XXVll JORNADA PAULISTA DE CIRURGIA PLÁSTICA

Global Leadership Summit
Toronto, Ontario
PLASTIC SURGERY
GLOBAL SUMMIT
AGENDA
Friday, October 1, 2010
Confederation 5/6 Fairmont Royal York
7:30
Breakfast Service
8:00
Welcome and Introductions – Michael F. McGuire, MD, President, ASPS
8:05 – 8:10
Goals for the Session – Richard D’Amico, MD, Chair, International Committee
8:10 – 8:20
ASPS International Activities: Richard D’Amico, MD
International Perspectives: Howard Webster, MD
SOME INFORMATION ABOUT
SBCP
(Brazilian Society of Plastic Surgery)
- The SBCP was founded in 1948. Currently there are about
4.800 members and we have about 180 plastic surgeons a
year graduating through 82 Services Accredited by
SBCP/MEC ( Ministry of Education).
- The SBCP is the oldest official Society recognized by the
Federal Board of Medicine to apply the test to obtain the
Specialist Title (since 1977). The Society has its own
Specialty Certification Board )
- Minimal Requirement for Plastic Surgery Training = Two
years of General Surgery
- Plastic Surgery Residency (three years) = 80%
reconstructive and 20% aesthetic surgeries
CURRENT LEGISLATION AND EMERGING
LEGISLATION IMPACTING THE PRACTICE OF
PLASTIC SURGERY IN EACH PARTNER’S COUNTRY
ACHIEVEMENTS:
THE FEDERAL COUNCIL OF MEDICINE approved many
Resolutions following SBCP recommendations:
a) Recognized Plastic Surgery as One and Inseparable
Specialty (Reconstructive and Aesthetic) which should be
performed by a Physician certified as Specialist in Plastic
Surgery– 2001.
b) Recognized the practice of Plastic Surgery as a perfomance of a
medical act and its goal which is to bring physical,
physiological and social benefits to health – 2001.
c) Established the parameters about safe lipoplasty
d) Recognized lipoplasty as a plastic surgery procedure
e) Limited the removal of adipose tissue, to 7% of
the body weight and to 40% of the body area
(as its main decisions).
SCOPE OF PRACTICE
1. One single Society (SBCP) hosts all aspects of Plastic
Surgery (Reconstructive and Aesthetic)
2. Different Chapters deal with the specific branches of the
Specialty ( Hands, Maxilo-Facial, Burn, Aesthetic,
Cosmetic procedures, etc)
3. Only members (full member, associated, in training and
Corresponding) attend official activities of the SBCP
4. The SBCP warrants teaching in training in the state of the
art of modern plastic surgery
SUCCESSES/LOSSES
ACHIEVEMENTS:
1. Partnership with the Health Ministry – performing corrections of
deformities caused by unqualified “plastic surgeons”.
2. Partnership with ANVISA (The Brazilian FDA) – outbreak of
Mycobacterium, included courses about its prevention and its
treatment.
3. Partnership with Public Ministry – surgical correction of
scalping caused by accidents on the motorboats in the Amazon.
4. Partnerhip with PROCON ( Consumers’ protection organ)
protecting the general population from unqualified physicians.
5. Legal partial stopping of financial intermadiators in the practice in
Plastic Surgery
SUCCESSES/LOSSES
FAKE PLASTIC SURGERY
(uncontroled growth)
Risks for the PATIENTS!
CURRENT REALITY:
Risks for the PATIENTS!
CURRENT PROBLEMS
Risks for the PATIENTS!
STRATEGIES
- In 2007 we organized a special Forum about Specialty Defense
and in 2008 a Lipoplasty Forum with the participation of
three Supreme Court Ministers. It had a great impact on civil
population and the Judiciary area.
