“Make Me a Match”

Cheng, Steven; Pivert, Kurtis; Sozio, Stephen M.

doi:10.2215/cjn.04450422

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…c Recognizes that over the past 5 years, the number of graduates from osteopathic medical schools and US-IMGs (US citizens who graduated from medical schools outside the United States) who matched into nephrology fellowship positions has increased 16 c Acknowledges that IMGs are vital members of the physician workforce in the United States, particularly the nephrology workforce. 43 Currently, IMGs represent more than 25% of US physicians, 50% of US nephrologists, and 70% of fellows in US nephrology fellowship training programs 10,15,19,[44][45][46]48 c Embraces that following a 5-year transition, ACGME, AOA, and AACOM transitioned to a single accreditation system for graduate medical education in the United States on June 30, 2022 48 c Recognizes, however, that the United States lacks comprehensive policies to ○ Provide IMGs equal opportunities to reach their full potential.…”

Section: Limitationsmentioning

confidence: 99%

“…1,2,13,14 Unfortunately, the attractiveness of nephrology as a career reached its nadir during the past decade, manifesting as a decrease in applicants to nephrology fellowship training programs and a consequent increase in unfilled positions. [15][16][17] Despite the high rate of unfilled positions, the total number of nephrology fellows has not significantly decreased as fellowship programs fill vacant spots with applicants chosen in the post-Match scramble. The number of applicants to nephrology fellowship training programs and the number of matched candidates have started to increase slowly during the coronavirus 2019 (COVID-19) pandemic.…”

Section: Challenges In Nephrology Fellowship Educationmentioning

confidence: 99%

“…The number of applicants to nephrology fellowship training programs and the number of matched candidates have started to increase slowly during the coronavirus 2019 (COVID-19) pandemic. [15][16][17] In the most recent match for appointment year (AY) 2023, there was a 7% increase from previous year in candidates who matched into nephrology fellowship positions. 18 This modest growth provides some hope, but 58% (103 tracks) of the 178 nephrology training tracks offered in AY 2023 filled, with 73% of 493 positions offered being claimed on Match Day in this year's cycle.…”

Section: Challenges In Nephrology Fellowship Educationmentioning

confidence: 99%

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Reimagining Nephrology Fellowship Education to Meet the Future Needs of Nephrology

Rosenberg

Anderson

Farouk

et al. 2023

CJASN

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The American Society of Nephrology (ASN) Task Force on the Future of Nephrology was established in April 2022 in response to requests from the American Board of Internal Medicine and the Accreditation Council for Graduate Medical Education regarding training requirements in nephrology. Given recent changes in kidney care, ASN also charged the task force with reconsidering all aspects of the specialty's future to ensure that nephrologists are prepared to provide high-quality care for people with kidney diseases. The task force engaged multiple stakeholders to develop 10 recommendations focused on strategies needed to promote: (1) just, equitable, and high-quality care for people living with kidney diseases; (2) the value of nephrology as a specialty to nephrologists, the future nephrology workforce, the health care system, the public, and government; and (3) innovation and personalization of nephrology education across the scope of medical training. This report reviews the process, rationale, and details (the “why” and the “what”) of these recommendations. In the future, ASN will summarize the “how” of implementing the final report and its 10 recommendations.

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Section: Limitationsmentioning

confidence: 99%

Section: Challenges In Nephrology Fellowship Educationmentioning

confidence: 99%

Section: Challenges In Nephrology Fellowship Educationmentioning

confidence: 99%

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Reimagining Nephrology Fellowship Education to Meet the Future Needs of Nephrology

Rosenberg

Anderson

Farouk

et al. 2023

CJASN

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The Status of Kidney Transplant Fellowship in the United States: A Survey of Program Directors

Shah,

Potluri,

Bloom

et al. 2024

American Journal of Kidney Diseases

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Navigating Nephrology's Decline Through a GPT-4 Analysis of Internal Medicine Specialties in the United States: Qualitative Study

Miao,

Thongprayoon,

Garcia Valencia

et al. 2024

JMIR Med Educ

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Background The 2024 Nephrology fellowship match data show the declining interest in nephrology in the United States, with an 11% drop in candidates and a mere 66% (321/488) of positions filled. Objective The study aims to discern the factors influencing this trend using ChatGPT, a leading chatbot model, for insights into the comparative appeal of nephrology versus other internal medicine specialties. Methods Using the GPT-4 model, the study compared nephrology with 13 other internal medicine specialties, evaluating each on 7 criteria including intellectual complexity, work-life balance, procedural involvement, research opportunities, patient relationships, career demand, and financial compensation. Each criterion was assigned scores from 1 to 10, with the cumulative score determining the ranking. The approach included counteracting potential bias by instructing GPT-4 to favor other specialties over nephrology in reverse scenarios. Results GPT-4 ranked nephrology only above sleep medicine. While nephrology scored higher than hospice and palliative medicine, it fell short in key criteria such as work-life balance, patient relationships, and career demand. When examining the percentage of filled positions in the 2024 appointment year match, nephrology’s filled rate was 66%, only higher than the 45% (155/348) filled rate of geriatric medicine. Nephrology’s score decreased by 4%‐14% in 5 criteria including intellectual challenge and complexity, procedural involvement, career opportunity and demand, research and academic opportunities, and financial compensation. Conclusions ChatGPT does not favor nephrology over most internal medicine specialties, highlighting its diminishing appeal as a career choice. This trend raises significant concerns, especially considering the overall physician shortage, and prompts a reevaluation of factors affecting specialty choice among medical residents.

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“Make Me a Match”

Cited by 3 publications

References 8 publications

Reimagining Nephrology Fellowship Education to Meet the Future Needs of Nephrology

Reimagining Nephrology Fellowship Education to Meet the Future Needs of Nephrology

The Status of Kidney Transplant Fellowship in the United States: A Survey of Program Directors

Navigating Nephrology's Decline Through a GPT-4 Analysis of Internal Medicine Specialties in the United States: Qualitative Study

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