title: Plastic surgery residency websites: a critical analysis of accessibility and content.
abstract: BACKGROUND
  Medical students applying for plastic surgery residency utilize the Internet to manage their residency applications. Applicants often apply to many programs and rely on advice from colleagues, mentors, and information gathered from plastic surgery residency websites (PSRWs). The purpose of the present study was to evaluate integrated and combined PSRWs with respect to accessibility, resident recruitment, and education.
  
  
  METHODS
  Websites from all 63 integrated and combined plastic surgery residencies available to graduating medical students during the 2013 academic year were available for study inclusion. Databases from national bodies for plastic surgery education were analyzed for accessibility of information. PSRWs were evaluated for comprehensiveness in the domains of resident education and recruitment. Residency programs were compared according to program characteristics using the Student t test and ANOVA with Tukey method.
  
  
  RESULTS
  Of the 63 residencies available to graduating medical students, only 57 had combined or integrated program information on their PSRWs (90.5%). In the domain of resident recruitment, evaluators found an average of 5.5 of 15 content items (36.7%). As a whole, 26.3% of PSRWs had academic conference schedules, 17.5% had call schedules, and only 8.8% had operative case listings. For resident education, PSRWs provided an average of 4.6 of 15 content items (30.7%). Only 31.6% of PSRWs had interview schedules, 24.6% had graduate fellowship information, and 5.3% had information on board exam performance. Upon comparison, programs in the Midwest had more online recruitment content than programs in the West (47.1% vs. 24.2%, P < 0.01). Additionally, programs with a larger class of incoming residents (2 vs. 1) had greater online recruitment content (40.0% vs. 26.7%, P < 0.05). Larger programs with 3 integrated spots had more online education content than smaller programs with only 1 integrated spot (40.0% vs. 19.4%, P < 0.01).
  
  
  CONCLUSIONS
  PSRWs are often not readily accessible and do not provide basic information that allow residency applicants to use this recruitment tool effectively. The paucity of online content suggests PSRWs are underutilized as an educational and recruitment tool. These findings have implications for applicants and plastic surgery residency programs, and there may be future opportunity to utilize this tool more effectively.
authors: From the *Division of Plastic Surgery, The Perelman School of Medicine at the University of Pennsylvania, The Children's Hospital of Philadelphia; †Division of Plastic Surgery, Temple University School of Medicine, Children's Hospital of Philadelphia; and ‡Division of Plastic Surgery, The Perelman School of Medicine at the University of Pennsylvania, Hospital of the University of Pennsylvania, Philadelphia, PA.
authors: Jason
authors: J
authors: Silvestre
authors: Sandra
authors: S
authors: Tomlinson-Hansen
authors: Joshua
authors: J
authors: Fosnot
authors: Jesse A
authors: JA
authors: Taylor
mesh_terms: D001291:Attitude of Health Personnel; D003479:Curriculum; D016208:Databases, Factual; D003657:Decision Making; D006801:Humans; D033181:Information Dissemination; D020407:Internet; D007396:Internship and Residency; D012570:School Admission Criteria; D013518:Surgery, Plastic / Q000193:education*; D014481:United States