Granato Christine M, Kaul Vivek, Kothari Truptesh, Damania Dushyant, Kothari Shivangi
Department of Medicine, Division of Gastroenterology and Hepatology, University of Rochester Medical Center, Rochester, New York, USA.
Gastrointest Endosc. 2016 Aug;84(2):266-71. doi: 10.1016/j.gie.2015.08.078. Epub 2015 Sep 14.
The advanced endoscopy (AE) fellowship is a popular career track for graduating gastroenterology fellows. The number of fellows completing AE fellowships and the number of programs offering this training have increased in the past 5 years. Despite this, we suspect that the number of AE attending (staff physician) positions have decreased (relative to the number of fellows graduating), raising concerns regarding AE job market saturation. Our aim was to survey practicing gastroenterology physicians who completed an AE fellowship within the past 5 years regarding their current professional status.
A 16-question survey was distributed using Research Electronic Data Capture by e-mail to practicing gastroenterologists who completed an AE fellowship between 2009 and 2013. The survey questions elicited information regarding demographics, professional status, and additional information.
A total of 96 invitations were distributed via e-mail. Forty-one of 96 respondents (43%) replied to the survey. Approximately half of the respondents were employed in an academic practice, with the remainder in private practice (56% and 44%, respectively). Nearly half (46%) of the respondents found it "difficult" to find an AE position after training. Thirty-nine percent of private-practice endoscopists were performing > 200 ERCPs/year, whereas 65% were doing so in academic settings (P = .09). Fifty-six percent of respondents were in small practices (0 to 1 partner), with a significantly smaller group size in private versus academic practice (72% versus 43%, P = .021). Seventy-eight percent of respondents believed the AE job market was saturated; most responded that the AE job market was saturated in both academic and private practice (44%), whereas 34% believed the job market was saturated in academics only. Most respondents (73%) who were training AE fellows found it difficult to place them in AE attending positions. Respondents from academic practice found it significantly more difficult to balance work and personal life compared with those in private practice (87% versus 33%, respectively; P = .0004).
This index survey highlights the trends related to the current state of the post-AE fellowship professional landscape. Further evaluation and discussion are needed to address these evolving issues in professional practice in the field of gastroenterology.
高级内镜（AE） fellowship 是即将毕业的胃肠病学 fellows 热门的职业发展路径。在过去 5 年中，完成 AE fellowship 的 fellows 数量以及提供此项培训的项目数量均有所增加。尽管如此，我们怀疑 AE 主治医师（在职医师）职位数量（相对于毕业的 fellows 数量）有所减少，这引发了对 AE 就业市场饱和的担忧。我们的目的是就其当前职业状况对在过去 5 年内完成 AE fellowship 的在职胃肠病学医师进行调查。
通过 Research Electronic Data Capture 以电子邮件方式向在 2009 年至 2013 年间完成 AE fellowship 的在职胃肠病学家发放了一份包含 16 个问题的调查问卷。调查问题涉及人口统计学、职业状况及其他信息。
共通过电子邮件发送了 96 份邀请。96 名受访者中有 41 名（43%）回复了调查。约一半的受访者受雇于学术机构，其余在私人诊所工作（分别为 56%和 44%）。近一半（46%）的受访者发现在完成培训后“难以”找到 AE 职位。39%的私人诊所内镜医师每年进行超过 200 例内镜逆行胰胆管造影（ERCP），而在学术机构中这一比例为 65%（P = 0.09）。56%的受访者所在诊所规模较小（0 至 1 名合伙人），私人诊所的团队规模明显小于学术机构（72%对 43%，P = 0.021）。78%的受访者认为 AE 就业市场已饱和；大多数受访者表示学术和私人诊所的 AE 就业市场均饱和（44%），而 34%认为仅学术领域的就业市场饱和。大多数培训 AE fellows 的受访者（73%）发现很难为他们安排 AE 主治医师职位。与私人诊所的受访者相比，学术机构的受访者发现平衡工作和个人生活要困难得多（分别为 87%对 33%；P = 0.0004）。
本次指标性调查突出了与 AE fellowship 后职业现状相关的趋势。需要进一步评估和讨论，以解决胃肠病学领域专业实践中这些不断演变的问题。
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