and management of these pediatric subspecialties are gained by attendance at The Cleft and Craniofacial panels at Long Beach Memorial, CHOC and California Hospital as well as Vascular Conference.
This rotation includes a variety of "bread and butter" plastic surgery, including cleft lip, palate, breast reductions, and breast reconstruction and hand surgery under the Direction of Sharrie Mills, M.D. This rotation is staffed by six full time faculty. All plastic surgery referrals for the local Kaiser institutions are sent to this rotation hospital. In addition, head and neck surgery will be performed both at Anaheim and Sand Canyon. Further rotations on the combined Hand service between UC Irvine and Kaiser are also part of the program. Finally head and neck reconstruction is being performed with the head and neck service at Kaiser Anaheim and Sand Canyon.
Long Beach Memorial
This rotation is directed by James Wells, M.D. and Steven Grant, M.D. It provides a wealth of experience at Millers Children's Hospital in Long Beach, and a variety of clinical faculty. Experience includes hand, ophthalmological plastic surgery, pediatric plastic surgery and adult plastic surgery, and general surgery (vascular, GI, oncology, pediatrics, etc.) Dan Jaffurs, M.D. oversees the craniofacial program and Dr. Garrett Wirth is medical director for the wound care center at Long Beach Memorial. Both of these rotations provide a multitude of experience to the residents.
Hoag Hospital/ Newport Beach Surgery Center
This rotation is directed by Malcolm Paul, M.D.
Aesthetic Rotation/Resident Aesthetic Clinical Rotation
This rotation meets weekly under the direction of Ivan M. Turpin, M.D. and Malcolm Paul, M.D. Cosmetic consultations are done weekly in this clinic and there is one OR day weekly dedicated to cosmetic surgery. Communication between their faculty and the resident is vital before surgery.
Long Beach Veterans Hospital
Under the direction of Garrett Wirth, M.D. Keyian Paydar, M.D, Gregory R.D. Evans, M.D., Trung B. Nguyen, M.D., and David Wood, M.D., residents are exposed to a wide breath of plastic surgery including the spinal cord unit.
The opportunities for residents to expand and achieve their educational goals are enhanced by several specialized facilities developed within the university and teaching hospitals of our program. They include the following:
Microsurgery Training Laboratory
This facility for basic and advanced training in microsurgery is located in our research laboratories. Residents take a formal training course in microsurgery on matriculation, and return as needed for practice. This will occur primarily at the PGY III level.
Fresh Tissue Dissection and Surgical Practice
This facility is devoted to anatomic dissection of fresh cadavers for both training and research purposes. Material is available for dissection as needed.
Continuing medical education involves a disciplined and regular review of the literature, and attendance at relevant meetings, courses and conferences. An excellent compendium and summary of its CME process for plastic surgeons is contained in the Resource Book for Plastic Surgery Residents. It is distributed annually by the Plastic Surgery Educational Foundation. We have also provided a resource manual more specific to the residency program at UC Irvine.