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2023 CSAT Self-Assessment Study Guide

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Educational Overview
This activity has been designed to enhance the participant’s clinical knowledge base of plastic surgery in five clinical component areas:

1) Breast & Cosmetic 
2) Comprehensive Integument
3) Craniomaxillofacial
4) Hand & Extremities
5) Core Surgical Principles

It is intended to serve as a study guide in self assessment format. The contents include a selection of questions, critiqued responses, and references from recent In-service Examinations for plastic surgeons. All practice and test questions were reviewed and found to be objective and supported by appropriate review of the literature and align with evidence-based research. Content in this educational activity has been reviewed by peers and professionals to determine that the content is fair, balanced, and unbiased.

At the successful completion of each module (passing score is 75%), participants earn PRA Category 1 CreditsTM. Participants may choose to study all modules or only those that are educationally relevant to their practice and professional interests. By completing all modules, participants can earn up to 15 AMA PRA Category 1 CreditsTM. The contents include a selection of questions, critiqued responses, and references from recent In-Service Examinations for plastic surgeons.

*Disclaimer
Use of these materials are provided with the understanding that utilization and completion of the questions does not imply or guarantee a successful outcome on maintenance of certification efforts.

Learning Objectives
At the conclusion of this activity, participants should be able to:

1. Utilize the most up-to-date information on the core curriculum of plastic surgery to improve patient care and obtain better outcomes in practice 
2. Identify their knowledge base of the five clinical component areas covered: comprehensive integument, aesthetic and breast, craniomaxillofacial, hand and extremities and core surgical principles 
3. Establish a benchmark for areas of focus needing further concentrated educational efforts 
4. Formulate a continual learning plan to participate in appropriate educational activities based upon results of this self assessment activity


Directly provided by the American Society of Plastic Surgeons® (ASPS®)

Accreditation Statement
The American Society of Plastic Surgeons® (ASPS®) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement
The American Society of Plastic Surgeons designates this enduring material for a maximum of 15.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Patient Safety Credit: 5.0
Release Date: 12/01/2022
Expiration Date: 12/31/2023
Complete a reflective statement and pass the assessment at 75% to Claim Credit
Estimated time to complete this course:
1) Breast & Cosmetic Module: 3 hours 
2) Comprehensive Integument Module: 3 hours 
3) Craniomaxillofacial: 3 hours 
4) Hand & Extremities: 3 hours
5) Core Surgical Principles: 3 hours

Intended Audience 
This activity is intended for plastic surgeons and other healthcare professionals.

Disclosures

The American Society of Plastic Surgeons (ASPS) requires all instructors, planners, reviewers, managers, and other individuals in a position to control or influence the content of an activity to disclose all relevant financial relationships or affiliations. All identified conflicts of interest must be resolved and the educational content thoroughly vetted by ASPS for fair balance, scientific objectivity, and appropriateness of patient care recommendations. The ASPS also requires faculty/authors to disclose when off-label/unapproved uses of a product are discussed in a CME/CE activity or included in related materials.

All identified conflicts of interests have been resolved.

Disclosures of all Chairs, Speakers, Authors, Moderators, Reviewers, Committee Members and other appropriate individuals:

Saied Asfa, MDAffiliations: Board member Valley Outpatient Surgery

Richard Baynosa, MD - Investments: Pfizer Stock $10,001-$50,000; Compensation: Allergan $10,001-50,000 consultant 

Devra Becker, MD - Outside Relationships: In contract with Thieme publisher for a book; Affiliations: ASMS board of directors, ACAPS committee member (membership, education), ACAPS board member-at-large

A.K. Bhattacharya, MD - Affiliations: President Monmouth Society of Plastic Surgeons, Chief Plastic Surgery Section CentraState, Assoc Professor of Surgery East Orange VA, ASPS In-Service writing committee

Christie Bialowas, MD - Outside Relationships: provided patient case report for Cellerate and paid $500.00; Affiliations: one-time consultant for Acelity to discuss irrigating wound vac 2016

Chris Campbell, MD - Outside Relationships: Consultant LifeNet beginning January 2020; Affiliations: Board of Directors and Treasurer Virginia Society for Plastic Surgeons, FDA Medical Advisory Board Integra Life Science; Compensation: LifeNet $100-$1,000 consultant, Mentor $100-$1,000 educator, Integra $100-$1,000 medical advisor; Grants: LifeNet basic science grant

Angela Cheng, MD - Affiliations: ASRM -women’s microsurgery group committee member, audit committee; Annals of Plastic Surgery-Breast section editorial committee

