A Work in Progress: Women's Status in the Plastic Surgery Workforce and Recommendations for Success

Area of Science:

• Plastic Surgery Workforce Diversity
• Surgical Education and Training
• Gender Equity in Medicine

Background:

• The plastic surgery field has historically been male-dominated, with women comprising only 20% of the workforce.
• Recent trends show a majority of matched applicants in integrated plastic surgery programs are now women, indicating a shift.
• Understanding the career trajectories and satisfaction levels of female plastic surgeons is crucial as the field evolves.

Purpose of the Study:

• To examine current practice models among female plastic surgeons, including those in non-academic settings.
• To gather perspectives on career paths, identify trends, and provide recommendations for women in plastic surgery.
• To assess factors influencing career satisfaction across different practice types.

Main Methods:

• A survey was distributed to 1342 members of the American Society of Plastic Surgeons and The Aesthetic Society.
• The 37-question survey collected data on demographics, practice models, career paths, and desired changes.
• Chi-square analyses were used to compare characteristics of different practice types (academia, employed, private practice).

Main Results:

• The study achieved a 53% response rate, with most respondents aged 35-45, in solo private practice, and lacking formal fellowships or female mentors.
• Career satisfaction was highest among private practice surgeons, followed by employed surgeons, and then academic surgeons.
• Academic surgeons reported longer working hours and a higher case volume compared to those in other practice models.

Conclusions:

• Private practice is associated with greater career satisfaction for female plastic surgeons.
• Seeking female mentorship and developing business acumen, including social media presence, are vital for success.
• Plastic surgery training programs should integrate mentorship and business skills training to improve equity and support women's advancement, particularly in academic settings.