Plastic, Reconstructive, and Microsurgical Associates (PRMA) is a high-volume breast reconstruction destination with thirteen surgeons working in a true co-surgeon model for efficiency, quality, and shared learning. While microsurgical breast reconstruction is our core service, we also support growth into additional service lines, including lymphedema, lower extremity, cosmetic, and other niche specialties, giving you the opportunity to expand your scope and create a niche destination practice. Dedicated nursing staff and surgical PAs support cases and call coverage, allowing you to focus on delivering exceptional patient care.
The Opportunity
Our Mission
We deliver seamless, personalized care and results that exceed expectations for every patient seeking plastic or reconstructive surgery. We are proud to provide an exceptional, compassionate experience for all, regardless of social or economic status or insurance type.
Training Pathway
Fellowship training is preferred but not required. For the right candidate, PRMA offers a structured 4-month mini-microsurgery fellowship before transitioning to a full associate role.
Support
We are committed to your professional growth and long-term success:
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Mentorship from experienced surgeons working collaboratively within a team setting
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Surgical PA coverage during cases and call to maximize efficiency and reduce workload
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Case collection support to streamline board certification documentation
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Mock oral board exams and guidance to prepare you for board success
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Partnership track available for the right candidate based on performance, clinical excellence, and alignment with PRMA's mission
A Private Practice Model with Academic-Level Collaboration
Plastic, Reconstructive, and Microsurgical Associates and ARSA offer a “Priva-demic” model—combining the flexibility and rewards of private practice with the collaborative, high-acuity cases often seen in academic centers. You’ll join a team of like-minded, highly specialized surgeons committed to clinical excellence and innovation.
Physicians benefit from dedicated clinical and administrative support, surgical and insurance coordination, billing and collections infrastructure, marketing resources, and licensing and credentialing assistance.
Qualifications
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Board-eligible or board-certified plastic surgeon
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Strong interest in breast reconstruction and microsurgical procedures; lymphedema and/or cosmetic interest welcomed
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Excellent interpersonal, organizational, and innovative problem-solving skills
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Commitment to high-quality, patient-centered care
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Eligibility for Texas medical licensure
Responsibilities
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Perform microsurgical breast reconstruction (DIEP and other perforator flap procedures) within a co-surgeon model
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Have an opportunity to participate in and help expand additional niche service lines
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Collaborate with a multidisciplinary team to optimize outcomes and patient experience
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Contribute to continuous improvement, education, and innovation within the practice
Compensation and Benefits
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Competitive salary with productivity potential
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Comprehensive benefits package, including malpractice coverage, retirement plan, relocation assistance, and CME stipend
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Team culture that supports work-life balance and professional fulfillment
The Location
San Antonio is home to the South Texas Medical Center, one of the state's largest medical hubs, alongside a lower cost of living, the River Walk, and an easy drive to Austin.
How to Apply
Please submit your CV or letter of interest to Kelly Pidich at kpidich@arsahealth.com.