PDF(Pubmed)
Abstract：
Background Some internal medicine (IM) residents pursuing subspecialty training choose short-term hospitalist employment prior to fellowship, or \"pre-fellowship hospitalist years.\" Residency and fellowship program directors (PDs) advise residents on this decision, but PD experience with fellows pursuing pre-fellowship hospitalist years and the impact on fellowship applications is unknown. Objective We aimed to explore perceptions of fellowship PDs regarding experience with fellows who pursued pre-fellowship hospitalist years, including perceived effects on how such years affect fellowship application candidacy. Methods A purposive sample of 20 fellowship PDs in the most highly competitive and commonly selected IM fellowships (cardiology, pulmonology/critical care medicine, hematology/oncology, gastroenterology) from 5 academic institutions were approached for participation in fall 2021. Interviews included semi-structured questions about pre-fellowship hospitalist employment. Utilizing rapid qualitative analysis, interview transcripts were summarized and reviewed to identify themes and subthemes describing fellowship PDs\' perspectives of pre-fellowship hospitalist years. Results Sixteen fellowship PDs (80%) participated. PDs identified 4 major themes as important for trainees considering pre-fellowship hospitalist years: (1) Explain the \"Why\"-why the year was pursued; (2) Characteristics of the Hospitalist Position-what type of employment; (3) The Challenges-potential concerns faced with pre-fellowship hospitalist years; and (4) Describe the \"What\"-the experience\'s contribution to resident professional development. Conclusions Fellowship PDs in 4 competitive IM subspecialities placed a strong emphasis on explaining a clear, logical reason for seeking short-term hospitalist employment prior to fellowship, describing how it fits into the overall career trajectory, and selecting activities that demonstrate continued commitment to the subspecialty.
摘要：
背景一些内科（IM）居民追求亚专科培训选择短期住院医师就业前的研究金，或“奖学金前住院医师年”。“居民和研究金计划主任(PDs)就这一决定向居民提供建议，但是PD与研究员追求研究金前住院医师的经验以及对研究金申请的影响尚不清楚。目的我们旨在探讨研究金PDs关于与追求研究金治疗前住院医师年的研究员的经验的看法，包括对这些年份如何影响奖学金申请候选人资格的感知影响。方法在竞争最激烈且通常选择的IM研究金（心脏病学，肺科/重症监护医学，血液学/肿瘤学，2021年秋季，来自5个学术机构的胃肠病学)被邀请参加。访谈包括有关奖学金前住院医师就业的半结构化问题。利用快速定性分析，对访谈笔录进行了总结和审查，以确定描述研究金前住院医师年研究金PDs观点的主题和子主题。结果16名研究员(80%)参加。PDs确定了4个主要主题，这些主题对于考虑研究金前住院医师年的学员很重要：（1）解释“为什么”-为什么追求这一年；（2）住院医师职位的特征-就业类型；（3）挑战-研究金前面临的潜在问题描述住院医师年；（4）“什么”-经验对住院医师专业发展的贡献。结论4个竞争性IM子专业的研究金PD非常重视解释一个明确的，在奖学金之前寻求短期住院医生工作的合乎逻辑的原因，描述它是如何适应整体职业轨迹的，并选择表现出对该分专业的持续承诺的活动。
