Division of Musculoskeletal Imaging, Mallinckrodt Institute of Radiology, 510 South Kingshighway Blvd, Campus Box 8131, St. Louis, MO 63110.
Division of Musculoskeletal Imaging, Mallinckrodt Institute of Radiology, 510 South Kingshighway Blvd, Campus Box 8131, St. Louis, MO 63110.
Acad Radiol. 2018 Sep;25(9):1219-1226. doi: 10.1016/j.acra.2018.03.011. Epub 2018 Apr 6.
This study aimed to assess resident, fellow, and fellowship director perceptions of the musculoskeletal (MSK) radiology fellowship application process.
A task group constructed three surveys with questions about current and "ideal" fellowship application and selection processes. Surveys were distributed to MSK fellowship directors, who were also asked to give separate surveys to current fellows. US and Canadian radiology residency directors were asked to distribute surveys to current R3 and R4 residents. Responses were tabulated and analyzed.
Responses were received from 47 MSK fellowship directors, 73 MSK fellows, and 147 residents. Fellowship directors and fellows reported that most fellowship offers occur between July and September of the R3 year, although 19% of directors made offers as early as the R2 year. Of the 43 director respondents, 31 (72%) noted "pressure from other programs" as the main driving force behind their policies, but 28 (65%) felt that their timelines were "too early." A formal match was supported by 55% of responding fellowship directors, 57% of fellows, and 61.9% of residents, citing "fairness" as a major justification.
MSK radiology fellowship selection occurs as early as the R2 year, before many residents have had substantial exposure to different subspecialties. An "arms race" has developed with programs moving their timelines earlier in response to the actions of other programs, presumably to avoid missing the best candidates. Although a majority of respondents would support a formalized match to increase fairness, there is not universal agreement that it would be the best approach.
本研究旨在评估住院医师、研究员和研究员导师对肌肉骨骼（MSK）放射科研究员计划申请流程的看法。
一个工作组构建了三个调查，其中包含关于当前和“理想”研究员申请和选拔流程的问题。向 MSK 研究员导师分发了调查，并要求他们单独向现任研究员分发调查。美国和加拿大放射科住院医师主任被要求向现任 R3 和 R4 住院医师分发调查。对调查结果进行了制表和分析。
共收到 47 名 MSK 研究员导师、73 名 MSK 研究员和 147 名住院医师的回复。研究员导师和研究员报告称，大多数研究员职位在 R3 年的 7 月至 9 月之间提供，尽管 19%的导师在 R2 年就提供了职位。在 43 位主任回复者中，31 位（72%）表示“来自其他计划的压力”是他们政策的主要驱动力，但 28 位（65%）认为他们的时间表“太早”。55%的回应研究员导师、57%的研究员和 61.9%的住院医师支持正式匹配，主要理由是“公平”。
MSK 放射科研究员选拔最早在 R2 年进行，许多住院医师还没有充分接触到不同的亚专业。随着程序提前安排时间表以应对其他程序的行动，一场“军备竞赛”已经发展起来，大概是为了避免错过最佳候选人。尽管大多数受访者支持通过正式匹配来提高公平性，但并不是所有人都认为这是最好的方法。
