Plastic Surgery Residency

Program Overview

The Plastic Surgery Residency at Penn State Health Milton S. Hershey Medical Center is an integrated six-year, ACGME-accredited program that admits two residents per year.

Program Details

The Plastic Surgery Residency is led by Dr. Donald Mackay, Chief of the Division of Plastic Surgery; Dr. T. Shane Johnson, residency program director; and Dr. Thomas Samson, assistant program director.

The faculty consists of nine full-time staff surgeons based at Penn State Health Milton S. Hershey Medical Center and three private-practice plastic surgeons in Harrisburg. Hershey Medical Center, founded in 1963, is a 551-bed, Level 1 adult and pediatric trauma center with more than 650 physicians. A free-standing Children’s Hospital opened in February 2013.

There are many subspecialty clinics with resident involvement in hand surgery, skin oncology, cosmetic surgery, craniofacial surgery, cleft lip and palate surgery and vascular anomalies. Many of these clinics are multidisciplinary with other specialists at Penn State Health. The craniofacial and cleft teams hold clinic at the Lancaster Cleft Palate Clinic, which is the oldest freestanding multidisciplinary cleft clinic in the world.

Resident education is highly valued at Penn State. The residents collaborate with the staff in structuring the various conferences to provide a broad-based didactic experience that includes:

  • Combined Hand Conference with Orthopaedics
  • Didactic Conference incorporating the Plastic Surgery Education Network
  • Picture Rounds
  • Surgical Indications Conference
  • Resident Small Group/Inservice Preparation Conference
  • Morbidity and Mortality Conference
  • Research Conference
  • Journal Club

As a division, we provide Suture Skills Clinics for all third-year medical students. A yearly microvascular lab is conducted in the Simulation Center by the staff for all residents. Residents also get dedicated microvascular instruction time throughout the year commensurate to their experience and skill level. Anatomic dissection courses on cadavers are performed throughout the year and focus on flap elevation and surgical technique.

Academic production is a mandatory component of the plastic surgery residency, with expectations of publications and presentations at academic plastic surgery meetings. We have NIH-funded projects at Penn State Cancer Institute, as well as the Irvin S. Zubar Plastic Surgery Laboratory, run by Dr. Dino Ravnic, with multiple ongoing basic science and clinical studies. Residents are active in research throughout their training and are encouraged to collaborate with staff that share their academic interests.

Our Team

Rotations

PGY-1

  • General surgery, one month, Penn State Health Miton S. Hershey Medical Center (HMC)
  • Vascular surgery, one month, HMC
  • Breast and surgical oncology, one month, HMC
  • Orthopaedic trauma surgery, one month, HMC
  • Surgical ICU night float, one month, HMC
  • Pediatric surgery, one month, HMC
  • Thoracic surgery, one month, HMC
  • Transplant surgery, one month, HMC
  • Colorectal surgery, one month, HMC
  • Trauma, one month, HMC
  • Plastic surgery, one month, HMC
  • Minimally invasive surgery, one month, HMC

PGY-2

  • Breast and surgical oncology, two months, Penn State Health Milton S. Hershey Medical Center (HMC)
  • Skin oncology, one month, HMC
  • Anesthesia, one month, HMC
  • Neurosurgery, one month, HMC
  • Surgical ICU, one month, HMC
  • General surgery, two months, Lebanon VA Medical Center
  • Urology, one month, HMC
  • General surgery, one month, PinnacleHealth Harrisburg Hospital
  • Plastic surgery, one month, HMC
  • Procedural dermatology, one month, HMC

PGY-3

  • Plastic surgery, one month, Penn State Health Milton S. Hershey Medical Center (HMC)
  • Oculoplastic surgery, one month, HMC
  • Transplant surgery, one month, HMC
  • Otolaryngology, two months, PinnacleHealth Harrisburg Hospital
  • Surgical ICU, one month, HMC
  • Orthopaedic hand surgery, one month, HMC
  • Oral surgery, one month, HMC
  • Trauma, one month, HMC
  • Pediatric surgery, one month, HMC
  • Burn surgery, one month, Johns Hopkins Hospital
  • Minimally invasive surgery, one month, HMC

PGY-4

  • Adult reconstructive plastic surgery, four months, Penn State Health Milton S. Hershey Medical Center (HMC)
  • Hand surgery, two months, HMC
  • Pediatric/craniofacial plastic surgery, three months, HMC
  • Breast aesthetic surgery, three months, HMC

PGY-5 and PGY-6 (Chief Resident)

  • Cosmetic private plastic surgery, three months, PinnacleHealth Harrisburg Hospital
  • Reconstructive plastic surgery, two months, Penn State Health Milton S. Hershey Medical Center (HMC)
  • Breast aesthetic surgery, two months, HMC
  • Pediatric/craniofacial plastic surgery, two months, HMC
  • Hand surgery, two months, HMC
  • Elective, one month, arrange with program director

International Rotation

International rotations in collaboration with Operation Smile are available for PGY-5 and PGY-6 plastic surgery residents in a variety of locations. Rotations typically occur during elective time during these training years as well as through the Regan and Stryker Fellowships available through Operation Smile.

These rotations are approved by the Residency Review Committee (RRC) and the American Board of Plastic Surgery (ABPS), allowing residents to log cases they perform abroad.

