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Updated: Jul 24, 2025

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Factors Influencing Fellowship Training Among Ophthalmology Residents: A Pilot Study.

Craig N Czyz1,2, Rahul Kashyap3,4, Laura L Wayman4,5

  • 1Division of Ophthalmology, Section Oculofacial Plastic and Reconstructive Surgery, Ohio University/OhioHealth Doctor's Hospital, Columbus, OH.

HCA Healthcare Journal of Medicine
|July 10, 2023
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Summary

Most ophthalmology residents pursue fellowship training for advanced clinical and surgical skills. This desire is common even among those intending to practice comprehensive ophthalmology.

Keywords:
fellowship traininggraduate medical educationinternship and residencyophthalmologysurgical specialtiessurvey

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Area of Science:

  • Ophthalmology
  • Medical Education
  • Surgical Training

Background:

  • Increasing number of ophthalmology fellowship programs and applicants.
  • Lack of recent studies on factors influencing fellowship decisions among residents.

Purpose of the Study:

  • Examine factors influencing ophthalmology residents' decisions to pursue subspecialty fellowship training.
  • Identify key drivers and perceived ease of obtaining fellowship positions compared to residency.

Main Methods:

  • Anonymous 16-item survey distributed to residents and interns.
  • Convenience sample from 9 distinct ophthalmology residency programs.

Main Results:

  • 82% of respondents applied or will apply for fellowship.
  • Desire for advanced clinical and surgical training cited as primary factors.
  • Fellowship perceived as easier to obtain than residency; 49% still desire comprehensive practice.
  • No association found between gender/race and fellowship application; no respondents desired rural practice.

Conclusions:

  • Identified essential factors influencing current residents' pursuit of fellowship training.
  • Highlighted potential trends in residents' training views and desired practice patterns.
  • Provided basis for improving data collection for future longitudinal studies on ophthalmology training.