international college of cosmetic surgery

INTERNATIONAL COLLEGE OF COSMETIC SURGERY

Dr. Vijay SharmaPresident

Federation of Restorative and Cosmetic SurgeryMumbai, India



TRAINING PROGRAMME

As recommended by

DR ANTHONY ERIANPRESIDENT

EUROPEAN BOARD OF COSMETIC SURGERY &INTERNATIONAL BOARD

OF COSMETTC SURGERY

MELVIN A. SHIFMAN, MDCo-Editor-in-Chief

International Journalof Cosmetic Surgery & Aesthetic Dermatology

DR. VIJAY SHARMAPRESIDENT

Indian Association of Cosmetic Surgery &

Federation of Restorative & Cosmetic Surgery

Masters in Cosmetic Surgery 2 Year ProgramMinimum Requirement MS / MD in Surgery or Allied Surgery Masters in Cosmetic Dentistry 1 Year Program Minimum Requirement MDS / BDS Masters in Aesthetic Dermatology 1 Year Program Minimum Requirement MBBS Masters in Cosmetology 1 Year ProgramMinimum Requirement MBBS / BSc or equivalent Qualification Twin Training 2 Year ProgramTraining for FRCS Edinburgh and Masters in Cosmetic SurgeryMinimum Requirement MBBS Advance Course in Cosmetic Surgery 5 Weeks ProgramMinimum Requirement MS/MD, FRCS or equivalent

Education OfferedPost MD / MS / MDS / MBBS / BSc Training Program For

INTRODUCTION The aim is to establish a board to oversee the credentialing and examination and training of all members of organisations across the world and to give accreditation in the field of cosmetic surgery by having a Specialist Register and Board Exams in Aesthetic/Cosmetic Surgery. The European/International Board will be essentially autonomous organisation and elects directors from names submitted by various sponsoring organisations. The organisation will elect members of the board of censors and replace members who have completed a 5-year term. It also elects its officers and sets its own rules. Once elected the director's prime responsibility is to the Board.

HISTORY, EVOLUTION AND PHILOSOPHY During the course of the first five years of any training as a medical student and further surgical training programmes most students cared for a variety of problems; patient care and congenital deformities - cancer injuries etc but no formal training in cosmetic surgery is catered for in any medical school. In plastic surgery for example according to Joseph Murray "for many plastic surgeons the total value of life must include personal appearance whether in child with cleft lip and palate or a person who is burnt the cancer patient or a victim of a serious accident. Plastic surgeons also care about function and form but many perform no cosmetic surgery". The rapid acceptance of the public in cosmetic surgery confirms the value and need for it. It is too noble, too grand and important to be exploited. Another danger too many untrained practitioners may bring bad name to cosmetic surgery without the knowledge, depth and level of experience that this discipline deserves.

It is not a discipline you can tag on to another as it has grown so much in the last decade. Teaching programmes, meetings, workshops, education, research, seminars etc, are so inconsistent and does not replace formal training. So the time has come to consider cosmetic surgery as a separate discipline. For all this to happen we have to set out the following:

CREDENTIALLING & REGISTRATION The European Board of Cosmetic Surgery/International Board of Cosmetic Surgery brings together all medical specialties devoted to disseminate knowledge, technique,skills and expertise in the Field of cosmetic surgery. Its aim is to ensure uniform excellence in the care of our patients. It is therefore a protector and advocate of consumers seeking cosmetic surgery. The Board will set the highest standard in the World and confirms that its fellows and members are conforming to these standard so that potential patients will feel confident in seeking a doctor who is distinguished by his member of the Board. There will be a specialist Register for any one to research (i.e. members the public and doctors alike) C.M.E. (continuous medical education) will be ongoing for any members who wishes to keep his registration. It will also have several categories to identify the exact field and area of specialist training.

MECHANICS OF THE CREDENTIALLING & REGISTRATION PROCEDURE "BOARD OD CENSORS“

Consists of 8-10 censors and Censor-in-Chief all of whom will be members of the European and International Board of Cosmetic Surgery.

