Geographic distribution of reproductive endocrinology and infertility (REI) fellowships in the United States.
OBJECTIVE
To examine in detail the geographic distribution of reproductive endocrinology and infertility (REI) fellowships in the United States.


METHODS
Ecological.


METHODS
University-based REI fellowship program.


METHODS
None.


METHODS
None.


METHODS
Number and location of REI fellowship positions.


RESULTS
A significant association was found between the number of REI fellowship positions and the number of categorical postgraduate year-1 (PGY-1) obstetrics and gynecology (OBGYN) residency positions within states. No association was observed among the land area, population, or population density within states. However, despite the fact that in the East, as in the United States overall, there was no association between population density and number of fellowships, West of the Mississippi River, as the population density increased, the number of REI fellowships increased linearly (test for heterogeneity = 0.007).


CONCLUSIONS
First-year REI fellowship positions in the United States are correlated with the number of categorical PGY-1 OBGYN residency positions within a state. The geographically uneven distribution of fellowship positions may limit the choices for OBGYN residents wishing to pursue further training in REI.
Abusief
Mary E
ME
Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts 02115, USA.
Missmer
Stacey A
SA
Barbieri
Robert L
RL
Jain
Tarun
T
Hornstein
Mark D
MD
D004704:Endocrinology / Q000193:education*; D005257:Fellowships and Scholarships; D006176:Gynecology / Q000193:education*; D006801:Humans; D007246:Infertility; D007396:Internship and Residency; D009774:Obstetrics / Q000193:education*; D012098:Reproduction; D014481:United States