Department of Pathology and Laboratory Medicine, North Shore-Long Island Jewish Health System and Hofstra North Shore-LIJ School of Medicine, Manhasset, NY 11042-1114, USA.
Hum Pathol. 2011 Jun;42(6):774-94. doi: 10.1016/j.humpath.2010.08.002. Epub 2010 Oct 28.
The specialty of Pathology and Laboratory Medicine has entered into a phase when the 4-year sequence of Anatomic Pathology and/or Clinical Pathology Residency Training is almost universally followed by 1 or more years of Subspecialty Fellowship Training. Such training may occur in one of the American Board of Pathology-recognized subspecialties or any number of "subspecialty fellowships" that, although not leading to subspecialty board certification, may nevertheless fall under the oversight of the local institutional Graduate Medical Education Committee and the Accreditation Council for Graduate Medical Education Review Committee for Pathology. Unlike the application process for first-year Pathology Residency, which is run through the National Resident Matching Program, applications for Subspecialty Pathology Fellowships are not coordinated by any consistent schedule. Competition for Subspecialty Pathology Fellowships has consistently resulted in undesirable drift of the fellowship application process to dates that are unacceptably early for many fellowship applicants. Responding to widespread dissatisfaction voiced by national pathology resident organizations, in 2007, the Association of Pathology Chairs began evaluation and potential intervention in the fellowship application process. Three years of intermittently intense discussion, surveys, and market analysis, have led the Council of the Association of Pathology Chairs to recommend implementation of a Pathology Subspecialty Fellowship Matching program starting in the 2011 to 2012 recruiting year, for those Applicants matriculating in fellowship programs July 2013. We report on the data that informed this decision and discuss the pros and cons that are so keenly felt by the stakeholders in this as-yet-incomplete reform process.
病理学和实验室医学专业已经进入了一个阶段，即 4 年制解剖病理学和/或临床病理学住院医师培训之后，几乎普遍需要 1 年或更长时间的亚专业研究金培训。这种培训可以在一个美国病理学委员会认可的亚专业领域或许多“亚专业研究金”中进行，尽管这些研究金不会导致亚专业委员会认证，但它们可能仍属于当地机构研究生医学教育委员会和认证委员会的监督范围。与通过国家住院医师匹配计划运行的第一年病理学住院医师申请程序不同，亚专业病理学研究金的申请程序没有统一的时间表。亚专业病理学研究金的竞争一直导致研究金申请过程令人不快地提前到许多研究金申请人无法接受的日期。为了回应全国病理学住院医师组织广泛表达的不满，2007 年，病理学主席协会开始评估并可能干预研究金申请程序。经过三年断断续续的激烈讨论、调查和市场分析，病理学主席协会理事会建议从 2011 年至 2012 年的招聘年度开始实施病理学亚专业研究金匹配计划，适用于 2013 年 7 月开始研究金项目的申请人。我们报告了为这一决策提供信息的数据，并讨论了这一改革进程中利益相关者如此强烈感受到的利弊。