One Resident’s Experience

During our fifth and sixth years of training, we have been afforded the opportunity to explore our interest in plastic surgery with a monthlong elective. I have a strong passion for cleft surgery so I decided to travel to the northeastern corner of India to the city of Guwahati.

A recent report has estimated that there are 1,000,000 unrepaired clefts in India with an annual incidence of 35,000 new clefts each year.  In the rural state of Assam, where Guwahati is located, the population of 31,000,000 is served by eight plastic surgeons, many of whom do not perform cleft operations.

Fortunately, measures have been taken to combat this public health discrepancy. The Guwahati Comprehensive Cleft Center (GC4) was created from a unique public and private partnership from Operation Smile India, the Government of Assam, the National Rural Health Mission, the Sir Dorabji Tata Trust and Bupa International. GC4 is actively reaching out to the poorest and most remote villages to provide free comprehensive care to patients with clefts. The center has a speech therapist, social workers, a dentist, pediatric anesthesiologists and a pediatrician.  It was heartbreaking to see the extent of malnutrition that still exists in the world today.

The center was clean although the hospital still had open sewers. The OR was an open concept with multiple tables in the same room that were furnished with up-to-date equipment provided by Stryker. The three Indian staff surgeons were remarkably talented at cleft surgeries. Their knowledge, efficiency and results were exceptional. They were also excellent teachers as they have also created a fellowship program to train cleft surgeons from endemic areas throughout India, Asia and Africa.

Their skill was crafted from an unprecedented case volume compared to American standards. There were three OR tables with two to four cases running every weekday. In fact, during my stay, the center performed their 12,000th case including all local and regional cases. I was able to operate on one to two primary cleft lips and one to two primary cleft palates per day. With this volume, I did more cleft surgery in one month than I will have done in my entire residency. Additionally, I surpassed the ACGME requirements for cleft cases by a factor of greater than 10. The spectrum of the pathology was unlike anything that would be seen in America. I was able to operate on a 26-year-old with a previously unrepaired complete cleft palate as well as a 72-year-old woman with an unrepaired complete cleft lip.

This was a truly wonderful and rewarding experience that I will always remember. I arrived in India with a basic understanding of cleft surgery but left with a thorough comprehension of the finer technical details.

Visiting Professors

The Division of Plastic Surgery regularly hosts prominent visiting professors.

See upcoming and past visiting professors here.

Plastic Surgery Lab

The Plastic Surgery Research Laboratory at Penn State is directed by Dr. Dino Ravnic (PI) and managed by Dr. Srinivas Koduru.

Our laboratory’s primary research effort is toward the creation of autologous vascularized engineered tissue that is suitable for microsurgical implantation and immediate reperfusion. Composite tissue defects are a common manifestation after tumor resection or traumatic injury. Reconstructive microsurgery involves the transfer of autologous tissue (free-flap) for correction of these injuries. However, flap harvest may not be an option in all individuals and can be associated with significant donor-site morbidity. Tissue engineering is the practice of combining cells, scaffolds, and biologically active molecules to create functional tissue. We attempt to optimize these factors to craft bioengineered vascularized tissue that is patient-specific.

Adipose tissue has long been thought to be nothing more than an energy reservoir. However, it is rich in mesenchymal stem cells and endothelial cells which can serve as the cellular starting material for tissue engineering approaches. We have been successful in differentiating adipose derived stem cells (ADSCs) into multiple cell lines and recombining them in vitro with endothelial cells derived from the same adipose fraction. When cultured in three-dimension (3D) this cellular composition allows for adjacent microvasculature development. Furthermore, the isolation of various proteins and molecules from adipose tissue can be used in scaffold fabrication. We believe that the complete “deconstruction” of adipose tissue can provide most of the elements used in tissue “reconstruction.”

To achieve our goals, we collaborate with experts in materials science for scaffold fabrication, biomedical engineers for 3D bioprinting assembly of cells/scaffolds/proteins, and vascular biologists for optimization of microvascular development, integration and function.

This cross-collaborative environment has led to additional projects in tissue repair (e.g. hernia, bone) and the investigation of small RNAs for both clinical implementation and integration into tissue engineering approaches.

Scholarly Activity

Recent publications for Plastic Surgery residents appear below.

Subscribe to RSS headline updates from:
Powered by FeedBurner

See all publications by Plastic Surgery residents on PubMed

To Apply

We utilize ERAS (Electronic Residency Application Service) for our recruitment and matching.

Completed applications are reviewed and decisions are made regarding the interview process.

This program usually receives around 250 completed applications, of which 30 applicants are granted interviews for the two categorical positions.

We will have two interview dates where applicants will be interviewed. The interview dates are conducted in December through January. The evening prior to the interview, we have a social gathering that gives the applicants the opportunity to meet the faculty and residents in a more relaxed atmosphere.

The interview process itself, the following day, consists of six formal interviews, five with faculty members and one with the chief residents. Between interviews, the applicant has the opportunity to interact with residents at various levels of the training, as that is the best way to obtain the most accurate information about the quality and disposition of the residency.

Faculty

Staff

Current Residents

Past Residents

Contact Us

Mailing Address

Penn State Health Milton S. Hershey Medical Center
Department of Surgery
Division of Plastic Surgery
500 University Dr., MC H071
Hershey, PA 17033

General Contact Information

Email: sstates@pennstatehealth.psu.edu

Fax: 717-531-4339