Discussion

Hunter, John G.

doi:10.1097/01.prs.0000434413.85959.47

Cited by 4 publications

(4 citation statements)

References 8 publications

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“…4,10 In addition, more integrated residents may hold assistant professor positions because of the trend of more integrated residents entering academia compared with independent graduates. 4,23 Our study also found that programs led by integrated-trained chairs had a higher proportion of integrated faculty per institution compared with independent-trained chairs. We also found a greater proportion of integrated-trained chairs hiring integrated-trained associates or full professors, despite the current greater likelihood for independent graduates to hold a full professor position.…”

Section: Discussionsupporting

confidence: 60%

“…First, there may be less integrated graduates holding full professor positions because of their relative younger age and shorter time since residency graduation 4,10 . In addition, more integrated residents may hold assistant professor positions because of the trend of more integrated residents entering academia compared with independent graduates 4,23 . Our study also found that programs led by integrated-trained chairs had a higher proportion of integrated faculty per institution compared with independent-trained chairs.…”

Section: Discussionmentioning

confidence: 60%

“…For example, a study found that 54.76% of residency directors and faculty members agreed that the integrated program was superior to the independent program. 11,23,24 Such perceptions are likely to exist owing to the better curriculum vitae and higher academic profiles of integrated graduates before residency, including higher United States Medical Licensing Examination scores and increased number of publications. 4,5,23 Therefore, perceptions of the 2 programs may play a role in the academic hiring process.…”

Section: Discussionmentioning

confidence: 99%

“…11,23,24 Such perceptions are likely to exist owing to the better curriculum vitae and higher academic profiles of integrated graduates before residency, including higher United States Medical Licensing Examination scores and increased number of publications. 4,5,23 Therefore, perceptions of the 2 programs may play a role in the academic hiring process.…”

Section: Discussionmentioning

confidence: 99%

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Independent or Integrated Plastic Surgery Residency Pathways

et al. 2021

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Introduction The training pathway for plastic surgery has evolved in recent years with the adoption and rise in popularity of the integrated model. Studies have demonstrated that there may be differences between integrated graduates and independent graduates, specifically in career choices and type of practice. This study seeks to understand if there are differences in representation at academic and leadership positions between graduates of the 2 pathways. Methods A cross-sectional study was conducted in June of 2018 to assess integrated and independent pathway graduate's representation in academic plastic surgery in the United States. Factors examined were career qualifications, academic productivity, faculty positions, and influence of pathway on career advancement. Results A total of 924 academic plastic surgeons were analyzed, 203 (22.0%) of whom were integrated graduates and 721 (78.0%) of whom were independent graduates. Independent graduates had greater National Institutes of Health funding (integrated, $40,802; independent, $257,428; P = 0.0043), higher h-index (integrated, 7.0; independent, 10.0; P < 0.001), and higher publication number (integrated, 17; independent, 25; P = 0.0011). Integrated graduates were more likely to be assistant professors (integrated, 70%; independent, 40.7%; P < 0.001) and required a shorter postresidency time to reach all positions examined compared with independent graduates. Conclusions Residency training pathway influences academic plastic surgeons in research output, qualifications, and academic positions. This is likely due to the relatively new nature of the integrated program compared with the independent, as well as the shorter length of training for integrated graduates. However, trends are moving toward integrated graduates showing increased interest and productivity in academic medicine.

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Section: Discussionsupporting

confidence: 60%

Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Independent or Integrated Plastic Surgery Residency Pathways

et al. 2021

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Evolving Perceptions of the Plastic Surgery Integrated Residency Training Program

Pace

Mast

Pierson

et al. 2016

Journal of Surgical Education

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From “Coordinated” to “Integrated” Residency Training: Evaluating Changes and the Current State of Plastic Surgery Programs

Rifkin

Cammarata

Kantar

et al. 2019

Plastic &Amp; Reconstructive Surgery

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Background: Since the inception of the integrated model, educational leaders have predicted its ongoing evolution, as the optimal plastic surgery curriculum remains a source of debate. With the now complete elimination of the “coordinated” pathway, the total number of integrated programs has arguably reached a plateau. Accordingly, this study examines the current state of training in integrated residencies and reevaluates the variability in the first 3 years of training observed previously. Methods: Program information was obtained for all 68 integrated plastic surgery programs, and rotation schedules were available for 59. Plastic, general, and subspecialty surgery exposures were quantified and compared. Inclusion of rotations “strongly suggested” by the Residency Review Committee was also examined. Results: Plastic surgery exposure ranged from 3.5 to 25 months (mean, 13.9 ± 5.4 months). General surgery ranged from 5 to 22.5 months (mean, 12.8 ± 4.7 months). Subspecialty rotations ranged from 0 to 8 months (mean, 3.6 ± 1.8 months). There was no difference in mean plastic surgery exposure between programs based within departments versus divisions (15.4 months versus 13.3 months; p = 0.184). There remained significant variability in the inclusion of 18 non–plastic surgery rotations, including the “strongly suggested” rotations. Conclusions: Plastic surgery exposure remains highly variable with a greater than 7-fold difference between programs. This suggests that programs are still sorting out the ideal curriculum. However, there is an overall trend toward earlier and increased plastic surgery exposure, which now exceeds the average time spent on general surgery rotations.

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Discussion

Cited by 4 publications

References 8 publications

Independent or Integrated Plastic Surgery Residency Pathways

Independent or Integrated Plastic Surgery Residency Pathways

Evolving Perceptions of the Plastic Surgery Integrated Residency Training Program

From “Coordinated” to “Integrated” Residency Training: Evaluating Changes and the Current State of Plastic Surgery Programs

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