title: Challenges and opportunities in the application process for fellowship training in pathology: an independent survey of residents and fellows demonstrates limited interest in an NRMP-style matching program.
abstract: A survey completed by 366 pathology residents and fellows examined preferences for 3 fellowship application systems: keeping the current system, a National Resident Matching Program (NRMP)-style match, and a unified time line. All groups showed a strong preference for a time line, accounting for 62.1% of first choices vs the current system (17.3%) or a match (20.6%). When asked for a second choice after time line was ranked first, 60.5% of respondents whose fellowship of choice was available at their residency institution and 63.5% who had accepted fellowship positions at their residency institution preferred the current system; 51.4% whose fellowship of choice was not available at their residency institution and 50.6% of those who had accepted fellowship positions elsewhere preferred a match. Location and family/personal reasons were more important than subspecialty competitiveness and program prestige when accepting fellowship positions. Pressure to choose and apply early for fellowship persists and is greatest for anatomic pathology-only and clinical pathology-only residents.
authors.affiliation: Department of Pathology, University of Michigan Medical School, Ann Arbor, USA.
authors.forename: Kurt D
authors.initials: KD
authors.lastname: Bernacki
authors.forename: Barbara J
authors.initials: BJ
authors.lastname: McKenna
authors.forename: Jeffrey L
authors.initials: JL
authors.lastname: Myers
mesh_terms: D002321:Career Choice; D003625:Data Collection; D004503:Education, Medical, Graduate; D005257:Fellowships and Scholarships; D006801:Humans; D007396:Internship and Residency; D007586:Job Application; D010336:Pathology / Q000193:education*