Staffing Patterns of Non-ACGME Fellowships with 4-Year Residency Programs: A National Survey
Introduction: Emergency medicine (EM) is one of few specialties with variable training lengths. Hiring a three-year graduate to continue fellowship training in a department that supports a four-year residency program can lead to conflicts around resident supervision. We sought to understand hiring a...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
eScholarship Publishing, University of California
2024-02-01
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| Series: | Western Journal of Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/86k4r0w6 |
| _version_ | 1797215564452593664 |
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| author | David A. Haidar Laura R. Hopson Ryan V. Tucker Rob D. Huang Jessica Koehler Nik Theyyunni Nicole Klekowski Christopher M. Fung |
| author_facet | David A. Haidar Laura R. Hopson Ryan V. Tucker Rob D. Huang Jessica Koehler Nik Theyyunni Nicole Klekowski Christopher M. Fung |
| author_sort | David A. Haidar |
| collection | DOAJ |
| description | Introduction: Emergency medicine (EM) is one of few specialties with variable training lengths. Hiring a three-year graduate to continue fellowship training in a department that supports a four-year residency program can lead to conflicts around resident supervision. We sought to understand hiring and clinical supervision, or staffing, patterns of non-Accreditation Council for Graduate Medical Education (ACGME) fellowships hosted at institutions supporting four-year residency programs. Methods: We performed a web-based, cross-sectional survey of non-ACGME fellowship directors (FD) hosted at institutions supporting four-year EM residency programs. We calculated descriptive statistics. Our primary outcome was the proportion of programs with four-year EM residencies that hire non-ACGME fellows graduating from three-year EM residencies. Results: Of 119 eligible FDs, 88 (74%) completed the survey. Seventy FDs (80%) indicated that they hire graduates of three-year residencies. Fifty-six (80%) indicated that three-year graduates supervise residents. Most FDs (74%) indicated no additional requirements exist to supervise residents outside of being hired as faculty. The FDs cited department policy, concerns about quality and length of training, and resident complaints as reasons for not hiring three-year graduates. A majority (10/18, 56%) noted that not hiring fellows from three-year programs negatively impacts recruitment and gives them access to a smaller applicant pool. Conclusion: Most non-ACGME fellowships at institutions with four-year EM programs recruit three-year graduates and allow them to supervise residents. This survey provides programs information on how comparable fellowships recruit and staff their departments, which may inform policies that fit the needs of their learners, the fellowship, and the department. |
| first_indexed | 2024-04-24T11:32:04Z |
| format | Article |
| id | doaj.art-796adb8b30b34146bbc733043df96ee2 |
| institution | Directory Open Access Journal |
| issn | 1936-900X 1936-9018 |
| language | English |
| last_indexed | 2024-04-24T11:32:04Z |
| publishDate | 2024-02-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Western Journal of Emergency Medicine |
| spelling | doaj.art-796adb8b30b34146bbc733043df96ee22024-04-10T08:57:29ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-900X1936-90182024-02-0125217518010.5811/westjem.1845418454Staffing Patterns of Non-ACGME Fellowships with 4-Year Residency Programs: A National SurveyDavid A. Haidar0Laura R. Hopson1Ryan V. Tucker2Rob D. Huang3Jessica Koehler4Nik Theyyunni5Nicole Klekowski6Christopher M. Fung7University of Michigan, Department of Emergency Medicine, Ann Arbor, MichiganUniversity of Michigan, Department of Emergency Medicine, Ann Arbor, MichiganUniversity of Colorado, Department of Emergency Medicine, Aurora, ColoradoUniversity of Michigan, Department of Emergency Medicine, Ann Arbor, MichiganUniversity of Michigan, Department of Emergency Medicine, Ann Arbor, MichiganUniversity of Michigan, Department of Emergency Medicine, Ann Arbor, MichiganUniversity of Michigan, Department of Emergency Medicine, Ann Arbor, MichiganUniversity of Michigan, Department of Emergency Medicine, Ann Arbor, MichiganIntroduction: Emergency medicine (EM) is one of few specialties with variable training lengths. Hiring a three-year graduate to continue fellowship training in a department that supports a four-year residency program can lead to conflicts around resident supervision. We sought to understand hiring and clinical supervision, or staffing, patterns of non-Accreditation Council for Graduate Medical Education (ACGME) fellowships hosted at institutions supporting four-year residency programs. Methods: We performed a web-based, cross-sectional survey of non-ACGME fellowship directors (FD) hosted at institutions supporting four-year EM residency programs. We calculated descriptive statistics. Our primary outcome was the proportion of programs with four-year EM residencies that hire non-ACGME fellows graduating from three-year EM residencies. Results: Of 119 eligible FDs, 88 (74%) completed the survey. Seventy FDs (80%) indicated that they hire graduates of three-year residencies. Fifty-six (80%) indicated that three-year graduates supervise residents. Most FDs (74%) indicated no additional requirements exist to supervise residents outside of being hired as faculty. The FDs cited department policy, concerns about quality and length of training, and resident complaints as reasons for not hiring three-year graduates. A majority (10/18, 56%) noted that not hiring fellows from three-year programs negatively impacts recruitment and gives them access to a smaller applicant pool. Conclusion: Most non-ACGME fellowships at institutions with four-year EM programs recruit three-year graduates and allow them to supervise residents. This survey provides programs information on how comparable fellowships recruit and staff their departments, which may inform policies that fit the needs of their learners, the fellowship, and the department.https://escholarship.org/uc/item/86k4r0w6 |
| spellingShingle | David A. Haidar Laura R. Hopson Ryan V. Tucker Rob D. Huang Jessica Koehler Nik Theyyunni Nicole Klekowski Christopher M. Fung Staffing Patterns of Non-ACGME Fellowships with 4-Year Residency Programs: A National Survey Western Journal of Emergency Medicine |
| title | Staffing Patterns of Non-ACGME Fellowships with 4-Year Residency Programs: A National Survey |
| title_full | Staffing Patterns of Non-ACGME Fellowships with 4-Year Residency Programs: A National Survey |
| title_fullStr | Staffing Patterns of Non-ACGME Fellowships with 4-Year Residency Programs: A National Survey |
| title_full_unstemmed | Staffing Patterns of Non-ACGME Fellowships with 4-Year Residency Programs: A National Survey |
| title_short | Staffing Patterns of Non-ACGME Fellowships with 4-Year Residency Programs: A National Survey |
| title_sort | staffing patterns of non acgme fellowships with 4 year residency programs a national survey |
| url | https://escholarship.org/uc/item/86k4r0w6 |
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