Dr. Plecha then served as a staff officer in Florida and Virginia before returning to the civilian world, taking a position in the buying department at the Proctor & Gamble Company in Cincinnati, Ohio. During his time with P & G, he attended night school at the University of Cincinnati to complete the prerequisites for medical school.
Dr. Plecha attended Case Western Reserve University School of Medicine, receiving his MD degree in 1982.
Following graduation from medical school, Dr. Plecha completed a one-year internship in general surgery at the VAMC Reno, in the process falling in love with the Reno area.