1. Plastic & Reconstructive Surgeon.2. Cosmetic Surgeon with specialist qualifications – Board certified.3. General Surgeon with interest in cosmetic surgery i.e. breasts.4. Dermatologist.5. Laser Surgeon.6. E.N.T. Surgeon.7. Ophthalmologist or Orbital Surgeon (Occuloplastic).8. Facio-maxillary Surgeon.9. Censor-in-Chief may be drawn from any of the above subgroups).

CREDENTIALLING CRITERIA (i) Basic Training

Applicants must be one of the following:

(a) An FRCS or equivalent surgical qualification.

(b) Five years post-graduate, including three years of accredited surgical training.

(c) Dermatologist with surgical experience.

(d) Ophthalmologist, ENT, Facio-Maxillary surgeon.Other by special consideration.

(ii) Appropriate specific procedural training:

(a) Appropriate approved two-year fellowship from the American Academy of Cosmetic Surgery.

(b) Appropriate approved two-year fellowship from the European Academy of Cosmetic Surgery.(c) ACCS training course.

(d) Five years of procedural experience.

(e) A training course judged appropriate by the Credentialling Committee for an individual, taking into account the candidate's basic training and

experience, e.g. FRACS plus specific liposuction course and a log of

procedures.

(f) Appropriate 2-year fellowship in Approved Aesthetic Plastic Unit.

(iii) Clinical Experience Candidates must table a surgical log containing the designated minimum number of cases for a given procedure.

The log must contain - operative notes post-operative notes

and show clearly - the number of procedures the number

of complications the patient outcome Patient's names are not to be shown. NB: It is necessary for the candidate to state that the log is true and complete. The Board of Censors reserves the right to investigate the legitimacy of the log, and will do so from time to time. When the log is produced as part of a recognised training programme it must be counter-signed by the Course's Director or preceptor.

(iv) Examination

Having met the requirements under (1), (ii) and (iii) above, all Fellows will be required to sit an examination, which shall consist of written examination and viva voce examinations in:

(a) Body contouring surgery(a) Dermatological cosmetic surgery(b) Basic sciences as applied to surgical procedures.

(The exceptions to item 4 are those candidates who are applying under thegrand fathering clause and Honorary Fellow).

The Register The Board will hold registers for all major groups of procedures. Once accredited, the Fellow or Member's name will be added to the Board register for that procedure. The Fellow or Member's name will then be given out along with all other Fellows or Members for that procedure to patients, or other persons or organisations requesting information. The register will also lend the Fellow or Member credibility in a court of law insofar a:the College will have deemed the Fellow or Member appropriately trained and capable of performing that procedure.

Duties of the Board of Censors

(1) To assess applications for procedure registrations and hand down a consensus decision (suitable or unsuitable).

(2) Examine log books.

(3) To assess and clear new applicants for membership (to the membership categories, e.g. Fellow and Member, see later).

(4) Assess candidate applications for Board Membership and eligibility for training programmes.

Membership Categories (i) Associate Member. (ii) Member (iii) Fellow

Associate MemberDescription: Members of the Board in the course of training for either

Membership or Fellowship. They are not entitled to vote or to sit on the Council.

MembersDescription: Doctors practicing Cosmetic Medicine, e.g. Collagen, botox,

chemical peels, sclerotherapy, hair transplantation, tattoo removal and laser epilation,

Requirement: Current Medical Registration Letter of Good Standing Credentialling by Board of Censors

Eligible: Members are eligible, if they have appropriate training and qualifications, to be placed on one or more registers of cosmetic medicine procedures.

FellowsDescription: Cosmetic Surgeons (Invasive Procedurals).

Requirements: Credentialling for the Board of Censors (Full Surgical Criteria).

Eligible: Fellows are eligible, if they appropriate training and qualifications to be placed on one or more registers of cosmetic surgical procedure

CONTINUING MEDICAL EDUCATION AND RE-CERTICICATION PROGRAMME

The European/International Board of Cosmetic Surgery requires that Fellows and Members must have tangible evidence that they are keeping up to date in their specialty and are continually elevating the quality of care they provide to patients. Participation in this programme is compulsory for all Fellows and Members who are responsible for the clinical care of patients. Every year there will be a random audit of returns of Fellows and Members for one of the preceding years. Fellows and Members will be selected at random and asked to provide documentation to support the information supplied for the re-certification. A Certificate of Continuing Professional Standards will be awarded at two yearly intervals.

