From the Department of Neurology, Division of Neuromuscular Medicine (Z.N.L.), University of Michigan School of Medicine, Ann Arbor; Rush Parkinson's Disease and Movement Disorders Program (A.M.), Department of Neurological Sciences, Rush University Medical Center, Chicago, IL; Member Insights Department (C.C.), American Academy of Neurology, Minneapolis, MN; Emory University School of Medicine (J.K.), Department of Neurology, Atlanta, GA; Hartford HealthCare Ayer Neuroscience Institute (E.A.S.), CT; and Department of Neurology, Division of General Neurology (R.S.P.), University of Pennsylvania Perelman School of Medicine, Philadelphia.
Neurology. 2022 May 31;98(22):929-937. doi: 10.1212/WNL.0000000000200717. Epub 2022 Apr 20.
For many neurologic subspecialties, the fellowship application process begins early in the first half of the second year of neurology-specific training (PGY3 for adult neurology residents and PGY4 for child neurology residents). In 2019, the American Academy of Neurology (AAN) published a position statement recommending communication between fellowship candidates and training programs begin no sooner than March 1 of the penultimate year of training and that programs offer fellowship positions no sooner than August 1 of the final year of training. A few pilot subspecialties adopted this timeline for 2021 recruitment for positions beginning in 2022. All United States-based AAN-affiliated neurology and child neurology residents who recently completed the fellowship application process received a survey about their fellowship application experience. Of the 291 residents who responded to the survey, 96% agree that applications should not be submitted before March 1 of the penultimate year of training and 72% believe that August 1 of the final year is a reasonable time to begin offering positions. Nearly half (49%) of residents believe that there is too little time for subspecialty/clinical exposure before applying for fellowship and 88% feel the current process and timeline are stressful. Residents who applied to programs in pilot subspecialties report more time to choose, less stress, and a lower number of time-pressured offers. A large majority of residents (89%) prefer to submit a single application through a centralized system. The survey results suggest that residents who just completed the fellowship application process agree with the AAN recommended timeline for all subspecialties and that all neurology subspecialties should consider adopting a fellowship match. Programs can help facilitate a better fellowship application experience by providing earlier exposure to a broad range of neurologic subspecialties and ensure that residents are given opportunities to attend national meetings and participate in appropriately scoped scholarly endeavors.
对于许多神经科亚专业来说， fellowship 申请流程始于神经科专业培训的前半段第二年（成人神经科住院医师为 PGY3，儿童神经科住院医师为 PGY4）。2019 年，美国神经病学学会（AAN）发布了一份立场声明，建议 fellowship 候选人与培训计划之间的沟通最早不得早于培训前一年的 3 月 1 日，并且计划不得早于培训最后一年的 8 月 1 日提供 fellowship 职位。少数试点亚专业在 2021 年为 2022 年开始的职位采用了这一时间线。所有最近完成 fellowship 申请流程的美国神经病学学会附属的神经科和儿童神经科住院医师都收到了一份关于其 fellowship 申请经验的调查。在回应调查的 291 名住院医师中，96%的人同意申请不应在培训前一年的 3 月 1 日之前提交，72%的人认为最后一年的 8 月 1 日是开始提供职位的合理时间。近一半（49%）的住院医师认为在申请 fellowship之前，获得亚专业/临床经验的时间太少，88%的人认为当前的流程和时间表压力很大。申请试点亚专业计划的住院医师报告说，他们有更多的时间选择，压力更小，并且收到的时间紧迫的报价也更少。绝大多数住院医师（89%）更喜欢通过集中系统提交一份单一申请。调查结果表明，刚刚完成 fellowship 申请流程的住院医师同意 AAN 为所有亚专业推荐的时间表，并且所有神经科亚专业都应考虑采用 fellowship 匹配。通过提供更早接触广泛的神经科亚专业的机会，并确保住院医师有机会参加全国性会议并参与适当范围的学术活动，计划可以帮助改善 fellowship 申请体验。
