Accelerated Fellowships Applicable Across all Subspecialty Areas of Diagnostic Radiology as a Catalyst for Academic Recruitment

Published:October 03, 2022DOI:

      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.


      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.


      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


      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)
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        • Huang S Patel
        • Scruggs R
        • Levin D
        In pursuit of fellowship: results from a 2016 survey of US trainees.
        Current Problems in Diagnostic Radiology. 2019; 48: 22-26
        • Recht M
        • McKinney JM
        • Alleman AM
        • Lowe LH
        • Spies JB.
        The New Interventional Radiology Pathways: Options for Implementation.
        Acad Radiol. 2016; 23 (Epub 2016 Apr 28): 836-840
        • Ruddell JH
        • Eltorai AEM
        • Tang OY
        • Suskin JA
        • Dibble EH
        • Oates ME
        • Yoo DC.
        The Current State of Nuclear Medicine and Nuclear Radiology: Workforce Trends, Training Pathways, and Training Program Websites.
        Acad Radiol. 2020; 27 (Epub 2019 Nov 21): 1751-1759
        • Alderson PO
        • Becker GJ.
        The new requirements and testing for American Board of Radiology certification in diagnostic radiology.
        Radiology. 2008; 248: 707-709
        • Pfeifer CM
        • Reddy N
        • Burton KR
        • Griffith B
        • Bazylewicz MP
        • Pakkal MV
        • Milburn JM.
        The Evolving Status of Fellowships and Mini-Fellowships in Diagnostic Radiology: A Survey of Program Directors and Chief Residents.
        Acad Radiol. 2021; 28 (Epub 2021 Mar 26. PMID: 33775517): 1264-1271
        • Shenoy-Bhangle AS
        • Eisenberg RL
        • Fineberg T
        • Slanetz PJ.
        Residency Mini-fellowships in the PGY-5 Year: Is There Added Value?.
        Acad Radiol. 2018; 25 (PMID: 29751857): 708-713
        • Kaufman JA.
        The interventional radiology/diagnostic radiology certificate and interventional radiology residency.
        Radiology. 2014; 273: 318-321
        • DePasse JM
        • Nzeogu MI
        • Travers C
        • Mulcahey MK
        • Palumbo MA
        • Hart RA
        • Marsh JL
        • Daniels AH.
        Early Subspecialization in Orthopedic Surgery Training.
        Orthopedics. 2019; 42 (1Epub 2018 Nov 14): e39-e43
        • Klingensmith ME
        • Potts JR
        • Merrill WH
        • Eberlein TJ
        • Rhodes RS
        • Ashley SW
        • Valentine RJ
        • Hunter JG
        • Stain SC.
        Surgical Training and the Early Specialization Program: Analysis of a National Program.
        J Am Coll Surg. 2016; 222 (Epub 2016 Jan 14): 410-416
        • Rosenkrantz AB
        • Hughes DR
        • Duszak R.
        Increasing Subspecialization of the National Radiologist Workforce.
        Am Coll Radiol. 2020; 17: 812-818
        • Goldstone J
        • Wong V.
        New training paradigms and program requirements.
        Semin Vasc Surg. 2006; 19: 168-171
        • Mills JL.
        Vascular surgery training in the United States: a half-century of evolution.
        J Vasc Surg. 2008; 48 (discussion 97S): 90S-97S
        • Hoff RG
        • Frenkel J
        • Imhof SM
        Ten Cate O. Flexibility in Postgraduate Medical Training in the Netherlands.
        Acad Med. 2018; 93 (3S Competency-Based, Time-Variable Education in the Health Professions): S32-S36
        • Prigoff JG
        • Nowygrod R
        • Lee-Kong S
        • Kim M.
        General surgery trainee perception of early specialization programs.
        Am J Surg. 2020; 220 (Epub 2020 Jun 5): 863-864
        • Canon CL
        • Stanley RJ
        • Pierce R
        • Koehler RE.
        Faculty development program for residents: an incentive to faculty recruitment.
        J Am Coll Radiol. 2006; 3: 220-222
        • Beiriger J
        • Roy E
        • Nguyen VT.
        • Egro FM(1)
        The Relationship of Residency and Fellowship Sites to Academic Faculty and Leadership Positions.
        Ann Plast Surg. 2020; 85: S114-S117
        • Morales-Pico BM
        • Cotton CC
        • Morrell DS.
        Factors correlated with residents' decisions to enter academic dermatology.
        Dermatol Online J. 2016; 22 (13030/qt7295783b)
        • Dilly CK
        • Carlos WG
        • Hoffmann-Longtin K
        • Buckley J
        • Burgner A.
        Bridging the gap for future clinician-educators.
        Clin Teach. 2018; 15 (Epub 2017 Nov 27): 488-493
        • Khatri UG
        • Love J
        • Zeidan A
        • Hsu CH
        • Mills AM.
        #Shemergency: Use of a Professional Development Group to Promote Female Resident Recruitment and Retention.
        Acad Med. 2020; 95: 216-220
        • Lo MC
        • Tolentino J
        • Fazio SB
        • Vinciguerra S
        • Amin AN
        • Dentino A
        • Hingle ST
        • Palamara K
        • Modak I
        • Kisielewski M
        • Moriarty JP.
        Identifying Solutions to Ambulatory Faculty Recruitment, Retention, and Remuneration in Graduate Medical Education: An AAIM Position Paper.
        Am J Med. 2020; 133: 386-394