Bridging the Gap in Facial Aesthetic Surgery Training: A National Survey Study of Canadian Resident and Program Director Perspectives on Resident-Run Clinics in Otolaryngology Residency Programs

Resident-run facial aesthetic surgery clinics improve surgical proficiency but are absent in Canadian Otolaryngology-Head and Neck Surgery (OtoHNS) training.To evaluate resident and program director (PDs) perspectives on facial aesthetic training and the feasibility of resident-run clinics. We hypothesized residents would report inadequate training and support for clinics, while directors would express caution due to logistical barriers.National, cross-sectional survey.Anonymous, bilingual electronic surveys were distributed to Canadian OtoHNS residents and PDs. Quantitative data were analyzed descriptively; qualitative responses underwent thematic analysis.Fifty residents and 11 PDs responded. Most residents (91%) reported performing ≤ 5 core procedures; 82% desired more exposure. Resident-run clinics were supported by 83% of residents but only 30% of PDs. PDs cited supervision, funding, and legal concerns.Significant training gaps exist. Resident-run clinics may enhance education but require structured supervision and institutional support.