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Delaying the Fellowship Start Date in Obstetrics and Gynecology
Erika Banks1, Karen E George, George Doulaveris
1Department of Obstetrics and Gynecology, NYU Long Island School of Medicine, NYU, Langone - Long Island Campus, Mineola, New York; the Department of Obstetrics Gynecology and Reproductive Services, Robert Larner College of Medicine, University of Vermont, Burlington, Vermont; the Department of Obstetrics and Gynecology and Women's Health, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York; the Division of Gynecologic Oncology, Spectrum Health Cancer Center, Corewell Health, Grand Rapids, Michigan; the Division of Reproductive Endocrinology and Infertility, University of Cincinnati, Cincinnati, Ohio; and the American College of Obstetricians and Gynecologists, Washington, DC.
Objective:
To evaluate residents planning fellowship, their preferences for fellowship start date, and the acceptability of resultant gaps in pay and insurance coverage.
Methods:
A survey was conducted during the 2022 in-service training examination querying obstetrics and gynecology residents about their desire to pursue fellowship, their preferred fellowship start date (understanding the salary gap), and the acceptability of a medical insurance gap.
Results:
Survey analysis of respondents planning to pursue fellowship demonstrated that, acknowledging the pay gap that would occur, 93.9% preferred a fellowship start date after July 1, with the majority (65.1%, 593/911) preferring an August 1 fellowship start date. Most respondents (87.7%, 798/910) found the potential resultant gap in medical insurance coverage acceptable. Survey data showed that racial and ethnic identity was not a determining factor in either of these issues.
Conclusion:
The majority of current residents planning to pursue fellowship prefer a delayed fellowship start date, even if it means a gap in salary and insurance coverage. The results of this study, requested by a specialty-wide, consensus-building workgroup, informed a statement signed by the majority (88.9%) of workgroup constituents supporting an August 1 clinical fellowship start date.
