Division of Public Health, Infectious Diseases, and Occupational Medicine, Mayo Clinic, Rochester, MN, USA.
Med Educ Online. 2024 Dec 31;29(1):2352953. doi: 10.1080/10872981.2024.2352953. Epub 2024 May 8.
A multitude of factors are considered in an infectious disease (ID) training program's meticulous selection process of ID fellows but their correlation to pre and in-fellowship academic success as well as post-fellowship academic success and short-term outcomes is poorly understood. Our goal was to investigate factors associated with subsequent academic success in fellowship as well as post-fellowship short-term outcomes.
In 2022, we retrospectively analyzed deidentified academic records from 39 graduates of the Mayo Clinic Rochester ID Fellowship Program (1 July 2013- 30 June 2022). Data abstracted included demographics, degrees, honor society membership, visa/citizenship status, medical school, residency training program, United States Medical Licensure Exam (USMLE) scores, letters of recommendation, in-training examination (ITE) scores, fellowship track, academic rank, career choice, number of honors, awards, and abstracts/publications prior to fellowship, during training, and within 2 years of graduation.
Younger fellows had higher USMLE step 1 scores, pre and in-fellowship scholarly productivity, and higher ITE performance. Female fellows had significantly higher USMLE step 3 scores. Prior research experience translated to greater in-fellowship scholarly productivity. Higher USMLE scores were associated with higher ID ITE performance during multiple years of fellowship, but USMLE step 2 clinical knowledge and 3 scores were associated with higher pre and in-fellowship scholarly productivity and receiving an award during fellowship. The USMLE step 1 score did not correlate with fellowship performance beyond year 1 and 2 ITE scores.
Multiple aspects of a prospective fellow's application must be considered as part of a holistic review process for fellowship selection. USMLE step 2 CK and 3 scores may predict fellowship performance across multiple domains.
在传染病（ID）培训计划的精心选拔过程中，会考虑众多因素，但这些因素与学员在 fellowship 前和期间的学术成功以及 fellowship 后的学术成功和短期结果的相关性尚未得到很好的理解。我们的目标是调查与 fellowship 后学术成功和 fellowship 后短期结果相关的因素。
2022 年，我们回顾性分析了梅奥诊所罗切斯特传染病 fellowship 项目的 39 名毕业生的匿名学术记录（2013 年 7 月 1 日至 2022 年 6 月 30 日）。提取的数据包括人口统计学、学位、荣誉学会会员、签证/公民身份、医学院、住院医师培训项目、美国医师执照考试（USMLE）成绩、推荐信、住院医师培训期间考试（ITE）成绩、fellowship 轨道、学术排名、职业选择、在 fellowship 前、培训期间和毕业 2 年内获得的荣誉、奖励和摘要/出版物数量。
年轻的学员 USMLE 第 1 步成绩、 fellowship 前和期间的学术成果以及 ITE 表现更高。女性学员 USMLE 第 3 步成绩显著更高。先前的研究经验转化为更高的 fellowship 期间学术成果。更高的 USMLE 成绩与 fellowship 期间的多个年份更高的 ID ITE 成绩相关，但 USMLE 第 2 步临床知识和第 3 步成绩与 fellowship 前和期间的学术成果以及在 fellowship 期间获得奖励相关。USMLE 第 1 步成绩与 fellowship 第 1 年和第 2 年的 ITE 成绩之外的 fellowship 表现没有相关性。
在 fellowship 选择的整体审查过程中，必须考虑 prospective fellow 的申请的多个方面。USMLE 第 2 步 CK 和第 3 步成绩可能预测多个领域的 fellowship 表现。
