Adoption of a Uniform Start Date for Internal Medicine Fellowships and Other Advanced Training: An AAIM White Paper

Barrett, James; Alweis, Richard; Frank, Michael; O’Connor, Alec B.; McConville, John F.; Adams, Nancy D.; Arfons, Lisa; Bernard, Sheilah; Bradley, Thomas Gerard; Buckley, John D.; Cohen, Ellen; O’Sullivan, Patricia; Elkins, S.; Kopelman, Richard I.; Luther, Vera; Petrusky, Jiselle; McNeill, Diana; Omar, Bassam; Palapiano, Nancy; Roth, Teresa; Satko, Scott G.; Fried, Ethan D.; Muchmore, Elaine A.

doi:10.1016/j.amjmed.2015.05.024

Cited by 4 publications

(4 citation statements)

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“…There is no policy that prevents the resident from starting a fellowship later than the rest of the fellowship class. 33 Finally, there is the added challenge of meeting all the needs for a trainee and a program if the trainee has more than one leave during the training cycle. Recognizing that physical recovery from childbirth can be significant and circumstances vary, policies need to be flexible enough to accommodate individual trainee needs while balancing the practical challenges of workforce needs, attainment of competencies, and financial support.…”

Section: Challenges To Providing a Unified Policymentioning

confidence: 99%

Parental Leave in Graduate Medical Education: Recommendations for Reform

Vassallo

Jeremiah

Leanne

et al. 2019

The American Journal of Medicine

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AAIM is the largest academically focused specialty organization representing departments of internal medicine at medical schools and teaching hospitals in the United States and Canada. As a consortium of five organizations, AAIM represents department chairs and chiefs; clerkship, residency, and fellowship program directors; division chiefs; and academic and business administrators as well as other faculty and staff in departments of internal medicine and their divisions.

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Section: Challenges To Providing a Unified Policymentioning

confidence: 99%

Parental Leave in Graduate Medical Education: Recommendations for Reform

Vassallo

Jeremiah

Leanne

et al. 2019

The American Journal of Medicine

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“…The opinions of fellows in our research and residents in prior publications are supported by statements of multiple medical organizations. The American Board of Surgery, the Council of Pediatric Subspecialties, and the Alliance for Academic Internal Medicine have independently advocated for delaying fellowship start dates [6][7][8]. Additionally, In 2019 Milburn et al surveyed 240 members of the Association of Program Directors in Radiology (APDR), with 64% of respondents communicating that this difficult transition period between residency and fellowship caused staffing issues and 78% supporting a delay in the start of radiology fellowships.…”

Section: Discussionmentioning

confidence: 99%

“…A commonly cited reason for delaying fellowship start dates has been to maintain trainee well-being and mental health at a stressful time in their professional development. [1][2][3][4][5]8] This is certainly a valid reason given that many trainees completing residency continue to fulfill professional responsibilities including overnight call coverage and meeting competency-based medical education curriculum criteria. [9] Data from our survey echoes these findings with 11.7% of EU fellows and 8.1% of PU fellows experiencing a delay that they qualified as "Very Stressful".…”

Section: Discussionmentioning

confidence: 99%

“…[6,7] Similarly, in 2015 the Alliance for Academic Internal Medicine made a similar recommendation. [8] The majority of Urology fellowships are still scheduled to begin on July 1 st , and there has been no investigation into the practical implications of fellowship delays in Urology from a trainee perspective. Our research study aims to investigate the incidence and predictors of delays in fellowship starts.…”

Section: Introductionmentioning

confidence: 99%

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Incidence and predictors of delays in commencing fellowship training in urology

Lavoie,

Dean,

et al. 2024

CUAJ

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Introduction: The completion of residency and start of fellowship training marks a critical transition for urologists in the pursuit of subspeciality training. Most graduating urology residents are under contract until June 30, and the majority of fellowships are scheduled to begin on July 1. There has been no investigation into the practical implications of fellowship delays in urology from a trainee perspective. Our research study aims to investigate the incidence and predictors of delays in fellowship starts. Methods: Pediatric urology fellows that began their fellowship training from 2019–2023 and endourologic fellows that began their fellowship training from 2017–2022 were surveyed using SurveyMonkey®. A total of 250 endourology (EU) fellows and 90 pediatric urology (PU) fellows were contacted. Results: A total of 26.0% and 14.3% of EU and PU fellows, respectively, experienced a delay in their training, despite many leaving their residency positions early (33.8% vs. 44.9%, p=0.2097); 11.7% and 8.2% of EU and PU fellows, respectively, experienced delays they reported to be “very stressful” and 9.1% and 4.1%, respectively, found them “somewhat stressful. Delays of 2–4 weeks were experienced by 5.2% and 6.1%, 4–6-week delays by 7.8% and 4.1%, and delays >6 weeks by 2.6% and 0% of EU and PU fellows, respectively (p=0.0007). Conclusions: Delays in fellowship training do occur at a notable rate, despite nearly half of urology fellows leaving their residency training positions early, with unclear impacts on patient care and resident colleague well-being. This research highlights the importance of fellowship programs considering delaying fellowship starts to mid-July or August, with support of the prior fellow cohorts.

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