Evidence map›Paper›PMID 39823021›Full record

ArticlePlastic and reconstructive surgery. Global open2025

Matching Into Integrated Plastic Surgery: The Impact of USMLE Step 1 Transition to Pass/Fail: Did the 2019 Predictions Come True in 2024?

Lyndsay R Boyd, Lawrence O Lin, Jeffrey E Janis

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Article
  2. Expectations and Considerations of Research Fellowships in Plastic Surgery.Plastic and reconstructive surgery. Global open · 2026
    Article
  3. Implications of the Shifting Landscape of Plastic Surgery Training Paradigms.Plastic and reconstructive surgery. Global open · 2026
    Article
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  20. Osteopathic Graduates in Plastic Surgery: How Can We Improve the Pipeline?Plastic and reconstructive surgery. Global open · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Lyndsay R BoydFrom the Department of General Surgery, OhioHealth Riverside Methodist Hospital, Columbus, OH.
Lawrence O LinDepartment of Plastic and Reconstructive Surgery, The Ohio State University Wexner Medical Center, Columbus, OH.
Jeffrey E JanisDepartment of Plastic and Reconstructive Surgery, The Ohio State University Wexner Medical Center, Columbus, OH.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The first class of integrated plastic surgery residency applicants with pass/fail (P/F) step 1 assessments occurred during the 2023-2024 Match cycle. This study analyzes the results of a 2024 postmatch survey to program directors (PDs) regarding the impact of the conversion to P/F step 1 scoring and compares the results to the 2019 survey that attempted to predict how this conversion would influence decision-making when it was initially announced. Methods: A 26-item survey evaluating PDs' perspectives on applicant characteristics and the application process following P/F step 1 scoring was distributed March 2024. Data were analyzed using summary tables, marginal homogeneity tests, and Mann-Whitney U tests. Results: Thirty-seven plastic surgery PDs completed the survey (response rate = 46.3%). The top 3 most important metrics for determining applicant interview invitations after step 1 P/F conversion were participation in an away rotation, letters of recommendation, and involvement in research, while ultimately match rank list order emphasized quality of the applicant's interview. A total of 68.1% of PDs agree that it was more difficult to differentiate applicants without a numerical step 1 score. A total of 51.5% of PDs reported using step 2 clinical knowledge scores to screen applicants. PDs' opinions on factors influencing the 2023-2024 Match cycle did not significantly change from predictions studied in 2019. Conclusions: Program directors felt that in the 2023-2024 cycle, it was more difficult to differentiate between applicants, leading to increased emphasis on other characteristics such as away rotations, letters of recommendation, step 2 clinical knowledge scores, and research. There was no difference from what was predicted.

Identifiers

PMID39823021
PMCPMC11737487

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.