- In 2007 we made a complaint to the Public Ministry together
with CRM-SP about “Intermediate Groups”, which manipulate
plastic surgeons and patients through anti-ethic ways and harm
both surgeon and patient. This resulted in a great decrease in
the influence of those intermediate groups
- In 2008, during the 45th National Congress, celebrating our
60th Anniversary Cerimony at the Senate, we were invited to
develop the law-project of plastic surgery speciality. They are
worried about the “Patient Safety” because of the risk that
people may run due to “non-core” performing plastic surgery
procedures.
MEDICAL TOURISM
- The Ethical Conduct Code of the Federal Council of Medicine
does not recommend seing patients through this system.
- But, despite all that, there is a growth of these companies in
Brazil
- We are currently directing our efforts to the District Attorneys
and they have promised to act upon this
STANDARDS AND GUIDELINES
- In all scientific events of the SBCP, there is a Forum about
Patient Safety, with a greater interest to Liposuction Safety.
- In all Congresses there is a Forum with the presence of
Justices, Judges, Members of the Press and Specialists
- In Augut 2010, the SBCP published in its official newsletter
(Plastiko’s) the SAFE SURGERY GUIDELINES
STANDARDS IMPROVEMENT PROGRAM
- The DESC Congress – created in 2007 it is a specific meeting
dedicated for Residents and Heads of the SBCP
Accredited Services. It happens in February and
during this event the Specialist Title may be
obtained through an examination. Currently,
we have about 800 attendees and 2010 was
the 4th edition.
- Liposuction Safety Forums occur regularly.
- In 2007, we had in Brasilia, the 1st Plastic
Surgeon Defense Forum, with the presence
ofthree Justices. In November 2010, there
Will be the 2nd Plastic Surgeon Defense Forum
in São Paulo
STANDARDS IMPROVEMENT PROGRAM
- A special edition of our newsletter PLASTIKO’S with
interviews with Justices, Judges, Counselors and
Plastic on how to avoid a law suit
- In the last meeting of the Board of Directors of SBCP
(August 2010) we approved a project which offers to
the Medical Students Plastical Surgery Leagues
League scientific support, with teaching and aid in
the organization of these league committees. It is
a new SBCP goal to avoid the influence of “non core
professionals” on the control of the Leagues, and to better
prepare the future plastic surgeons, obtaining more “Patient
Safety”.
RESEARCH INITIATIVES,
INCLUDING BREAST IMPLANT RESEARCH
- The SBCP created a “ Silicone Committee” which holds
information from our Members. Whenever needed, it meets
with governmental official institutions and the industry.
AREAS FOR FUTURE COLLABORATION
WHAT DO WE EXPECT
FROM THIS
GLOBAL SUMMIT?
SUGGESTIONS FOR FUTURE COLLABORATIONS
- RELATIONSHIP/FRIENDSHIP AMONG ALL SOCIETIES
- EXCHANGING INFORMATION/KNOWLEDGE/
RECIPROCITY IN MEETINGS ( All the world Leaders
must be invited to our National Meetings)
- THE MOMENT TO START THIS PROCESS IS NOW
- WE PLEDGE TO OFFER OUR VERY BEST EFFORTS TO
INSURE THAT THIS PROJECT COME TRUE!
FINANCIAL
SBCP
CONGRESS
E JORNADAS
ADMINISTRATION
SBCP
DESC
PROFISSIONAL
QUALIFICATION
SBCP
DEPARTMENTS
SBCP
JOURNAL
OF SBCP
CME
SCIENTIFIC
COMISSIONS
OFFICIAL BOOK
OF SBCP
COMMITTEES
SBCP
THANK YOU
STANDARDS IMPROVEMENT PROGRAM
The 1st Brazilian League was the The Syphilis and Other Sexually
Transmitted Diseases Fight at São Paulo
University, created on August,1920. It was
the first Medical League and it was created
Before the current University Hospital built.
The 1st “Plastic Surgery League” – as an University organization,
was founded in 1992 at São Paulo University.
It provides orientation and teaching for the
students whom are still in Medical School
and have not chosen their speciality, yet.