Predictors of the Integrated Plastic Surgery Applicant Success Using the Texas STAR Database

Using the Texas Seeking Transparency in Application to Residency database, several applicant characteristics associated with a successful matching in the integrated plastic surgery residency match were evaluated.

A retrospective analysis of the 2017 to 2024 Texas Seeking Transparency in Application to Residency database was performed. Characteristics and predictors were compared by match status using unpaired t-tests, chi-square, and Fisher's exact tests. Logistic regression identified predictors, and Cochrane-Armitage tests assessed trends over time.

The study included 420 applicants to integrated plastic surgery residency programs, of whom 328 (78.1%) successfully matched, and 92 (21.9%) did not.

Matched applicants had higher mean United States Medical Licensing Examination Step 2 CK scores (256 vs. 253; p = 0.010), clerkship honors (4.4 vs. 3.6; p = 0.006), and research output (9.4 vs. 8.3; p = 0.011). They also had higher rates of AOA membership (44.8% vs. 31.5%; p = 0.039) and were more likely to hold MD degrees (100% vs. 94.6%; p < 0.001). Matched applicants were offered more interviews (17 vs. 11; p < 0.001) and attended more interviews (14 vs. 9; p < 0.001). Significant predictors included the number of interviews offered (OR 1.090; p < 0.001) and research output (OR 1.098; p = 0.041). Most applicants (75.9%) matched at programs where they had geographic or rotational connections, with this trend increasing over time (p = 0.005).

A higher number of interview offers, significant research output, and geographical or rotational connections are critical factors for successfully matching into integrated plastic surgery residencies. These findings emphasize the increasing importance of networking and academic excellence for applicants in this competitive field.