title: Double Fellowships in Radiology: A Survey of 2014 Graduating Fellows.
abstract: OBJECTIVE
  Radiology fellowship training has evolved from being an uncommon option to being a near requisite for post-training employment in the United States. A subset of fellows elect to pursue second fellowships with potentially substantial implications on both the private sector and academic radiology workforce. The purpose of this study was to assess the proportion of current radiology fellows pursuing multiple years of post-residency fellowship training.
  
  
  METHODS
  After obtaining IRB approval, an anonymous web-based survey was emailed to 1,269 radiology fellows listed as "completing fellowship" in the American College of Radiology database in June 2014. Questions were asked regarding current fellowship training, post-fellowship employment plans, and individual experience pursuing employment. Results were analyzed using the survey analytical software.
  
  
  RESULTS
  There were 219 responses received, representing a 17.3% response rate. Ten-percent of respondents were currently completing their second radiology fellowship. Of those completing their first year of fellowship training, 11% indicated plans to complete a second radiology fellowship.
  
  
  CONCLUSIONS
  This survey provides a snapshot of the percentage of radiology trainees who pursue a second year of fellowship training, currently in the range of 10%. Pursuing a second radiology fellowship may represent a safety net to a substantial subset of fellows who are not able to obtain satisfactory employment following training. Academic programs who rely heavily on fellows should be aware of the proportion of fellows pursuing two fellowships and should be prepared to adapt should this change over time.
authors.affiliation: School of Medicine, University of Colorado, Aurora, CO. Electronic address: Thomas.Wong@ucdenver.edu.
authors.forename: Thomas Y
authors.initials: TY
authors.lastname: Wong
authors.affiliation: Advanced Radiology Services, Grand Rapids, MI; Division of Radiology and Biomedical Imaging, College of Human Medicine, Michigan State University, Grand Rapids, MI.
authors.forename: Andrew
authors.initials: A
authors.lastname: Moriarity
authors.affiliation: Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
authors.forename: Neil
authors.initials: N
authors.lastname: Lall
authors.affiliation: Department of Radiology, Winthrop-University Hospital, Mineola, NY.
authors.forename: Jason C
authors.initials: JC
authors.lastname: Hoffmann
authors.affiliation: Department of Musculoskeletal Radiology, University of Colorado, Aurora, CO.
authors.forename: Douglas S
authors.initials: DS
authors.lastname: Katz
authors.affiliation: Department of Musculoskeletal Radiology, University of Colorado, Aurora, CO.
authors.forename: Jonathan A
authors.initials: JA
authors.lastname: Flug
mesh_terms: D002321:Career Choice; D004651:Employment / Q000523:psychology; D005257:Fellowships and Scholarships; D006801:Humans; D007396:Internship and Residency; D011871:Radiology / Q000193:education*; D011795:Surveys and Questionnaires; D014481:United States