The quality of their work is very important to Dr Adelana Santos Stahl and PD Dr Stéphane Stahl. Assuming responsibility for the quality and safety of patient care is part of CenterPlast's medical philosophy. The quality of a practice is, among other things, the degree to which a patient's requirements match the service provided. In other words, quality is when you are satisfied.
Education, patient information and advice, preparation of the operation, selection of the appropriate anesthetic procedure, hygienic work, qualified specialist care in accordance with the current state of scientific knowledge, patient orientation, patient safety, structuring of treatment procedures are all quality features. Quality indicators are measurable parameters, the characteristics of which should enable a distinction to be made between good and poor quality of care, such as a wound infection rate. Assuming good training, the number of operations performed by a surgeon is not a quality indicator (Berger DH, et al. Surgery. 2003). For example, a musician of the Vienna Philharmonic Orchestra and a street musician cannot be compared on the basis of the number of rehearsals or performances. Patients often complain about the doctor-patient communication. The time a surgeon spends with his patients outside the operating theatre is therefore important.
Before making a decision, obtaining a second opinion from a doctor can help to dispel doubts. The statutory health insurances do not cover any costs for aesthetic operations. The costs of treatment are relevant to the decision, but trust in the doctor should ultimately be the deciding factor. The training, experience, skills and scientific competence of a doctor are more difficult for a layman to compare than the costs. Nevertheless: Ask for the qualifications of the doctor you entrust yourself to! After all, it is about your health.
The terms "cosmetic surgeon", "aesthetic surgeon" or "cosmetic surgeon" are not protected. The situation is different with the professional title "Plastic and Aesthetic Surgeon": These physicians have all completed a corresponding six-year further training course. This is similar with ear, nose and throat doctors and oral and maxillofacial surgeons. After two years of further training, these specialists can acquire the additional qualification "plastic surgery" and are thus qualified for interventions in the area of the head.
The medical activity also includes research, for example in the context of a medical doctorate or habilitation. The ability to incorporate scientific findings into rational treatment decisions is strengthened by independent scientific work. The professional experience in a leading position strengthens the sense of responsibility and the competence to solve complex and difficult challenges.
A comprehensive survey of potentially medically relevant information, an in-depth investigation and documentation as well as a full explanation of risks and alternatives testify to a professional approach. If the doctor uses medical terms that you do not understand, ask for their meaning! If you are afraid of forgetting something that seems important to you, take notes beforehand!
In order to be able to objectively assess the quality in the health care system, the following categories of medical care services are distinguished (modified according to Gerlach FM (2001) Quality Promotion in Practice and Clinic. An opportunity for medicine. Thieme, Stuttgart):
- Excellent training and examination of the surgeon according to international standards (for example EBOPRAS - European Board of Plastic Reconstructive and Aesthetic Surgery).
- The passing of university examinations (the habilitation is the highest ranking university examination in Germany).
- Regular further education and exchange with surgeons at international congresses.
- Recognized additional qualifications of the surgeon (e.g. medical quality management, emergency medicine).
- Experience in a leading position (for example as a clinic director).
- Mastery of a variety of surgical techniques (e.g. microsurgery).
- Scientific skills (for example, leading innovative research projects).
- Qualifications and number of employees.
- A modern practice facility.
- A patient-oriented organisation of the practice.
- Customer-friendly practice hours (e.g. also in the evening and on weekends)
- A good cooperation with a network of experts.
- Networking with leading international plastic surgeons.
- The constant availability of the surgeon after an operation.
- A friendly and helpful treatment team.
- Adequate duration of care by the doctor.
- Short waiting times before treatment.
- Timely appointment allocation.
- Trusting and friendly conversations with the patient.
- Clear information about the recommended treatment.
- Systematic evaluation of information that affects the treatment risk (e.g. allergies, thrombosis risks).
- A thorough examination of the patient.
- A comprehensive consultation on the benefits and risks of the desired treatment and alternative treatment methods.
- The selection of the appropriate treatment with the patient.
- A treatment according to recognised international fact-based standards.
- The systematic and thorough documentation.
- The thorough preparation of the operation (adjustment of certain medications or dietary supplements before an operation, ordering of compression garments and medication that may be needed after the operation, showering with a disinfectant washing lotion on the day of the operation, arranging follow-up appointments, conclusion of follow-up cost insurance).
- The use of checklists to improve patient safety.
- The observance of strict hygiene rules.
- Regular checks after the operation to identify and treat risks in good time.
- Constant review of performance in order to identify potential for improvement.
Quality of results:
- The improvement or healing of diseases after plastic surgery.
- An improvement in appearance after aesthetic surgery.
- A high level of patient satisfaction.
- An improvement in the quality of life.
- Positive feedback from patients.
- Positive feedback from referring physicians.
- Low complication rates.
Physicians who participate in SHI-accredited medical care are obliged to introduce and further develop a quality management system (§ 135a Paragraph 2 No. 2 SGB V).
In addition to the specialist training and the fulfilment of the legal minimum requirements, PD Dr. Stahl has acquired an additional further training for physicians (additional designation) about the medical quality management.