impact of accelerated/direct tracks

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PCT

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For all the subspecialties that I hear are starting to or have moved to the accelerated track (plastics, vascular, thoracic, etc), how will this impact a gen surg resident who planned to pursue one of those fellowships. For example, I'm interested in plastics too, but wasn't a 100% sure, so I did not apply to the direct (that, and the fact that its uber hard to get it). Also, I wanted the gen surg training 1st. So, if in the middle of my gen surg residency, all plastics program go to a direct track, will there still be spots for residents like me or will we have to start over?
 
For all the subspecialties that I hear are starting to or have moved to the accelerated track (plastics, vascular, thoracic, etc), how will this impact a gen surg resident who planned to pursue one of those fellowships. For example, I'm interested in plastics too, but wasn't a 100% sure, so I did not apply to the direct (that, and the fact that its uber hard to get it). Also, I wanted the gen surg training 1st. So, if in the middle of my gen surg residency, all plastics program go to a direct track, will there still be spots for residents like me or will we have to start over?


At the molasses-slow rate at which these things change, I wouldn't worry about being left out of the loop; most programs transition over rather than completely switch from one model to another. Thus, residents in training would still have the opportunity to pursue additional training in those fields without having to start over.

Besides, in the case of PRS, the integrated models have not proved as popular ( at least with faculty) as it was once believed; some programs have reverted BACK to the independent model.
 
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