The independent plastic surgery match: an in-depth analysis of the applicants and process

The independent plastic surgery match is an extremely competitive process that remains the most common training model for residents. The purpose of this study was to analyze the candidates and the overall process, both quantitative and qualitatively.

Between 2006 and 2008, an anonymous 25-question online survey was sent to all applicants of the match. Questions regarding demographics, the match process, financial burden, and qualitative issues were all included. Information from the American Board of Plastic Surgery and The San Francisco Match was also used to evaluate the application and distribution process.

A total of 137 applicants responded (29.2% response rate). Of the responders, 62.5% were aged 30 to 34 years, 77.2% male, 66.2% white, 94.1% in general surgery residencies, and 66.2% at an academic setting, with 39.7% at an institution that also had a plastic surgery residency program. For successful matchers, an average of 13.6 invitations were awarded, 10.02 interviews were attended, and they matched to number 2.52 on their list. Of all, 64.5% spent more than $4000 on the process, whereas 9.2% spent more than $10,000. Applicants receiving 1 to 4, 5 to 9, and 10 or more interviews had successful match rates of 47.2%, 62.9%, and 92.9%, respectively. In all, 45% of unsuccessful applicants stated that the stress on themselves and their family was the number one reason to not reapply.

Candidates applying to the independent plastic surgery match need to be aware of the competitiveness and financial commitment the process requires.