Identification of Factors Associated with Hematology-Oncology Fellow Academic Success and Career Choice
Factors affecting hematology-oncology trainees’ academic success and career choices have not been well characterized. We performed a retrospective study of 57 hematology-oncology fellows trained at Mayo Clinic between 2008 and 2017 in an attempt to identify factors associated with success during fellowship and with career choice (academic versus private). Sex, age, residency quality, and letters of recommendation indicating a “top” applicant were not associated with hematology or oncology in-training examination (ITE) scores, research productivity (abstracts/publications during fellowship), or career choice (academic versus private). Fellows with higher United States Medical Licensing Examination (USMLE) scores were more likely to perform well on ITE, but examination scores did not predict academic productivity or academic versus private career choice. More academically productive fellows were more likely to choose academic careers. Both ITE scores and productivity were associated with receipt of national and/or institutional awards. Finally, fellows who were non-US citizens and/or international medical graduates (IMG) had higher academic productivity both pre-fellowship and during fellowship and as per the observations above were more likely to choose academic careers. In conclusion, predictors of superior knowledge differ from predictors of academic productivity/career choice, and it is important to take multiple factors into account when selecting candidates most likely to succeed during fellowship.
KeywordsHematology Oncology Fellowship Medical education Outcomes
- 1.Accreditation Council for Graduate Medical Education. ACGME program requirements for graduate medical education in hematology and Medical oncology. Available at: https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/155_hematology_oncology_2017-07-01.pdf?ver=2017-04-27-154137-833 Accessed 7/22/2018
- 3.Huang J, Patel S, Scruggs R, Levin D (2017) In pursuit of fellowship: results from a 2016 Survey of US Trainees. Curr Probl Diagn Radiol. https://doi.org/10.1067/j.cpradiol.2017.10.013
- 7.Armstrong A, Alvero R, Nielsen P, Deering S, Robinson R, Frattarelli J, Sarber K, Duff P, Ernest J (2007) Do U.S. medical licensure examination step 1 scores correlate with council on resident education in obstetrics and gynecology in-training examination scores and American board of obstetrics and gynecology written examination performance? Mil Med 172(6):640–643CrossRefGoogle Scholar
- 10.Collichio FA, Hess BJ, Muchmore EA, Duhigg L, Lipner RS, Haist S, Hawley JL, Morrison CA, Clayton CP, Raymond MJ, Kayoumi KM, Gitlin SD (2017) Medical knowledge assessment by hematology and medical oncology in-training examinations are better than program director assessments at predicting subspecialty certification examination performance. J Cancer Educ 32(3):647–654CrossRefGoogle Scholar
- 12.Leng SW, Opalek A. International Medical Graduates’ contributions to the United States health workforce. https://www.faimer.org/research/faimer-short-report-workforce.pdf Accessed 6/24/2018