Definition The Continuing Medical Education and Re-certification Prograrnme is the process conducted by the Australian College of Cosmetic Surgery which requires Fellows/Members to demonstrate that they have maintained proper professional standards of knowledge and performance for the period under review. The Goal The goal of the Programme is to enable Fellow/Members to demonstrate that they are engaged in the minimum/maximum range of activities, which will assist them to improve their knowledge and skills and so provide their patients with quality health care.

The Programme There are three facets to the Continuing Medical Education and Re-certificationProgramme. Each of these facets is required to be satisfied in order for a biennial Certificate of Professional Standards to be issued to the Fellow / Member of the College. The three facets are: 1. Patient Audit and Peer Review. 2. Credentialling at a hospital, which is accredited by the Board Council

on Health Care Standards, or is a hospital or day surgery centre approved by the European Board or International Boards of Cosmetic Surgery. 3. Continuing Medical Education.

Continuing Medical Education

Definition

Continuing Medical Education consists of those educational activities undertaken after qualifying as a Fellow/Member of the College which serve to increase, maintain and develop the knowledge and skills needed to provide effective and safe patient care.

There are four categories of activities:

Category I - Hospital and Committee Meetings

This includes attendance at any of the following meetings:

(a) Specialty Unit Meetings.

(b) Clinical Outcome Meeting including grand rounds.

(c) Any hospital committee involved with clinical care of patients.

The total minimum requirement for Category 1 is ten hours activeinvolvement Per year.

Category II - Scientific Meetings (I day = 8 hours)

This includes attendance at any internationally accredited meeting involving cosmetic surgical/medical activities.

The total minimum requirement for Category II is thirty hours per

annum.

Category III - Self-Educational Activities

These include the following:

(a) Internet activities related to clinical practice. (b) Surgical journals, tapes, videos etc. (c) Arranged visits to special units.

(d) Preparation for and participation in self-assessment tests. (e) Acquisition of new skills related to cosmetic surgical practice.

Category IV- Other Activities

These include the following:(a) Acting a referee for journal articles.

(b) Publications in a refereed journal or presentation at an accredited scientific meeting. Allow six hours for each different presentation

and ten hours for each journal article.

(c) Undertaking tertiary level courses related to clinical care of patients.

Participation is equivalent to twenty hours per unit.

(d) Teaching activities to under-graduates, post-graduates and peers.

(e) Review of overall practice by peers other than audit activities.

(f) Participation in organised research related to clinical practice. The minimum requirements for Categories III and IV are a total of forty hours.

Surgical Audit Surgical Audit is regular, documented critical analyses of the outcomes of patient care which is reviewed by one's peers and which is then used to further enhance clinical practice. The results of the audit should be presented at a clinical meeting, e.g. Mortality and Morbidity, or any other meeting, which is designed to discuss clinical outcomes. This constitutes the peer review of the audit and is an integral part of the performance of the surgical audit.

Summary of the Requirements of the Re-certification Programme(a) Engage in a total of 80 ours of continuing medical education per

annum.(b) Conduct an audit of some aspect of the Fellow of Member's clinical

practice related to cosmetic surgery/medicine.

(c) Arrange a peer review of that audit.

(d) Engage in audit activities for at least 5 hours per annum (in addition to activities referred lo in (b) and (c) above).

(e) Be credentialled at a hospital that is accredited by the European/International Council on Health Care Standards or that meets the standards for an approved hospital.

(f) If requested, Fellows/Members are required to supply documentation to support the information provided on the Annual Re-certification Data Form.

At the end of each calendar year, each Fellow/Member will be sent a Recertification Data Form, which is required to be completed and return to theCollege by the due date.

All documents will be assessed and as soon as possible after the due date each Fellow/Member who meets the minimum standard will be sent a Re-certification Statement for the previous year. It is envisaged that Re-certification statement will be issued no later than December of the year following the year being re-certified. At the end of two years each Fellow/Member who has met the requirements for two consecutive years is awarded a Certificate of Continuing Professional Standards. It is a condition of Re-certification that Fellows/Members produce evidence that they have current medical indemnity insurance with an appropriate medical defence organisation.

