Dotan Gad, Karr Daniel J, Levin Alex V
Department of Ophthalmology, Tel Aviv Medical Center, Sourasky School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Casey Eye Institute, Oregon Health & Science University, Portland, Oregon.
J AAPOS. 2017 Jun;21(3):181.e1-181.e8. doi: 10.1016/j.jaapos.2017.01.004. Epub 2017 May 18.
To analyze trends in US pediatric ophthalmology and strabismus (PO&S) Match over the last 16 years.
We reviewed the PO&S Match outcomes from 2000 to 2015, evaluating the number of participating programs, positions offered, and match rate, comparing it with other subspecialties, and analyzing results of US graduates versus international medical graduates (IMGs). A survey of PO&S program directors explored exposure to PO&S, policies on acceptance of IMGs, fellowship gross salary, job opportunities, and fellow placement after training.
The PO&S matching rate varied yearly but was consistently lower compared to other subspecialties. The supply of fellowship positions was always higher than the demand, with as annual average of 32% unmatched positions, ranging from a low of 12% in the year 2010 to a high of 52% unmatched positions in 2004. In 2013 to 2015, 31% (from 24% to 38%) of PO&S matched fellows were IMGs, which is significantly more compared to all other ophthalmic subspecialties combined during the same time period (mean, 15%; from 15% to 16%; P < 0.001) and a significant increase from the 3 years before (mean, 20%; from 12% to 26%; P = 0.041). Our survey revealed that academic and clinical exposure of residents to PO&S usually begins during the first year of residency (PGY2). Residents spend on average 16 weeks of their training in PO&S, often with more than one faculty member.
Interest in PO&S remains lower than other ophthalmology subspecialties despite an apparent national need for trained pediatric ophthalmologists.
分析过去16年美国小儿眼科与斜视（PO&S）专科住院医师匹配项目的趋势。
我们回顾了2000年至2015年PO&S匹配项目的结果，评估参与项目的数量、提供的职位和匹配率，与其他亚专科进行比较，并分析美国毕业生与国际医学毕业生（IMGs）的结果。对PO&S项目主任的一项调查探讨了他们对PO&S的接触、对IMGs的录取政策、专科住院医师的总薪资、就业机会以及培训后的专科住院医师安置情况。
PO&S的匹配率每年都有所变化，但与其他亚专科相比一直较低。专科住院医师职位的供应始终高于需求，未匹配职位的年平均比例为32%，从2010年的低水平12%到2004年的高水平52%不等。在2013年至2015年期间，31%（从24%到38%）匹配的PO&S专科住院医师是IMGs，这一比例显著高于同一时期所有其他眼科亚专科的总和（平均为15%；从15%到16%；P<0.001），并且比前三年有显著增加（平均为20%；从12%到26%；P=0.041）。我们的调查显示，住院医师对PO&S的学术和临床接触通常在住院医师培训的第一年（PGY2）开始。住院医师在PO&S培训上平均花费16周时间，通常有不止一位教员指导。
尽管全国显然需要训练有素的小儿眼科医生，但对PO&S的兴趣仍低于其他眼科亚专科。
