Students Matriculating into Integrated Plastic Surgery: Are all Medical Schools Equal?

Introduction Becoming a craniofacial/pediatric plastic surgeon depends on completing a plastic surgery (PS) residency. As medical school curricula for PS exposure are highly inconsistent, the authors investigated whether there was an association between the presence of PS elective rotations and/or home programs in medical schools with the proportion of students matriculating into integrated PS residency. Methods: A list of 198 medical schools was compiled from the Association for American Medical Colleges and the American Association of Colleges of Osteopathic Medicine. Plastic surgery residency programs were identified by the American Society of Plastic Surgery and the American Council of Educators in Plastic Surgery. Plastic surgery elective rotation offerings and recent matches (2021–2022) were obtained from school websites. Mean proportions of students matriculating into PS between schools that did versus did not have PS elective rotations and/or home PS residency programs were compared. Results: One hundred fifty-nine medical schools were included. Seventy-seven of 159 (48%) had both PS elective rotations and home program(s), 63/159 (40%) offered PS elective rotations only, and 19/159 (12%) had neither. The mean proportions of students matriculating differed significantly (P < 0.001) among schools without PS electives or a home program [0.09%, 95% confidence interval (CI): −0.04% to 0.21%), PS elective only (0.51%, 95% CI: 0.25%–0.77%), and both PS elective and home program(s) (1.14%, 95% CI: 0.92%–1.37%). Conclusion: The presence of elective PS rotations and a home PS residency program significantly increase the chances of matriculation into integrated PS residency programs.