TRAINING PROGRAMMES AS PROPOSED BY: 1. European Academy of Cosmetic Surgery.2. International School of Cosmetic Surgery.3. Australian College of Cosmetic Surgery.4. Japanese Society of Cosmetic Surgery.5. Argentine Society.6. Italian Society of Aesthetic Mastic Surgery.7. Korean Society.8. Indian Association of Cosmetic Surgery9. Federation of Restorative and Cosmetic Surgery.10. Russian Society11. British Society12. Singapore Society of Aesthetic Plastic Surgery.13. Bulgarian Society.14. Vietnam Society.15. Indonesian Society.

AFFILIATED CENTERS 1. European Academy of Cosmetic Surgery. 2. South American Academy of Cosmetic Surgery. 3. International Academy of Aesthetic & Reconstructive Surgery. 4. Japanese Society of Aesthetic Surgery. 5. Indian Association of Cosmetic Surgery. 6. American Society of Aesthetic Surgery. 7. Federation of Restorative and Cosmetic Surgery.

Proposals I. Final Exam in Year 2005 Board of Examiners Selection of Members of BoardExaminers from American BoardLiaise with other examining bodies to unify the exam Place of Examination

Neutral location in Europe

U S Asia Africa Australia

London New York Mumbai Nairobi Sydney Brussels Los Angeles Singapore Johannesburg Brisbane Germany Orlando Beijing Cape Town Melbourne

Location International College of Cosmetic Surgery Or International College of Cosmetic Surgery Affiliated Hospitals Or Affiliated Cosmetic Surgery Centre Time and Length of Exam Each Year 3 Hrs. Written Examination and 2 Hrs Interview

COSMETIC SURGERY SYLLABUS OVERVIEW

AIM: TO OUTLINE GENERAL & SPECIFIC REQUIREMENTS FOR TRAINING

GENERAL:

HISTORY OF COSMETIC SURGERY HISTORY OF ACADEMIES, ASSOCIATIONS, SOCIETIES, COLLEGES MISSION STATEMENTS, GOALS OF TRAINING BODIES CODES OF PRACTICE - see GMC publication "Duties of a Doctor – Good Medical Practice" ETHICS MEDICOLEGAL esp. protecting the patient & yourself TRAINING PRE-REQUISITES SOURCES & RESOURCES ACADEMIC Responsibilities & REQUIREMENTS CLINICAL REQUIREMENTS ASSESSMENT-regular, ongoing final ETHENIC SCIENCE as part of Cosmetic Surgery. PROFILE imaging, photography. SCULPTING.

SPECIFIC: THEORETICAL, CLINICAL, TECHNICAL, SURGICAL, MEDICAL REGIONS - break down into smaller regions which relate to particular

procedures:

FaceBodySkin

ANATOMY PHYSIOLOGY PATHOLOGY - RELEVANT MICROBIOLOGY, IMMUNOLOGY, HISTOLOGY, DERMATOLOGY etc PHARMACOLOGY PHYSICS PSYCHOLOGY MEDICAL EMERGENCIES SURGERY - PROCEDURE, TECHNIQUE, PRE/INTRA / POSTOP PHOTOGRAPHY STANDARDISE PHOTOGRAPHY, PRE, INTRA, POST-OP NOTES, ETHENIC SCIENCE as part of Cosmetic Surgery. PROFILE imaging, photography. SCULPTING.

REGIONS:

FACE - HEAD & NECK:

DISPROPORTION & DEFORMITIES & HOW TO ASSESS CONCEPT OF PROPORTIONS IE CANONS/THIRDS CONCEPT OF REGIONS IE UPPERA41D/LOWER FACE DISTANCES & ANGLES EG NOSE, EARS, EYES, MOUTH, HAIRLINE, ETC NORMAL VARIANTS EG SHAPE OF BROW AS INFLUENCING BOTOX INJECTION EYES NECK FOREHEAD/BROW MALAR/ZYGOMATIC REGION IE CHEEKS/MIDFACE MANDIBULAR REGION IE JAW INCLUDING CHIN MOUTH EARS HAIR NOSE

