Specialty Choice: Plastic Surgery

Q: What particular activities should first and second year students get involved with who are interested in pursuing this specialty?

An integrated plastic surgery program is a competitive residency, so doing well academically in the first two years of medical school is very important. High scores on Step 1 are expected. Early shadowing is beneficial. Students can contact Dr. Johnson for shadowing opportunities and for attendance at the plastic surgery conference (Tuesday afternoons).

Q: Are research experiences important in your specialty?

Research experience is not technically required, but applicants in this field have a greater number of research experiences compared to others, so research is strongly recommended and looked on favorably by residency programs.

Q: If so, do these need to be specialty specific research experiences?

Any research experience is better than no research experience, but generally plastics or surgical research is preferred.

Q: Does class rank matter?

Yes. 39 percent of applicants are in AOA according to NRMP 2014 results. Doing well in your first two years of medical school and on Step 1 is a must.

Q: When should I ask for letters of recommendation (LORs)?

Ideally you should ask for letters in May but absolutely no later than July, allowing your letter writers adequate time to upload your letter prior to the ERAS application submission date of Sept. 15. Your personal statement and CV should be ready as well as many letter writers will request this in order to write you a strong letter.

Q: How many LORs do you need?

A minimum of three. Plastic surgery faculty use a Plastic Surgery Residency Recommendation Form, which is appended to the letter of recommendation. If your letter writer is a plastic surgeon, please inquire about this form.

Q: Is a letter from a chair required?

Yes.

Q: Do all letters need to be written by members of this specialty?

 No, but shoot for at least three within the field. Get a letter from your home program’s plastic surgery program director/chief.

Q: Do any letters need to be written by external institutions?

Yes, ideally two or more letters from away rotation program directors.

Q: Does your Step 2 CK score matter?

Yes.

Q: What electives would you recommend for someone who is interested in pursuing this specialty?

During your general surgery clerkship, ask to be part of the Silver service at MVH (this is the burns and plastics surgery team). Any extra surgical experience is also valuable. Consider doing Infectious Disease, Dermatology, Neuroradiology, Anesthesiology and Pain Medicine.

Q: Should a student interested in this specialty do away rotations?

Yes.

Q: If so, how many “aways” do you recommend and when should they be completed?

Two or more away rotations are highly recommended. They should be completed in June-September

Q: Which month is recommended to take off to interview?

Most interviews are from mid-November through mid-January. Take a month or so off between November and January, and schedule as many interviews as possible during the month you took off.

• General Surgery
• ENT
• Other surgical subspecialties

• Length of program: Integrated: six years; independent: five years general surgery and three years plastics
• Number of accredited programs: 69
• Transitional year needed: No
• Combo programs: You can take the “traditional,” independent, route to plastics by applying for and completing a general surgery (or other qualifying surgical) residency, then doing a post-residency in plastics. You apply for the post-residency position at the end of your general surgery residency.
• Common variations among programs:
  • Number of residents per year: one to four residents per class
  • Caseload: more residents/year may indicate fewer cases
  • Subspecialty emphasis: craniofacial/pediatric volume, hand volume, etc.
  • Research: some programs publish/expect publications far more than others

• Aesthetic Plastic Surgery
• Craniofacial Plastic Surgery
• Reconstructive Microsurgery Plastic Surgery
• Plastic Surgery Research
• Surgical Wound Care