For those of you who applied/are applying to the integrated plastics match as well as to general surgery, how did you structure the first few months of your fourth year? Ideally I'd like to do three plastics sub-is and 1 SICU sub-i in order to get a solid sub-i level letter for the gen surg match. I feel the best thing for plastics is PRS-PRS-PRS-SICU, but I wonder if getting my only general surgery letter (besides an MS3-yr letter and chairman's letter) in October is smart? Did any of you submit a PRS letter to general surgery programs, and if so, how were they received? We have to start applying for aways shortly so any advice would be very much appreciated.