Tyner Joey E, Rayburn William F
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of New Mexico Health Sciences Center, Albuquerque, New Mexico.
Am J Perinatol. 2014 Nov;31(10):923-5. doi: 10.1055/s-0033-1361935. Epub 2013 Dec 17.
To examine long-term trends in applicants for Maternal-Fetal Medicine (MFM) fellowship positions specifically following the prolongation of fellowship training in 1997 from 2 to 3 years.
We conducted a review of the data from the National Residency Matching Program (NRMP) from 1992 to 2013 in order to compare the numbers of total applicants with those who matched.
There was a significant decline in the number of applicants per year between 1997 and 2001. In the subsequent 12 years, the number of applicants exceeded the number of positions with nearly all programs being filled per year. After reaching a nadir of 60 fellowship positions in 2000, the numbers of programs and positions increased gradually to levels now equal to before prolongation of training.
These findings should be helpful as pursuit of fellowship training is being considered earlier in residency and as the balance between generalists and subspecialists in obstetrics and gynecology is being more closely evaluated.
特别在1997年将母胎医学（MFM）专科培训从2年延长至3年后，研究申请该专科培训职位的长期趋势。
我们对1992年至2013年国家住院医师匹配计划（NRMP）的数据进行了回顾，以比较总申请人数量与匹配者数量。
1997年至2001年期间，每年的申请人数量显著下降。在随后的12年里，申请人数量超过了职位数量，几乎每年所有项目都满员。在2000年达到60个专科培训职位的最低点后，项目和职位数量逐渐增加到现在与培训延长前相当的水平。
这些发现应有助于在住院医师培训早期就考虑追求专科培训，以及更密切地评估妇产科全科医生和专科医生之间的平衡。
