THE AGE OF SUBSPECIALIZATION
This was a record year for fellowship matches, as well as residency matches, according to the National Resident Matching Program. Of those fellowship programs offering at least 30 positions, these are the top five subspecialties:
U.S. allopathic medical schools:
Gynecologic oncology
Pediatric surgery
Hand surgery
Interventional radiology
Neuro- radiology
92.2% 89.6% 89.3% 85.2% 84.3%
work in interprofessional teams and complex systems, and that’s more im- portant than just medical knowledge on a test,” Dr. Cable said. Thanks largely to medicine’s ad-
U.S. osteopathic medical schools:
Primary care sports
medicine
Developmental & behavioral pediatrics
Child & adolescent psychiatry
Pediatric hematology/ oncology
Pain medicine 20% 17% 31.2%
vocacy, trainees don’t have to make a lifelong career decision too early, he says, now that the fellowship match got pushed to the third year of resi- dency. Because he participated before the change, Dr. Cable had to decide by the beginning of his second year of residency. “I was interested in another sub- specialty and had already applied and interviewed. And while I was in an oncology rotation, I fell in love and didn’t see it coming. The reason TMA and the council advocated for the change was, we wanted residents to have more time making super high- stakes decisions about what to do the rest of their careers,” he said. “Medical knowledge has become so intensely amplified trainees are terrified to have to master it all. An amazing primary care physician knows the 90 percent he or she can do and the 10 percent they have to refer, and has that intu- ition. But that can be intimidating for a young trainee.”
But higher performance expecta- 16.3% 14.3%
For the full report, visit
www.nrmp.org/match-data/fellow ship-match-data.
tions are quickly becoming a fixture in today’s health care system, and some fellows and educators say the advanced training can help prepare physicians for that reality. Dr. Moussa says this year “every spot filled” in UT Houston’s obstet- rics-gynecology subspecialties, with an overflow of applicants. “We have to be competitive. We
have to provide good quality care. And everyone — Medicare, Medicaid — is looking at your performance,” she said. “With all of these changes, it makes sense to subspecialize to meet all of these new requirements to prove you are providing the best quality care, or you won’t receive payment.” Baylor College of Medicine uses
fellowships in part to arm physicians- in-training with the leadership skills to cope with such pressures, says An-
42 TEXAS MEDICINE July 2015
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50 |
Page 51 |
Page 52 |
Page 53 |
Page 54 |
Page 55 |
Page 56 |
Page 57 |
Page 58 |
Page 59 |
Page 60 |
Page 61 |
Page 62 |
Page 63 |
Page 64 |
Page 65 |
Page 66 |
Page 67 |
Page 68