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Milburn JM, Heitkamp DE, Jay AK, Sarkany D, Ali K, DeBenedectis CM, England E, Ho CP, Kalia V, Kumm TR, Ong S, Paladin AM, Patel MD, Swanson JO, Hirsch JA. Should Radiology Delay the Start of Fellowships? A Survey of the APDR. Acad Radiol 2019; 26:1550-1554. [PMID: 31047793 DOI: 10.1016/j.acra.2019.03.012] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2019] [Revised: 03/25/2019] [Accepted: 03/31/2019] [Indexed: 11/28/2022]
Abstract
RATIONALE AND OBJECTIVES Several major medical specialties have recently considered delaying the start date of their fellowship training programs to allow for completion of their trainees' residency obligations. Radiology program directors (PDs) have voiced the need for a similar solution, as fellowship start dates at some institutions now occur well before the end of residency training. The objectives of this study are to assess the current state of the radiology fellowship transition and understand its impact on residency programs and clinical services. MATERIALS AND METHODS Survey Monkey (Palo Alto, CA) was used to create a survey consisting of 9 multiple choice and 2 free text questions. The survey was approved by the survey committee of the Association of Program Directors in Radiology (APDR) and distributed via email to all 240 APDR members in November 2018. The survey was closed after 30 days. RESULTS The response rate was 67% (160/240). Fifty-nine percent of respondents indicated some of their residents are asked to arrive at fellowships before July 1, often several days early for orientation and picture archiving and communication system (PACS) training. Sixteen percent of respondents said their own institutions ask incoming fellows to arrive early. Sixty-four percent of respondents indicated that this causes staffing problems. Seventy-eight percent of respondents supported considering a delay to the start of radiology fellowships. CONCLUSION Most APDR members claim that residents are asked to arrive at fellowships early to complete orientation and training before July 1, and most say that this produces staffing problems on services. A significant majority of respondents support a discussion regarding delaying fellowship start dates.
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Affiliation(s)
| | - Darel E Heitkamp
- Ochsner Health System, Radiology, 1413 Jefferson Highway, New Orleans, LA
| | - Ann K Jay
- Ochsner Health System, Radiology, 1413 Jefferson Highway, New Orleans, LA
| | - David Sarkany
- Ochsner Health System, Radiology, 1413 Jefferson Highway, New Orleans, LA
| | - Kamran Ali
- Ochsner Health System, Radiology, 1413 Jefferson Highway, New Orleans, LA
| | | | - Eric England
- Ochsner Health System, Radiology, 1413 Jefferson Highway, New Orleans, LA
| | - Christopher P Ho
- Ochsner Health System, Radiology, 1413 Jefferson Highway, New Orleans, LA
| | - Vivek Kalia
- Ochsner Health System, Radiology, 1413 Jefferson Highway, New Orleans, LA
| | - Todd R Kumm
- Ochsner Health System, Radiology, 1413 Jefferson Highway, New Orleans, LA
| | - Seng Ong
- Ochsner Health System, Radiology, 1413 Jefferson Highway, New Orleans, LA
| | - Angelisa M Paladin
- Ochsner Health System, Radiology, 1413 Jefferson Highway, New Orleans, LA
| | - Maitray D Patel
- Ochsner Health System, Radiology, 1413 Jefferson Highway, New Orleans, LA
| | - Jonathan O Swanson
- Ochsner Health System, Radiology, 1413 Jefferson Highway, New Orleans, LA
| | - Joshua A Hirsch
- Ochsner Health System, Radiology, 1413 Jefferson Highway, New Orleans, LA
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Vassallo P, Jeremiah J, Forman L, Dubois L, Simmons DL, Chretien K, Amin A, Coleman D, Collichio F. Parental Leave in Graduate Medical Education: Recommendations for Reform. Am J Med 2019; 132:385-389. [PMID: 30503884 DOI: 10.1016/j.amjmed.2018.11.006] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2018] [Accepted: 11/25/2018] [Indexed: 11/25/2022]
Affiliation(s)
- Patricia Vassallo
- Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Ill
| | - Jennifer Jeremiah
- Division of General Internal Medicine, Department of Medicine, The Warren Alpert Medical School of Brown University, Providence, RI
| | - Leanne Forman
- Department of Medicine, New York Medical College, Westchester Medical Center, Valhalla
| | - Lauralee Dubois
- Department of Medicine, Boston Medical Center and Boston University School of Medicine, Mass
| | - Debra L Simmons
- Division of Endocrinology, Department of Medicine, University of Utah and Salt Lake City Veterans Affairs Medical Center, Salt Lake City
| | - Katherine Chretien
- Department of Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC
| | - Alpesh Amin
- Departments of Medicine, Business, Public Health, Nursing Science, & Biomedical Engineering, University of California, Irvine
| | - David Coleman
- Department of Medicine, Boston University School of Medicine, Boston Medical Center, Mass
| | - Frances Collichio
- Division of Hematology/Oncology, Department of Medicine, The University of North Carolina, Chapel Hill.
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