Huang Robert J, Triadafilopoulos George, Limsui David
Division of Gastroenterology and Hepatology, Stanford University Medical Center, Alway Building, Room M211, 300 Pasteur Drive, MC: 5187, Stanford, CA, 94305-5187, USA.
Dig Dis Sci. 2017 Jun;62(6):1412-1416. doi: 10.1007/s10620-017-4593-z. Epub 2017 May 4.
Following a period of uncertainty and disorganization, the gastroenterology (GI) national leadership decided to reinstitute the fellowship match (the Match) under the auspices of the National Residency Matching Program (NRMP) in 2006. Although it has now been a decade since the rebirth of the Match, there have been limited data published regarding progress made. In this piece, we discuss reasons for the original collapse of the GI Match, including most notably a perceived oversupply of GI physicians and a poor job market. We discuss the negative impacts the absence of the Match had on programs and on applicants, as well as the impetus to reorganize the Match under the NRMP. We then utilize data published annually by the NRMP to demonstrate that in the decade since its rebirth, the GI Match has been remarkably successful in terms of attracting the participation of applicants and programs. We show that previous misguided concerns of an oversupply of GI physicians were not realized, and that GI fellowship positions remain highly competitive for internal medicine applicants. Finally, we discuss possible implications of recent changes in the healthcare landscape on the GI Match.
在经历了一段时间的不确定性和混乱之后，胃肠病学（GI）领域的国家领导层决定于2006年在美国国家住院医师匹配计划（NRMP）的主持下重新启动专科医师培训项目匹配（Match）。尽管Match重启至今已有十年，但关于所取得进展的公开数据有限。在本文中，我们讨论了GI Match最初失败的原因，其中最主要的是认为胃肠病学医师供应过剩以及就业市场不佳。我们讨论了Match缺失对项目和申请人产生的负面影响，以及在NRMP下重组Match的动力。然后，我们利用NRMP每年公布的数据表明，自重启以来的十年里，GI Match在吸引申请人和项目参与方面非常成功。我们表明，先前对胃肠病学医师供应过剩的错误担忧并未成为现实，并且胃肠病学专科医师培训职位对于内科申请人来说仍然竞争激烈。最后，我们讨论了近期医疗保健格局变化对GI Match可能产生的影响。
