Yes. It's been discussed on this forum if you search for threads. The independent pathway to PRS is now essentially 10 years (5 yrs general surgery + 2 years research + 3 years plastics), versus 6 for integrated (many of the 5 year integrated programs are transitioning as well, I believe). Depending on what year resident you are you might be able to sneak into one of the remaining 2-yr fellowship programs, but they are being phased out (as each class accepted to a 2-yr track graduates, an entering class on a 3-yr track comes in).