Rationale and Objectives
To build a sustainable faculty development program based on potential acceleration
of all subspecialty fellowships types into the PGY 5 year.
Materials and Methods
Single center experience in programmatic change to enhance faculty recruitment. Diagnostic
Radiology (DR) residents apply to subspecialty fellowships per SCARD Fellowship Embargo
Guidelines. Based on projected faculty hiring needs, internal candidates are vetted
and agree to enter an accelerated fellowship. The commitment is two years: the PGY5
senior year schedule prioritizes rotations in the subspecialty area while fulfilling
requirements of all DR graduates, including call. Accelerated fellows (AF) participate
in junior faculty development and concentrated mentoring. A subsequent instructor
faculty year within our department is required to ensure professional maturity and
provides financial remuneration greater than PGY 6 fellowships.
Results
From July 1, 2018, to June 30, 2022, 34 trainees have graduated from our DR program,
and 32 have gone through the process of securing fellowships. Over this interval,
our DR program has matched 7-9 residents per year. Up to four early specialization
positions consisting of 2 Early Specialization in Interventional Radiology (ESIR),
and 2 Early Specialization in Nuclear Medicine (ESNM), per year, are available. Over
four years of the program, 8 residents participated in standard early specialization
opportunities: 5 ESIR, and 3 ESNM. These 8 residents were excluded from consideration
for AFs. Two additional residents declined fellowships, leaving 22 seeking standard
fellowships for PGY 6 year. 6 (27%) of those were approached as potential AFs; 3 (50%)
agreed to and completed the 24-month process. 2 of 3 (67%) continue to serve on faculty
after the required instructor year.
Conclusion
The novel concept of early specialization outside of ESIR and ESNM presents an opportunity
to tailor the PGY 5 DR year to increase recruitment to academic faculty positions.
Key Words
Abbreviations:
PGY (Post Graduate Year), DR (Diagnostic Radiology), SCARD (Society of Chairs of Academic Radiology Departments), AF (Accelerated Fellows), IR (Interventional Radiology), ESIR (Early Specialization in Interventional Radiology), ESNM (Early Specialization in Nuclear Medicine), ABR (American Board of Radiology), ABMS (American Board of Medical Specialties), IRDR (Interventional Radiology Diagnostic Radiology), ABNM (American Board of Nuclear Medicine), DRNM (Diagnostic Radiology Nuclear Medicine), ACGME (American Council for Graduate Medical Education), CEP (Clinician Educator Pathway), CCC (Clinical Competency Committee), MQSA (Mammography Quality and Safety Act), NRC (Nuclear Regulatory Commission), M (Men), W (Women), ESP (Early Specialization Program), VS (Vascular Surgery), CTS (Cardiothoracic Surgery), GME (Graduate Medical Education), AAARAD (Association of Administrators in Academic Radiology)To read this article in full you will need to make a payment
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Article Info
Publication History
Published online: October 03, 2022
Accepted:
August 25,
2022
Received in revised form:
August 24,
2022
Received:
July 6,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.
