Established in 1951, the UCSF Plastic and Reconstructive Surgery program is one of the oldest in the nation. The inaugural Chief was Dr. Harry Blackfield. His tenure was followed by those of Dr. William Morris and Dr. Steven Miller. In 1978, Dr. Luis O. Vasconez became Chief. He and Dr. Stephen Mathes were the first full-time faculty in plastic surgery at UCSF.
Dr. Mathes (pictured left) was appointed Chief of Plastic Surgery in 1985. Initially, a program based on a a private practice based model, Dr. Vasconez and Dr. Mathes were instrumental in recasting plastic surgery as a full-fledged academic surgery program at UCSF and dramatically expanding its footprint.
William Y. Hoffman, M.D. succeeded Dr. Mathes in 2005, and has served as Chief of the Division of Plastic and Reconstructive Surgery since, leading a highly diverse and multifaceted group of surgeons, including twelve full-time clinical faculty as well as affiliated and volunteer faculty.
The Plastic Surgery Residency Program at UCSF, is led by Scott L. Hansen, M.D., FACS, Program Director; William Y. Hoffman, M.D., Professor and Division Chief; and John P. Roberts, M.D.; Professor and Interim Chair, UCSF Department of Surgery. The residency is an ACGME-accredited program structured on the integrated model, requiring six years of RRC-PS accredited residency under the authority and direction of the plastic surgery program director.
The curriculum is determined by the plastic surgery program director and accredited by the RRC-PS. No less than two years of this program must be concentrated in plastic surgery, and the final 12 months must entail senior clinical plastic surgery responsibility. This Integrated model is accredited by the RRC-PS and accepted for entry into the certification process of the ABPS.
The current roster includes twenty categorical residents, three for each clinical year, PGY 1-6, two in their research year between PGY- 3 and 4. The program is fully accredited by the Residency Review Committee for Plastic Surgery (RRC-PS) of the Accreditation Council for Graduate Medical Education (ACGME).
Weekly conferences present learning opportunities and provide a forum for the robust exchange of ideas between residents and faculty.
The program has a weekly seminar style lecture with the goal is to have topics that span the plastic surgery curriculum during a given three year cycle in lectures given by a single faculty member with both preliminary and plastic surgery residents. We have hosted lectures by clinical full-time faculty, community plastic surgeons, and faculty from other departments. We make every effort to allow for time for residents to attend these lectures.
Conferences are held every Tuesday morning, differing each week on subject matter:
Journal club is held once a month, reviewing selected papers from the primary journal of plastic surgery. There is also a quarterly cosmetic lecture series to which we invite visiting professors from the ASPS and the ASAPS. This is an evening lecture with dinner on a Thursday, with the residents spending most of the following day with the professor as well. In the past years, we have hosted surgeons Al Aly, Robert Walton, Joseph McCarthy and Gustavo Colon as visiting professors. Dr. Ronald Iverson, Dr. Fred Menick and Dr. Jack Friedland visited in 2007; and Dr. Kenneth Salyer, Dr. William Swartz and Dr. James Grotting visited in 2008. Thus far in 2017, we have hosted Dr. Glenn Jelks, Dr. Joel Feldman, and Dr. Phillip Blondeel.
UCSF Medical Center at Mission Bay is a new state-of-the-art hospital complex comprised of three (3) hospitals with shared central facilities – UCSF Betty Irene Moore Women's Hospital, UCSF Bakar Cancer Hospital, and UCSF Benioff Children’s Hospital. All pediatric surgical care and associated clinics including the UCSF Craniofacial Clinic and UCSF Birthmarks & Vascular Anomalies Center, are located at UCSF Mission Bay.
The new Mission Bay hospitals were built with a focus on the patient’s experience every step of the way. Here at Mission Bay, patients find the latest technology, including telemedicine, robotics and intra-operative imaging, as well as space to accommodate tomorrow's innovations.
The Craniofacial Center offers a multidisciplinary approach to birth defects affecting the face, head and neck, including cleft lip, cleft palate, ear anomalies and craniosynostosis, which involve the early fusing of one or more of the bones in the skull and face during fetal development. The craniofacial team and plastic surgery residents meet weekly to evaluate complex pediatric cases. The Birthmarks and Vascular Anomalies Clinic meets bimonthly in a multidisciplinary conference that includes pediatric dermatology and interventional radiology.
UCSF Medical Center at Parnassus, the original campus, has over 500 beds, 28 inpatient operating rooms, and 4 outpatient ORs. UCSF has been consistently ranked as one of the top ten hospitals in the nation.
