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Analysis of National Resident Matching Program for Radiology Fellowships: Factors Affecting Program Fill Rates
Amar S Shah1, Angela H Tulk1, Roman Shrestha1
1Mayo Clinic in Arizona, Phoenix, Arizona.
Summary
Larger diagnostic radiology (DR) fellowship programs with strong reputations and larger residency programs are more likely to fill their National Resident Matching Program (NRMP) quota. Program size and reputation significantly impact match success.
Area of Science:
- Medical Education
- Radiology Fellowship Matching
- Graduate Medical Education
Background:
- The National Resident Matching Program (NRMP) is crucial for diagnostic radiology (DR) subspecialty fellowship placement.
- Limited data exists on factors influencing fellowship match outcomes based on program characteristics.
- Understanding these factors is essential for optimizing fellowship recruitment and program filling.
Purpose of the Study:
- To investigate the relationship between diagnostic radiology fellowship program characteristics and their ability to fill NRMP quotas.
- To assess the impact of fellowship size, residency size, geographic location, and perceived program reputation on match success.
Main Methods:
- Analyzed public NRMP data (2004-2022) for DR, breast imaging, musculoskeletal imaging, interventional radiology, and neuroradiology fellowships.
- Characterized programs by geography, applicant-to-position ratios, and reputation (Aunt Minnie, Doximity, U.S. News & World Report rankings).
- Defined program 'filled' status as meeting its quota; used DR residency reputation for institutional fellowship reputation.
Main Results:
- Combined breast imaging, musculoskeletal imaging, and neuroradiology fellowships filled 78% of positions and 56% of programs.
- Higher program filling rates correlated significantly with prestigious affiliations (Doximity, Aunt Minnie, U.S. News & World Report).
- Larger DR residency quotas (>9) and fellowship quotas (≥3) were associated with increased likelihood of filling positions.
Conclusions:
- Diagnostic radiology fellowship programs with larger sizes and higher perceived reputations are more successful in filling their NRMP quota.
- The size and reputation of the parent DR residency program also positively influence fellowship match success.
- These findings highlight the importance of program scale and external validation in attracting matched applicants.
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