ResearchOutlook for Independent Plastic Surgery Training A Survey of Plastic Surgery Program DirectorsOvadia, Steven A. MD; Thaller, Seth R. MD, DMD, FACSAuthor Information From the DeWitt-Daughtry Family Department of Surgery, Division of Plastic, Aesthetic and Reconstructive Surgery, University of Miami, Leonard Miller School of Medicine, Miami, FL. Received August 28, 2019, and accepted for publication, after revision February 13, 2020. Conflicts of interest and sources of funding: none declared. Reprints: Seth R. Thaller, MD, DMD, FACS, Division of Plastic, Aesthetic and Reconstructive Surgery, DeWitt-Daughtry Family Department of Surgery, University of Miami, Leonard Miller School of Medicine, Clinical Research Bldg (CRB), 1120 NW 14th St, 4th Floor, Miami, FL 33136. E-mail: [email protected]. Annals of Plastic Surgery: January 2021 - Volume 86 - Issue 1 - p 78-81 doi: 10.1097/SAP.0000000000002378 Buy Metrics Abstract Introduction Traditionally, plastic surgery training occurs through the independent model after completion of another surgical residency. Training is a minimum of 3 years in duration. Integrated training in contrast commences upon completion of medical school and is a minimum of 6 years. Independent programs have increasingly been converting positions to integrated positions. Our survey was designed to evaluate possible plans for further conversion of independent positions to integrated positions. Methods An electronic survey was prepared using the online survey platform Qualtrics. The survey questions were designed to solicit information regarding plans to convert independent positions to integrated positions. The survey was distributed by e-mail to program directors of the independent programs participating in the 2019 match. A reminder was sent 3.5 weeks after initial distribution, and results were collected for an additional 3 weeks. Results Sixteen program directors responded to our survey including 15 complete responses and 1 partial response representing a 40% response rate. Four respondents reported that they are considering decreasing their independent program by 1 position and converting the position to an integrated position. Three respondents reported that they are considering eliminating their independent program and converting to an integrated program. Each of these programs reported their independent program as having 1 position per year. With only a 40% response rate, 7 or more positions may be converted to integrated positions in the coming years. Conclusions Independent programs have been converting some or all positions to integrated positions. Although most plastic surgery positions were previously through the independent model, in 2019, 172 positions were offered through the integrated match compared with 63 for the independent match. Results of our study indicate that independent positions will continue to be converted to integrated positions for the next few years. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.