Almost all of the other surgical subspecialties can pursue the plastics fellowship after their initial training. This includes fields such as orthopedics, otolaryngology, oral surgery, urology, etc. One can argue that ophtho has oculoplastics but the breadth of training in oculoplastics is not the same as plastics. Furthermore, I am confident that the surgical skills gained in ophtho residency are adequate to prusue a plastics fellowship. So what gives?