SKIN: NORMAL SKIN, LAYERS, STRUCTURES, ETC. HISTOLOGY SKIN & SKIN TYPES - VARIOUS CLASSIFICATIONS, ALL USEFUL TO A DEGREE BUT NO IDEAL TENSION LINES, LANGER'S LINES DERMATOMES

BODY: PROPORTIONS, NORMAL, ABNORMAL, DISPROPORTION & DEFORMITIES & HOW TO ASSESS THORAX/CHEST - BREASTS, PECTORAL REGION ABDOMEN PELVIS GLUTEAL BACK UPPER LIMBS LOWER LIMBS

PROCEDURES RE REGION:

FACE: Facelift Blepharoplasty Brow lift Neck / platysmal surgery Botox Dermal fillers including fat grafting Liposculpture Facial implants LASER resurfacing Other LASER applications (pigmented lesions, telangiectasia, neoplasms etc) Chemical peels Dermabrassion / Microdermabrasion Scar treatment e.g acne, & revision post surgery or post traumatic Otoplasty Hair transplant - scalp & other areas e.g eyebrows, scars Rhinoplasty

BODY:

Liposculpture Other techniques of body contour surgery ie lipectomy Augmentation mammoplasty Reduction mammoplasty Mastopexy Male gynaecomastia - treatment options Abdominoplasty Body implants Sclerotherapy U/S guided sclerotherapy LASER treatments e.g LHR, neoplasms, fine capillaries Phalloplasty

ADJUNCTIVE THERAPY:

FACE & BODY both pre & post-op e.g endermologie, massage, skin care, role of beauty therapy, etc

ANATOMY:General & that which is specifically relevant to cosmetic surgeryInclude:

Relevant embryology Surface anatomy & surface markings Dermatomes Skin & skin types -various classifications, all useful lo a degree but no ideal Tension lines, Langer's lines Muscles & their innervations Nerve supply - sensory & motor Blood supply Course & distribution of nerves & vessels Normal/Frequent variations & aberrant structures Association of structures esp. within operative region & those at risk Lymphatic Salivary glands Breasts Organs: eyes, nose, ears Relevant cranial nerve function Examination of nervous system, both cranial & peripheral Nerve blocks

PHYSIOLOGY:

Basic review of relevant physiol:

Cell membrane & biol transport mechanisms

Nerve & muscle function

Special senses

Autonomic nervous system

Fluid dynamics, fluid & electrolyte balance

Physiol relevant to administration of anaesthetics & fluid shifts

Knowledge required to understand & avoid potential complications, and to treat them

PATHOLOGY: INFLAMMATORY RESPONSE WOUND HEALING INFECTION SKIN: Genetics & Biochemistry of the ageing cellMacro & Micro response to Laser, peels, etcHistology of normal & ageing skin Sun damageNeoplasmsDermatological lesions & conditions eg acne, acne rosacea, port winestains etc

PHARMACOLOGY:

ANAESTHETICS - LA, GAANTIBIOTICSSTEROIDS & OTHER ANTIINFLAMMATORIESBOTOXSEDATIONANALGESICSANTIEMETICSDERMAL FILLERS

TOPICAL PREPARATIONS

MECHANISM OF ACTION SAFETY MARGINS DESIRED EFFECTS UNWANTED/SIDE EFFECTS INTERACTIONS OVERDOSE ALLERGY HOW TO DETECT & TREAT COMPLICATIONS e.g cardiac arrhythmias, anaphylaxis, cardiac arrest etc

PHYSICS:

Must understand relevant physics in order to practice safely

DIATHERMY - MONO/BIPOLAR LASER LIPOSUCTION INCLUDING U/S & MECHANICAL

PSYCHOLOGY: PATIENT SELECTION

MEDICAL EMERGENCIES:

CARDIAC ARREST ANAPHYLAXIS

SOURCES/RESOURCES:

Text

Journals - recent/relevant studies / articles

Relevant articles only - summarise contents

Internet

Product/pharmaceutical/instrument companies

Conferences/workshops

Colleagues

Techniques/practices which are internationally accepted

Complications

Exam questions

FOR EACH PROCEDURE:

MOST IMPORTANT: Discuss how to assess the pt from a physical viewpoint & decide which procedure is appropriate, which method/approach is appropriate & WHY. Indications for procedure Contraindications - absolute/relative Pre-op consultation & assessment Assessment must be both general & specific Thorough relevant medical assessment most important:

