Understanding characteristics of internal medicine residents matching into pulmonary critical care medicine fellowships.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101088679 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6920 (Electronic) Linking ISSN: 14726920 NLM ISO Abbreviation: BMC Med Educ Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
      Internal Medicine*/education ; Internship and Residency* ; Fellowships and Scholarships* ; Critical Care* ; Pulmonary Medicine*/education ; Career Choice*; Humans ; Retrospective Studies ; Male ; Female ; Adult ; Education, Medical, Graduate
    • Abstract:
      Background: Internal medicine (IM) residents face significant challenges when pursing subspecialty fellowships. This study determined the factors that differentiate IM residents entering pulmonary and critical care medicine (PCCM) fellowships from those pursuing other careers.
      Methods: We completed a retrospective study of 12 classes of IM residents at a single institution completing residency between 2010 and 2021. Data included pre-residency characteristics, global residency performance, and PCCM-specific experiences. Logistic regression models examined associations between these variables and the primary outcome of matching into a PCCM fellowship within one year of completing IM residency.
      Results: Among 522 residents, 10.3% matched into PCCM. Completing a pulmonary elective significantly increased the odds of matching into PCCM (OR 7.78, 99% CI 3.10-19.53, p < 0.0001). Residents who match into PCCM were more likely to have < 3 publications than 3 + (OR 3.51 (1.20-10.25), p = 0.003)." A stated intent to enter PCCM was positively associated with matching into PCCM in the univariable, but not the multivariable, model.
      Conclusions: Matriculating into PCCM fellowship was significantly associated with completing a pulmonary elective during residency. PCCM-bound residents were less likely to achieve high numbers of publications, suggesting these residents' preferences for clinical learning and practice over scholarship. This study provides insights into characteristics of residents who match into PCCM and guides mentors as they counsel residents considering PCCM.
      Competing Interests: Declarations: The Mayo Clinic Institutional Review Board (IRB) and Internal Medicine Residency Education Group (IMREG) approved this study. The IRB and IMREG groups served as the ethics committees that waived the need for informed consent. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.
      (© 2024. The Author(s).)
    • References:
      J Biomed Inform. 2009 Apr;42(2):377-81. (PMID: 18929686)
      Ann Intern Med. 2006 Nov 21;145(10):774-9. (PMID: 17116922)
      J Gen Intern Med. 2009 Aug;24(8):946-9. (PMID: 19551448)
      Med Teach. 2006 Mar;28(2):103-16. (PMID: 16707291)
      J Trauma Acute Care Surg. 2018 Jun;84(6):963-971. (PMID: 29462084)
      Acad Med. 2015 May;90(5):553-5. (PMID: 25406601)
      Teach Learn Med. 2009 Jul;21(3):188-94. (PMID: 20183337)
      JAMA. 2008 Sep 17;300(11):1326-33. (PMID: 18799445)
      Chest. 2020 Nov;158(5):2047-2057. (PMID: 32428512)
      JAMA. 2015 May 19;313(19):1903-4. (PMID: 25988456)
      JAMA. 2000 Dec 6;284(21):2762-70. (PMID: 11105183)
      Acad Med. 1999 Sep;74(9):1016-20. (PMID: 10498096)
      Am J Kidney Dis. 2013 Apr;61(4):540-6. (PMID: 23332603)
      Acad Pediatr. 2020 Sep - Oct;20(7):1007-1012. (PMID: 32268217)
      Clin Infect Dis. 2016 Jul 15;63(2):155-63. (PMID: 27126345)
      BMC Med Educ. 2020 Jul 28;20(1):238. (PMID: 32723355)
      J Emerg Med. 2015 Oct;49(4):505-12. (PMID: 26242925)
      Acad Med. 2003 Aug;78(8):826-30. (PMID: 12915378)
      Tex Heart Inst J. 2020 Aug 1;47(4):258-264. (PMID: 33472223)
      J Gen Intern Med. 2016 May;31(5):518-23. (PMID: 26902239)
      J Am Coll Surg. 2006 Apr;202(4):649-54. (PMID: 16571437)
      J Gen Intern Med. 1994 Dec;9(12):692-4. (PMID: 7876953)
      J Clin Anesth. 2010 Aug;22(5):346-51. (PMID: 20650381)
      ATS Sch. 2020 Mar 5;1(1):67-77. (PMID: 33870270)
      J Clin Anesth. 2017 Jun;39:139-144. (PMID: 28494890)
      Mayo Clin Proc. 2011 Mar;86(3):197-202. (PMID: 21364111)
      Adv Health Sci Educ Theory Pract. 2010 Dec;15(5):633-45. (PMID: 21120648)
      PLoS One. 2014 Mar 21;9(3):e90140. (PMID: 24658088)
      Chest. 2005 Feb;127(2):630-6. (PMID: 15706006)
      Mil Med. 2018 Jul 1;183(7-8):e299-e303. (PMID: 29420762)
      Mayo Clin Proc. 2008 Apr;83(4):449-53. (PMID: 18380990)
      Crit Care Med. 2013 Dec;41(12):2754-61. (PMID: 24132037)
      Obstet Gynecol. 1995 Feb;85(2):299-303. (PMID: 7824250)
      BMC Med Educ. 2011 Jan 31;11:5. (PMID: 21281500)
      Crit Care Med. 2016 Aug;44(8):1490-9. (PMID: 27136721)
    • Contributed Indexing:
      Keywords: Fellowship match; Pulmonary critical care medicine; Resident characteristics; Resident mentoring
    • Publication Date:
      Date Created: 20241120 Date Completed: 20241121 Latest Revision: 20241123
    • Publication Date:
      20241123
    • Accession Number:
      PMC11577943
    • Accession Number:
      10.1186/s12909-024-06286-1
    • Accession Number:
      39567954