Julia Corcoran, MD - Affiliations: Illinois Society of Plastic Surgeons - Immediate Past President (Board Member - term 2023), American Council of Academic Plastic Surgeons - committee; Investments: Immersive Touch $10,001-$50,000

Lisa David, MD - Affiliations: Associate Editor Journal of Craniofacial Surgery, Section Editor Cleft Lip and Palate Journal

Kyle Eberlin, MD - Outside Relationships: consultant AxoGen; consultant Integra; consultant TISSIUM, consultant Checkpoint Surgical

Thomas Fiala, MD - Outside Relationships: Dominion Aesthetics, Chair, Scientific Advisor Committee; Affiliations: past president & Trustee, Florida Society of Plastic Surgeon, Member - Safety committee - ASAPS, ISAPS, Member - Finance Committee - ASAPS; Compensation: Dominion Aesthetics $10,001-$50,000 primary investigator

Brian Gastman, MD - Outside Relationships: Consultant: BMS, Castle Biosciences, Quest Imaging, EpiBone, Merck, Cardinal Health Scientific advisory board: Merck, Cardinal Health; Affiliations: Subeditor-Annals of Plastic Surgery, Annals of Surgical Oncology (non-paid positions); Investments: Castle Biosciences $100-$1,000; Compensation: EpiBone $100-$1,000, Quest Imaging $10,001-$50,000, Castle Biosciences $10,001-$50,000, Merck $100-$1,000

Jesse Goldstein, MD - Compensation: Synthes/J&J $1,001-$10,000 consultant

Steven Haase, MD - Affiliations: Committee member: ASSH Self-Assessment Exam committee, ASSH ER Hand Care committee, ABWM CWSP Exam committee

Matthew Hanasono, MD - Affiliations: PRS and Annals of Plastic Surgery (editorial review boards)

Randy Hauck, MD - Affiliations: Board Member of Hershey Outpatient Surgery Center

Scott Hollenbeck, MD - Outside Relationships: True Digital Surgery, advisory board member; Affiliations: Southeastern Society of Plastic and Reconstructive Surgeons - Parliamentarian; Investments: inSoma Bio, Inc $10,001-$50,000 Co-founder, Equity Holder, Medical Advisor; Institutional Grants: Allergan, Acelity, Synovis, Integra, Smith & Nephew, Stryker, Cook, KLS Martin, Bard, ViOptix, Scanlan, True Digital Surgery, Nautilus, Mitaka, Checkpoint Surgical, and OmniGuide - To Duke University listed under my name; COI Other: Industry-sponsored journal club and dinner with a variety of companies done through Duke University's Division of Plastic Surgery; education-based activities. CMS Open Payments for 2019 = $1,269

Darrin Hubert, MD - Affiliations: Treasurer and founding board member of non-profit Craniofacial and Plastic Surgery Foundation of Virginia (medical mission work)

Tara Huston, MD - Affiliations: Northeastern Society of Plastic Surgeons - program committee (current); Outside Relationships: Consultant for Establishment Labs; Compensation: Establishment Labs $100-$1,000 adjudicator

David Kahn, MD - Affiliations: ASPS Inservice Committee, ASAPS Residents and Fellows Committee

Firas Karmo, MD - Compensation: Smith & Nephew / Member Speaker Bureau Panel $10,001-$50,000

Ergun Kocak, MD - Outside Relationships: 1. Medtronic (consultant), 2. ViOptix (speaker), 3. Baxter (consultant), 4. AlloSource (consultant); Investments: LipoSales LLC $50,001-$100,000; Compensation: AlloSource $5,001-$10,000 consultant

Anand Kumar, MD - Outside Relationships: KLS Martin - Research Grant Support, Polarity TE stock option execution 3/2019 one-time option. Consultancy no longer active (2017-2019); Affiliations: KLS Martin - Research Grant Support, Vice President AAPPS, Assistant Secretary ASMS, PRS-GO editorial board, ASPS Board ASMS Representative; Investments: Polarity TE Stock Option executed 10,000 shares 2/2019. NO additional options or financial relationship $10,001-$50,000; Compensation: KLS Martin Research Grant $10,001-$50,000 primary investigator; Institutional Grants: KLS Martin Research Grant

Kerry Latham, MD - Affiliations: I have taught for AONA (AO North America). I have taught face trauma courses. I have reviewed articles for Journal of Craniofacial Surgery and Military Medicine (without compensation and without title). I teach ATLS courses (American College of Surgeon) without compensation

