key: cord-0024649-o0nco4lz authors: Jinka, Sanjay K.A.; Janis, Jeffrey E. title: Publication Times and Integrated Plastic Surgery Applicant Planning date: 2021-12-17 journal: Plast Reconstr Surg Glob Open DOI: 10.1097/gox.0000000000004057 sha: bd0d9eb479a7b0698aa24df3ff8e8c8c6c13ba16 doc_id: 24649 cord_uid: o0nco4lz nan Sanjay K.A. Jinka, BS*; Jeffrey E. Janis, MD, FACS † I ntegrated plastic surgery is one of the most competitive residencies, with 57% of applicants matching in 2021. 1 Research productivity is a shared feature of applicants with matched US MD seniors producing 19.1 abstracts, presentations, and publications compared with 11.5 for unmatched seniors in 2020. 1 This reflects a substantial increase from only 3.4 for matched applicants in 2007. 2 In this Viewpoint, we will analyze publication times in a major plastic surgery journal pre and post-pandemic, with the goal of determining how early applicants must start plastics research to be competitive, taking these contemporary publication cycle times into account. As per Chawla et al, 35 articles published between January 1, 2019, and November 1, 2021, in Plastic and Reconstructive Surgery were chosen at random. Plastic and Reconstructive Surgery was selected as it is the highest impact factor journal in the specialty with an impact factor of 4.763. One original research article per monthly issue was reviewed. Articles accepted before March 2020 were categorized as "pre-COVID," between March 2020 and August 2020 as "quarantine," and September 2020 to the present as "postquarantine." Two-tailed T-testing assessed differences. Mean submission-to-acceptance time significantly increased from 30.97 weeks pre-COVID to 56.80 weeks postquarantine (P < 0.05), whereas acceptance-to-publication time significantly decreased from 32.67 to 25.59 weeks (see Table 1 ). Submission-to-acceptance times were analyzed separately from submission-to-publication times, as applicants can list accepted work as publications in ERAS and PSCA applications. Further, in 2018, Plastic and Reconstructive Surgery was found to have a mean acceptance-to-publication time of 25.8 weeks, longer than the mean among all plastic surgery journals in 2018 of 10.32 weeks. 3 The same study reported a mean submission-to-acceptance time of 23.3 weeks for Plastic and Reconstructive Surgery and 21 weeks for all plastic surgery journals, suggesting this metric is more generalizable. Overall, our data suggest that article submission-toacceptance time postquarantine is greater than 1 year. This trend is supported by a selection of general journals, which demonstrated a significantly longer submission-toacceptance time postquarantine compared with articles from 2019 at 91.35 and 75.79 days, respectively. 4 This trend is exacerbated in plastic surgery journals, which significantly lag compared to other surgical subspecialty journals with median submission-to-publication time in 2018 of 208 days versus 22.1, respectively. 3 With Step 1 transitioning from numerical to pass/ fail scoring in 2022, further emphasis will be placed on research. 5 We recommend expressing an interest in plastic surgery 2 years before applications are due. This is early M2 year for the average US senior and allows sufficient time to start multiple research projects and go through the submission-to-acceptance process in the postquarantine era. Further, we recommend researchrelated gap years be taken at least 2 years before the application cycle, if applicable (between M2 and M3 year) to allow for maximum publication productivity. A final consideration is for the applicant to look at publication cycle metrics/turnaround times of target journals before submission to best evaluate how these mesh with application cycle deadlines. A 5-year analysis of the integrated plastic surgery residency match: is it the most competitive specialty? Integrated plastic surgery applicant review: important factors and selection criteria Need for speed: investigating publication times and impact factors of plastic surgery journals Publication patterns' changes due to the COVID-19 pandemic: a longitudinal and short-term scientometric analysis Implications of Pass/Fail USMLE step 1 scoring: the plastic surgery program director and applicant perspective