Purpose: A universal goal of surgical education is to train confident surgeons. Current ACGME operative logs simply emphasize the number of procedures done. This study aims to collect data on residents self perception of adequate training.

Methods: A survey was distributed to 200 residents at a regional and national plastic surgical meeting. Eighty-two surveys were returned with fifty-two meeting criteria of final year of training or completion in the last year. Statistical analysis was performed using frequency of response and percentage response data.

Results: The response rate was 41% with 26 % meeting inclusion criteria. In answer to “rate your current level of comfort with performing the following procedure”, the following responses were obtained:

Part 1 Would perform comfortably or confidently

Part 2 Would not perform or only with a senior surgeon

Breast Reduction 94%, 0% Blepharoplasty 60%, 8% Rhytidectomy 44%, 17% Rhinoplasty 31%, 23% Eyelid ptosis repair 25%, 52%

The three areas of weakness in which residents would like more training in were: Rhinoplasty 58% Rhytidectomy 38% Eyelid ptosis repair 38%

Conclusion: We present a novel tool to evaluate resident training as well conclude inadequate training in rhinoplasty, ptosis surgery, and rhytidectomy.