- Joined
- Jun 14, 2004
- Messages
- 212
- Reaction score
- 98
You are incorrect.
It's the number of people being trained. NOT the number of graduates. The reason is that the ACGME won't allow there to be more trainees than there are "learning opportunities" available.
If a program had 2 fellows per year, that means they had enough cases and rotations available for just 2 people each year. When that fellowship got accredited, the ACGME came and inspected them and said they could meet the requirements to train 2 fellows per year. If a program had the ability to train 4 individuals in the department at any given time, why wouldn't they have had 4 fellows? It's very unlikely that a program has the capacity to train more people but chose not to. If a program had enough capacity for 4 fellows, they would have already petitioned the ACGME to increase their fellow complement to 4. A program that has 2 fellows will likely only be able to prove to the ACGME that they will have enough capacity to train 2 trainees at a time. In that case 1 PGY-5 and 1 PGY-6.
I know there will be exceptions. But I challenge you or anyone else to go through the database and see how many programs have fewer IR/DR positions compared with their traditional fellowship positions. Go ahead and see for yourself.
Moreover, many programs are applying for the independent residency just as a way to deal with the transition from fellowship to integrated residency. There will dozens of programs that are approved for independent residencies that DON'T use the spot. That's because when programs apply for independent/integrated programs they have to promise to the ACGME that they won't exceed the training complement in any given year. If they do, they'll be in violation.
If you don't believe me, ask you own local med school program director (if they have IR training programs) how it works.
It's the number of people being trained. NOT the number of graduates. The reason is that the ACGME won't allow there to be more trainees than there are "learning opportunities" available.
If a program had 2 fellows per year, that means they had enough cases and rotations available for just 2 people each year. When that fellowship got accredited, the ACGME came and inspected them and said they could meet the requirements to train 2 fellows per year. If a program had the ability to train 4 individuals in the department at any given time, why wouldn't they have had 4 fellows? It's very unlikely that a program has the capacity to train more people but chose not to. If a program had enough capacity for 4 fellows, they would have already petitioned the ACGME to increase their fellow complement to 4. A program that has 2 fellows will likely only be able to prove to the ACGME that they will have enough capacity to train 2 trainees at a time. In that case 1 PGY-5 and 1 PGY-6.
I know there will be exceptions. But I challenge you or anyone else to go through the database and see how many programs have fewer IR/DR positions compared with their traditional fellowship positions. Go ahead and see for yourself.
Moreover, many programs are applying for the independent residency just as a way to deal with the transition from fellowship to integrated residency. There will dozens of programs that are approved for independent residencies that DON'T use the spot. That's because when programs apply for independent/integrated programs they have to promise to the ACGME that they won't exceed the training complement in any given year. If they do, they'll be in violation.
If you don't believe me, ask you own local med school program director (if they have IR training programs) how it works.
Fab5Hill33 I also disagree with some of what you said. I think your mistake is in how you are counting "IR Trainees." What you should be counting is, how many IRs are being produced each year into the market. Right now it is that 250 number. That will continue in the future if not increase slightly.
The question is, how many IR pgy6 positions will there be six years from now? I guarantee you there will be at least 250, which in our case will be 120 integrated and at least 130 independent.
Sent from my iPhone using SDN mobile