Department of Medicine, MetroWest Medical Center, Framingham, MA, 01702, USA.
Tufts University School of Medicine, Boston, MA, 02111, USA.
Dig Dis Sci. 2018 Mar;63(3):605-609. doi: 10.1007/s10620-017-4826-1. Epub 2017 Oct 28.
Based on the location of training programs, internal applicants and local applicants were defined as applicants who attended the same training institution and trained in local areas (i.e., state, division, and region), respectively. While being an internal applicant does influence fellowship matching success for some specialties, gastroenterology fellowship program directors do not rank this consideration in the top half of their priority list. There is no published evidence about the frequency that internal applicants and local applicants match in US gastroenterology training program.
To find the proportion of gastroenterologists who were internal applicants and local applicants during the graduation years 2010-2019.
Online search in Doximity was conducted to obtain postgraduate training information of gastroenterologists with the graduation years 2010-2019. Programs were classified into nine divisions and four regions per United States Census Bureau. We used confidence level 95% and margin of error 2% to calculate sample size.
In total, 1489 physicians (N = 1489) were included. The proportion of internal applicants was 39.56% of the sample size. The proportions of gastroenterologists who attended IM residency programs in the same state, same division, and same region were 53.06, 60.64, and 71.93%, respectively.
A large proportion of gastroenterologists were either internal applicants or local applicants. Further research is necessary to better understand the reasons behind these trends and whether the bias against external or geographically distant fellowship candidates is intended or unintended, as these data have broad implications for GI fellowship candidate residency program and geography choices.
根据培训项目的地点，内部申请者和本地申请者分别被定义为参加同一培训机构并在当地（即州、分部和地区）培训的申请者。虽然内部申请者确实会影响某些专业的奖学金匹配成功率，但胃肠病学奖学金项目主任并没有将这一考虑因素列入他们的优先事项清单的前半部分。目前尚无关于美国胃肠病学培训项目中内部申请者和本地申请者匹配频率的发表证据。
确定 2010-2019 年毕业的胃肠病学家中内部申请者和本地申请者的比例。
在 Doximity 上进行在线搜索，以获取 2010-2019 年毕业的胃肠病学家的研究生培训信息。根据美国人口普查局的规定，将项目分为九个分部和四个地区。我们使用置信水平为 95%，误差幅度为 2%来计算样本量。
共有 1489 名医生（N=1489）被纳入研究。内部申请者的比例占样本量的 39.56%。在同一州、同一分部和同一地区参加内科住院医师培训项目的胃肠病学家的比例分别为 53.06%、60.64%和 71.93%。
很大一部分胃肠病学家是内部申请者或本地申请者。需要进一步研究，以更好地了解这些趋势背后的原因，以及对外科或地理位置较远的奖学金候选人的偏见是有意还是无意的，因为这些数据对 GI 奖学金候选住院医师项目和地理选择具有广泛的影响。
