Department of Radiology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390.
Department of Radiology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390.
Acad Radiol. 2021 Sep;28(9):1264-1271. doi: 10.1016/j.acra.2021.03.007. Epub 2021 Mar 26.
Recent changes in radiology fellowships include musculoskeletal radiology adopting a match system, interventional radiology transitioning away from diagnostic radiology to offer direct-entry programs, and a common fellowship application timeline created by the Society for Chairs of Academic Radiology Departments (SCARD). The concept of mini-fellowships has also emerged with the elimination of the oral American Board of Radiology examinations that had been administered in the final year of residency training prior to 2014. This paper seeks to assess the opinions of fellowship program directors, residency program directors, and chief residents regarding these recent changes.
This is a cross-sectional study using a web-based survey posed to fellowship program directors, residency program directors, and chief residents in 2020. Questions sought to explore current attitudes toward the following topics: (1) a common fellowship application timeline; (2) a common fellowship match; and (3) the status of mini-fellowships in diagnostic radiology. In addition, the number of fellowship positions for each subspecialty was estimated using subspecialty society directories, Accreditation Council for Graduate Medical Education (ACGME) data, and individual program websites.
Deidentified responses were collected electronically and aggregated. The three respondent groups preferred a common fellowship application timeline at rates of 67% among fellowship program directors, 80% residency program directors, and 74% residents. A common match system across all subspecialties was preferred at rates of 50% fellowship program directors, 74% residency program directors, and 26% chief residents. There was widespread reported compliance with the SCARD fellowship timeline policy. Subspecialty programs using the match system reported interviewing greater numbers of applicants per position. Fellowship directors and chief residents reported that the most common duration of mini-fellowship experiences was 2 to 3 months.
There is a division between chief residents and program directors regarding the preference for a common radiology match. Adopting a radiology-wide fellowship match would increase the number of interviews required. The SCARD fellowship timeline policy has been successful, and there is support across stakeholders regarding the common timeline. Mini-fellowships are highly variable in length and structure.
最近放射科住院医师培训计划发生了一些变化，包括采用匹配系统的肌肉骨骼放射科、从诊断放射学转向直接入学项目的介入放射学，以及由学术放射学系主席协会（SCARD）创建的通用住院医师培训计划申请时间表。在 2014 年之前，在居住培训的最后一年，取消了美国放射学委员会的口头考试，这也催生了迷你住院医师培训计划。本文旨在评估住院医师培训计划主任、居住培训计划主任和住院总医师对这些近期变化的看法。
这是一项 2020 年使用基于网络的调查对住院医师培训计划主任、居住培训计划主任和住院总医师进行的横断面研究。调查问题旨在探讨以下主题的当前态度：（1）通用住院医师培训计划申请时间表；（2）通用住院医师培训计划匹配；以及（3）诊断放射学迷你住院医师培训计划的现状。此外，使用专业协会目录、研究生医学教育认证委员会（ACGME）数据和各个计划网站来估计每个亚专业的住院医师培训计划数量。
电子收集并汇总了匿名回复。三组受访者都倾向于使用通用住院医师培训计划申请时间表，其中住院医师培训计划主任的支持率为 67%，居住培训计划主任为 80%，住院总医师为 74%。所有亚专业采用通用匹配系统的比例为 50%的住院医师培训计划主任、74%的居住培训计划主任和 26%的住院总医师。普遍报告遵守 SCARD 住院医师培训计划时间表政策。使用匹配系统的专业计划报告称，每个职位的申请人数都有所增加。住院医师培训计划主任和住院总医师报告说，迷你住院医师培训计划最常见的持续时间为 2 至 3 个月。
住院总医师和计划主任在对通用放射科匹配的偏好方面存在分歧。采用放射科广泛的住院医师培训计划匹配将增加所需面试人数。SCARD 住院医师培训计划时间表政策取得了成功，利益相关者对通用时间表表示支持。迷你住院医师培训计划在长度和结构上差异很大。
