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Trends and factors associated with maternal-fetal medicine fellowship selection; How do selection criteria affect fellowship experience?

Trends and factors associated with maternal-fetal medicine fellowship selection; How do selection criteria affect fellowship experience?

American Journal of Obstetrics & Gynecology 184(1): S127, January

OBJECTIVE: The factors that influence the selection of a maternal-fetal medicine (MFM) fellowship are probably shared. Some factors may have changed with the recent changes to fellowship structure. Factors that influence selection may also affect fellowship experience. STUDY DESIGN: Surveys of MFM fellows were performed in 1996 and 2000. The surveys listed reasons for fellowship selection: location, research opportunities, academic reputation, faculty quality, interview, quality of the house staff, spectrum of pathology, patient volume, night call, and salary. Fellows were asked to rank the top 3 reasons for fellowship selection. Their selections were compared by year and then by the presence of a mentor, thesis completion, number of research projects, and fellowship satisfaction. Chi-square and the Kendall Tau measure of association were used. A P < .05 or a z-score < or > 1.96 was considered significant. RESULTS: Two hundred eight surveys were returned (136/138 in 1996 and 72/102 in 2000). Fellows in 2000 were significantly more likely to rank patient volume highly (P = .03). No other factor was significantly different between the years. Fellows were most likely to rank (1, 2, or 3) location (62.1%), academic reputation (51.5%), and research opportunities (44.3%). When research opportunities or faculty quality was important, fellows were more likely to identify a mentor and have more research projects. The fellows were more likely to be satisfied with their fellowship when faculty quality or patient volume was more important. When quality of house staff or night call was ranked highly, the fellow was more likely to pursue a postgraduate degree. CONCLUSIONS: Patient volume is becoming more important in fellowship selection. Reasons for fellowship selection, such as research opportunities, faculty reputation, quality of house staff, and night call appear to affect fellow experience.

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