Amber Leis, MD - Compensation: Axogen $5,001-$10,000 speaker at fellows' course

Scott Lifchez, MD - Affiliations: I am a member of the and serve on multiple committees for ASSH, ACAPS, and AAPS. I am co-chair of the ASSH Ethics and Professionalism Committee. I am chair of the ACAPS Business of Plastic Surgery task force. I am a co-founder and equity holder of EduMD, LLC. EduMD, LLC makes the MileMarker surgical assessment tool that is used to assess resident surgical performance in my residency program and in other residency programs in the US. I am on the scientific advisory

Alexander Lin, MD - Institutional Grants: 1. Plastic Surgery Foundation grant, 2020. 2. ASERF (Aesthetic Society) grant, 2020

Michele Manahan, MD - Affiliations: Member of ASRM (Education Committee Chair), ACS (Women in Surgery Committee member), AMA, AAPS (Women in Surgery Taskforce Chair), Med Chi, Maryland State Medical Society (Immediate Past President and Board member), Baltimore City Medical Society, and ASAPS (AMA representative); Institutional Grants: None that I know of which impact myself, I work at a large academic institution and there may be something of which I am unaware

Cindy McCord, MD - Affiliations: ASPS committee member, ASAPS committee member

Suhail Mithani, MD - Affiliations: Committee member Chase Library committee, American Society for Surgery of the Hand Program Committee Member, American Association of Hand Surgery Nominating Committee, American Association of Hand Surgery; Compensation: Integra Life Sciences $10,001-$50,000 consultant, TISSIUM $100-$1,000 consultant; Institutional Grants: Baxter, KCI

Arash Momeni, MD - Outside Relationships: Consultant for Allergan, AxoGen, Sientra, and Stryker; Affiliations: Editorial Board Member Annals of Plastic Surgery, Microsurgery; Compensation: Allergan, AxoGen, Sientra, and Stryker $50,001-$100,000 consulting fees

Michelle Palazzo, MD - Affiliations: Ohio Valley Society of Plastic Surgeons Executive Board member - sec/treasurer - slated for president 2020, Kentucky Society of Plastic Surgeons - Vice President; Committee member ASPS, ASSH

Gregory Pearson, MD - Affiliations: Chair of ASMS visiting professor committees, member of various committees for ACAPS, ASMS, ACPA, AAPS

Gary Rogers, MD - Outside Relationships: The Plagiocephaly Solution LLC

Farooq Shahzad, MD - Affiliations: Editor of the journal “Surgery: Trends and Innovations,” Editor of “Advanced Surgical Techniques and Principles,” Editor of “Journal of Perinatology and Clinical Pediatrics,” Committee Member: ASPS In-service Examination Committee, ASPS Curriculum Development Subcommittee, ASPS International Scholar Subcommittee, ASPS Annual Meeting Program and Instructional Course Committee

Sachin Shridharani, MD - Affiliations: Allergan, Evolus, Galderma, Endo Pharmaceuticals, Prollenium, Sientra, Suneva, Soliton, ASPS, ASAPS, ACS, NYSSPS, NYRSPS; Compensation: Allergan $200,001-$500,000 Advisory Board, Consultant, Grant Recipient, Honorarium Recipient, Investigator, Speaker’s Bureau. Galderma $200,001-$500,000 Advisory Board, Consultant, Grant Recipient, Honorarium Recipient, Investigator, Speaker’s Bureau. Endo Pharmaceuticals $500,001-$1,000,000 Advisory Board, Consultant, Honorarium Recipient, Investigator. Sientra $10,001-$50,000 Advisory Board, Consultant, Honorarium Recipient, Speaker’s Bureau. Prollenium $50,001-$100,000 Advisory Board, Consultant, Honorarium Recipient, Investigator, Speaker’s Bureau. Suneva $10,001-$50,000 Advisory Board, Consultant, Grant Recipient, Honorarium Recipient, Speaker’s Bureau. Evolus $50,001-$100,000 Advisory Board, Consultant, Honorarium Recipient, Speaker’s Bureau. Soliton $10,001-50,000 Advisory Board, Consultant

Mark Sisco, MD - Affiliations: Editorial Board, Journal of Surgical Oncology; Outside Relationships: Advisory Board for Surgical innovation Associates; Investments: Surgical Innovation Associates $10,001-$50,000

Alexander Spiess, MD - Outside Relationships: AxoGen, Renerva; Compensation: Renerva $10,001-$50,000 consultant