UCSF Medical Center at Mount Zion (MTZ) is home to outpatient clinics, surgery facilities and support services for both patients and families. UCSF's Osher Center for Integrative Medicine, Helen Diller Family Comprehensive Cancer Center and Center of Excellence in Women's Health all have locations at the Mount Zion campus. Dr. Robert Foster is the Chief of Plastic Surgery at MTZ.
At the Carol Franc Buck Breast Care Center, surgical emphasis for plastic surgery residents is on breast reconstruction and general reconstruction after cancer extirpation. The residents assigned to MTZ are also assigned to the resident cosmetic surgery clinic, supervised by Dr. Gil Gradinger and staffed by rotating clinical faculty. This clinic provides low cost cosmetic surgery, with residents serving as the primary surgeon and clinical faculty supervising them directly in the OR.
Zuckerberg SFGH is a Level I trauma center for the city and county of San Francisco as well as the county hospital for indigent patients. Dr. Scott Hansen is the Chief Of Plastic Surgery at SFGH. The emphasis here is on surgery for hand and maxillofacial trauma, reconstruction after trauma, particularly orthopedic trauma, and general reconstruction as well. The opportunity to work at the SFGH affords the residents the ability to be the primary surgeon for these patients, with close attending supervision in both the clinics and the OR.
The San Francisco VA Medical Center is located at "Lands End", on a promontory overlooking the ocean. The Chief of Plastic Surgery at SF VAMC is Dr. Pablo Leon. The experience for plastic surgery residents at the VA is apropos that patient population with a preponderance of vascular and hand surgery.
The California Pacific Medical Center (CPMC) is the largest medical center of the Northern California-based Sutter Health health system with strong academic ties to the University of California, San Francisco (UCSF). Each first year resident spends two months working at the Buncke Clinic (named in honor of Gregory M. Buncke, M.D.) where the emphasis is on hand and microsurgery, including replantation.
Established in 1970, the Buncke Clinic has been at the forefront of the advancement of reconstructive surgery. The clinic is a leading center for microsurgery, plastic and reconstructive and hand surgery. The Buncke Clinic also serves as a leading tertiary referral center for complex reconstructive plastic and microsurgical treatment options and other high acuity cases. Plastic surgery residents will gain experience here in hand and microsurgery, including replantation.
Second year residents have a two month rotation at CPMC, an institution which spans multiple San Francisco campuses: the California Campus in Presidio Heights, the Pacific Campus in Pacific Heights, the Davies Campus in Lower Haight (Davies Medical Center) and the St. Luke's campus in the Mission District. The rotation at CPMC is largely elective and emphasizes working with the private practice faculty, largely on cosmetic surgery.
Saint Francis Memorial Hospital is a fully accredited community-based hospital caring for the diverse population of San Francisco. Located atop Nob Hill, Saint Francis is home to the largest burn center in Northern California, Bothin Burn Center, the city’s largest burn unit admitting over 200 burn patients annually, Center for Sports Medicine, Saint Francis Orthopedic Institute, and Phoebe Cowles Center for Comprehensive Pain Treatment. With its close proximity to downtown San Francisco, Saint Francis treat thousands of workers, international visitors and domestic tourists every year.
Plastic surgery residents have a two-month rotation at Saint Francis, providing them with invaluable experience in burn treatment and secondary reconstruction. In addition, many preeminent San Francisco cosmetic surgeons operate here with residents being afforded the opportunity to scrub in on their cases.
UCSF Benioff Children's Hospital Oakland is an ACS designated Level I pediatric trauma center and an affiliated research organization, the Children's Hospital Oakland Research Institute, or CHORI, which conducts research for a variety of children's health issues. Formerly named Children's Hospital & Research Center Oakland, the hospital was renamed in 2014 after affiliating with UCSF Benioff Children's Hospital San Francisco. When the merger is compete, the combined entity will be the fourth largest children’s hospital in the U.S.
Between 300-400 pediatric plastic surgery cases are performed annually at Benioff Children's Oakland, the majority for pediatric hand surgery, with a lesser though not insignificant number of cases for cleft palate and craniofacial cases. The UCSF Department of Surgery has plans underway for a regular resident rotation at Benioff Children's Oakland.
As an academic center, we emphasize research and provide the opportunity for residents to engage in research activities. Research begins after the third clinical year. Surgical residents can choose to perform basic science, clinical research, outcomes research, MPH, MBA, global health, or translational research. There are opportunities to work in the laboratories of leading basic science researchers throughout the university. Many of our plastic surgery residents, under the mentorship of our faculty, have made notable contributions to the study of tissue regeneration. The research of our residents have also been funded via prestigious awards such as the National Endowment for Plastic Surgery Grant.
The following faculty contribute significantly to residency education through their clinical activities staffing various clinics in the UCSF/CPMC system, participation in teaching conferences, and teaching residents in their own clinical practices. They all hold active clinical appointments at UCSF.