Background: Academic engagement in plastic and reconstructive surgery (PRS) has grown substantially, marked by an increasing number of professional societies, annual meetings, and peer-reviewed journals. While this growth has facilitated innovation, collaboration, and knowledge sharing, it has also introduced financial burdens. These costs may limit access to academic involvement, especially for early-career surgeons and those without institutional funding. Despite the implications these financial barriers pose for equity, academic engagement, and innovation within the field, the cumulative cost of academic involvement in PRS remains poorly quantified. Methods: A cross-sectional review was conducted to assess the financial costs of academic engagement in PRS in the United States (U. S. ). Between January and April 2025, data was collected from official websites of national and subspecialty PRS societies, journals, CME platforms, and board-certifying bodies. Annual dues, meeting fees, CME costs, journal subscription, and publishing fees, and board-related expenses were compiled. A comparative analysis with five other surgical subspecialties was conducted. Results: 32 major PRS societies were identified. Membership dues ranged from 150 to 1, 299. Meeting registration was 250-1, 495. Journal subscription costs ranged from 44. 90 to 1, 518, and OA APCs from 700 to 5, 334. PRS-board certification costs averaged 9, 045. CME cost-per-credit reached up to 600. Among the six surgical specialties in the U. S. that were included in the comparative analysis, PRS ranked second in baseline academic engagement (BAE) costs after Neurosurgery, averaging 10, 109. Conclusion: Academic engagement in PRS carries significant financial burdens that may limit access. Addressing these barriers is essential to maintaining equity and innovation.
Shah et al. (Mon,) studied this question.