Thorough medical & surgical HxRelevant examination & investigationsMedicationsAllergiesResponse to previous anaestheticsPsychological assessmentBrief social/personal history may be relevant

Thorough assessment from cosmetic surgery viewpointDetermine what the pt. wants, feels, thinks - balance expectations against what is cosmetically achievable

Discuss appropriate procedure of choice - agreement b/w pt & surgeon

Must be doing this for themselves

Decide whether pt is appropriate for surgery i. e. pt selection - probably the single most important part of the whole process, esp. from psyche viewpoint

3 categories:

SuitableSuitable with reservationsUnsuitable

Specific physical assessment relevant to procedure eg note breast asymmetry etc

If suitable, explain details of procedure and what is realistically achievable

Show photos

Discuss expected post-op course, time off work, bruising, swelling, discomfort,usual follow-up, 24 hour availability, etc

Include risks & possible complications Know when to refer to specialist pre-op e.g cardiol, ophthalm etc Make sure that the patient understands & encourage time to make informeddecision Also encourage them to ask questions both at consultation & pre-op

BEWARE CERTAIN PATIENTS (see later) Arrange further pre-op appointment if necessary e.g BAM - sizing etc

PRE-OP

PHOTOS MARKINGS CONSENT

SURGICAL TECHNIQUE:

GENERAL / BASIC:

MOST OF THIS KNOWLEDGE IS ASSUMED SO INCLUDED FORPURPOSES OF REVIEW

GA/LA / twilight Positioning Prepping & draping Sterile technique Sutures, clips etc & methods of wound closure Instruments. Drainage Dressings Tissue handling – GENTLE Flaps

SPECIFIC: PER PROCEDURE INTRAOPERATIVE Discuss various approaches & how to select the correct approach for the individual patient Discuss techniques commonly used & internationally accepted Anaesthetic, infiltration Incision/s Dissection Operative technique Haemostasis Identification & preservation of important structures Visual aid i.e fibre optic Closure Dressings

POSTOPERATIVE Immediate i.e 1st 4 hours 1st 24 hours 1st week Thereafter COMPLICATIONS Intra-op Post-op How to avoid How to predict How to treat

SOME BASICS (can be removed or altered!)(KNOWLEDGE ASSUMED BUT REITERATED)

Experience NB - with pts, staff, juniors, seniors, colleagues, emergencies, Cx, etc, THEN the operation

Medical assessment: thorough Hx, relevant examination, lx, medications, allergies

Documentation esp. drugs, pre & post-op notes, op notes, any assessment or problem to be documented clearly

Think pt welfare 1st, closely followed by medico-legal considerations

Protect the patient AND yourself

Use logic & rationale - common sense

Continuity, on call, follow-up, minor/major problems, phone call can reassure – 24 hour responsibility

Professionalism

Respect for patients & colleagues

Seek help when necessary, NOT when it's too late

Training ProgrammeAt


FELLOWSHIP TRAINING PROGRAMME TRAINING REQUIREMENTS Below are listed the training requirements, successful completion of which is necessary to be eligible for fellowship to......

(i) Log Books

(ii) Clinical hours

(iii) Registrar evaluation reports

(iv) Research paper

(v) Fellowship examination

Training Programme

(i) SURGICAL LOG BOOK

Major Procedure Number of Cases Minimum Accepted

Number Expected Number of

Procedures

Breast Augmentation 30 50

Liposculpture 30 50

Facelift / Brow lift 30 50

Blepharoplasty 30 50

Rhinoplasty 30 50

Abdominoplasty 15 30

Breast Reduction/Mastopexy 15 30

Body Lift: Thigh/Bracioplasty 4 (at least 1 of each)

Pectoral implants, Body implants, Calf implants 3 (at least 1 of each)

Facial implants (Malar/chin) 10 (at least 3 of each)

Mandibular Osteotomy 1

Otoplasty 15

Laser resurfacing/de-pigmentation/ vascular 50 (at least 30 Resurfacing procedures)

Hair Transplant surgery 5

MINIMUM LOG BOOK REQUIREMENTS

Chemical peel 10

Botox 10

Facial injectable implants 10

Sclerotherapy 10

Fat Transfer 10

Notes on log book requirements: •The minimum total number of major procedures required to pass log book requirements is 350 cases•For each "major procedure." the "minimum acceptable number" indicates the number of cases required to pass the fellowship log book requirements.•For each major procedure the "expected" number indicates the number of cases the College expects is reasonable.•"major procedure " is defined as a procedure listed on the major procedure column of the log book.