Simon Talbot, MD - Outside Relationships: Limited consulting for Allergan, Gecko, TISSIUM, Neuraptive; Affiliations: Member of Board for American Society for Reconstructive Transplantation; Committee positions for ASSH and AAHS; Compensation: TISSIUM $1,001-$5,000 consultant, Neuraptive consultant; Institutional Grants: DoD and NIH

Howard Wang, MD - Affiliations: American Council of Academic Plastic Surgeons: Committee member; Outside Relationships: Consultant for Dominion Aesthetics

Cindy Wu, MD - Affiliations: Clinical Editor for the Aesthetic Surgery Journal; Institutional Grants: Recipient of PSF Pilot Research Grant in 2014; Recipient of PSF Pilot Research Grant in 2017

June Wu, MD - Institutional Grants: co-PI of a DOD grant, "Genetic Causes and Therapeutic Interventions in Vascular Malformations", from 2019-2022; Consulting Fees: In July 2019, I consulted (for 1 hour) with a consulting company (Guidepoint) on demographics of patients with vascular anomalies. I received $150.00. It was an ad hoc (and not standing) consulting arrangement

      With the exception of those indicated above, the Chairs, Authors, Reviewers, Committee Members, Volunteers and Staff involved with developing and producing the 2022 In-Service Exam have indicated that they have no conflicts of interest relating to the activity to disclose.

      ASPS In-Service Examination Committee

      Writing 2022 In-Service Exam

      Overall Committee Chair: Lawrence S. Glassman MD, FACS

      Breast & Cosmetic

      Devra Becker, MD, Sub-Chair

      Saied Asfa, MD, FACS

      John Bauer, MD

      Jens Berli, MD

      Thomas Fiala, MD, MBA, CPE

      Jack Gelman, MD

      Amir Ghaznavi, MD

      Joshua Hyman, MD

      David M. Kahn, MD

      Firas Karmo, MD

      Sumesh Kaswan, MD

      Christian Kauffman, MD

      Michelle Lee, MD
      Michele Manahan, MD
      Deirdre Marshall, MD

      Cindy McCord, MD

      Nicole Nemeth, MD
      Sachin Shridharani, MD, FACS

      Haritha Veeramachaneni, MD
      Dawn Wang, MD

      Cindy Wu, MD

      Comprehensive Integument

      Eric Halvorson, MD, Sub-Chair

      James Butterworth, MD

      Chris Campbell, MD, FACS

      Angela Cheng, MD

      Umar Choudry, MD

      Noopur Gangopadhyay, MD

      Ivan Hadad, MD

      Al Hassanein, MD

      Richard Kim, MD
      Ergun Kocak, MD
      Marilyn Ng, MD

      Farooq Shahzad, MD

      Indranil Sinha, MD

      Mark Sisco, MD
      Matthew Steele, MD

      Craniomaxillofacial
      Alexander Davit, III, MD, Sub-Chair

      Ash Bhattacharya, MD, FACS
      Lisa R. David, MD, FACS
      Brian Gastman, MD
      Jesse Goldstein, MD
      Matthew M. Hanasono, MD
      Anand Kumar, MD
      Kerry Latham, MD
      Alexander Lin, MD
      Gregory Pearson, MD
      Gary F. Rogers, MD

      S. Alex Rottgers, MD

      Rachel Ruotolo, MD

      Peter Taub, MD

      June Wu, AB, MD


      Core Surgical Principles

      Jeffrey Larson MD, Sub-Chair
      Brian Andews, MD
      Richard Baynosa, MD
      Stephanie Caterson, MD
      J. Gui Christiano, MD, FACS
      Julia Corcoran, MD

      Brian Gander, MD

      Darrin Hubert, MD
      Tara Huston, MD
      Mark Leyngold, MD
      Suhair Maqusi, MD

      Renata Maricevich, MD

      Brett Michelotti, MD

      Arash Momeni, MD

      Samuel Poore, MD, PhD
      Howard Wang, MD

      Hand & Lower Extremity

      Scott Lifchez, MD, Sub-Chair

      Rheena Bhatt, MD

      Christie Bialowas, MD

      Andrew Chen, MD, FACS
      Brian Drolet, MD
      Kyle Eberlin, MD
      Steven Haase, MD
      Randy Hauck, MD

      Lydia Helliwell, MD

      Amber Leis, MD

      Erik Marques, MD

      Suhail Mithani, MD

      Michelle Palazzo, MD

      Alexander Spiess, MD
      Simon Talbot, MD

       

       

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