COSMETIC MEDICINE

(ii) CLINICAL HOURS LOG A log of clinical hours is required to be kept and carefully maintained. A minimum number of 20 hours o clinical attendance is required per week, to be made up of operating theatre time (guide - 14 hours) and pre and postoperative clinic time (guide - 6 hours). NB An additional 10 hours per week is estimated to be required for academic time (personal study) in order to complete the training curriculum. (iii) REGISTRAR EVALUATION REPORT A registrar evaluation report will be filled out by each consultant at thecompletion of each rotation. A minimum of 80% of these reports is required to be favourable in order topass this component of the training programme.

(iv) RESEARCH PAPER Registrars are required to publish a clinical paper, review article, or discussion paper as a topic relevant tot he speciality of cosmetic surgery. NB: "publish" is taken to mean publication in the establishedmedical/scientific literature. (v) FELLOWSHIP EXAMINATION Examination consists of two components: Oral componentWritten component - Oral component consists of 5 vivas - The emphasis being on clinical judgement - Written component consists of 300 multiple choice questions The emphasis being on theoretical knowledge.

FELLOWSHIP TRAINING REQUIREMENTS AT

INTERNATIONAL COLLEGE OF COSMETIC SURGERY 1. Part of American Academy of Cosmetic Surgery

2. Part of European Academy of Cosmetic Surgery3. Part of Australian College of Cosmetic Surgery4. Part of Indian Association of Cosmetic Surgery5. Part of Federation of Restorative and Cosmetic Surgery INDIA

Log BooksClinical HoursRegistrar Evaluation ReportsResearch Paper.Fellowship Examination

Objectives of the Programme to cover the following: 1. Theatre Lists - all lists including twilight sedation and general.2. Minor Operations.3. On-call rota during the period on rotation with other fellow.4. Photography both digital + 35mm and power point.5. Research videos - internet - paper review.6. Pre-op consultation session + counselling + consultations.7. Postoperative involvement.8. Help and participate in workshops both national and international.9. Attend session at Guy's Hospital and visits to anatomy departments.10. Discuss and cover the whole syllabus.11. Evaluation and preparation for fellowship programme.12. Fitness to receive certificate.

COSMETIC SURGERY TRAINING PROGRAMME – TWO YEARS

FELLOWSHIP

Under the direction of board of faculty of International College of Cosmetic Surgery, Plastics and Consultant Aesthetic Surgeon, Director of the Cosmetic Surgery Centre of INDIA, Vishal Mandir, Plot No.350, 6th Road, Opp Pizza Hut, Linking Road, Khar (W), Mumbai 400 052, INDIA. Qualifications - Board eligible or Board certified in Plastics, General, Thoracic, ENT, or Maxillofacial surgery. Hands on training with pre and postoperative patient care. All forms of cosmetic surgery including Face, Neck, Breasts and Body Extremities. Procedures performed both inpatient and outpatient settings under General, Local or "Twilight" sedative/anaesthesia. Specific procedures include the following:

Facial - Rhinoplasty, Rhytidectomy, Malarplasty, Mentoplasty, Liposuction, Chemical Peel, Dermabrassion, Laser Resurfacing, Blepharoplasty, Transplant procedures, Endoscopic Forehead Lift. Breast Augmentation, Reduction, Mastopexy, Suction Lipectomy for gynaecomastia Body Liposuction and Liposculpture, Abdominoplasty Extremities - Liposuction, Thigh lift, Arm lift, Sclerotherapy, Mini vein legation. Affiliated with World Wide Centre of Cosmetic Surgery . Satellite offices in World Wide Centre of Cosmetic Surgery

Thank youThank youDr. Vijay Sharma, M.D.Mumbai, INDIA

international college of cosmetic surgery

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