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Residency and fellowship training in radiology: survey of all United States programs
1Department of Radiology, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC 27157-1088, USA.
Rationale And Objectives:
We surveyed radiology training programs to determine current requirements for a clinical internship year, recent changes in the clinical internship requirement, current number of residents, percentage of residents with preradiology clinical experience, number of current first-year fellows, and percentage of residents entering fellowships.
Methods:
Survey forms were sent to all 208 U.S. diagnostic radiology programs and were followed up by telephone and facsimile transmission.
Results:
Survey response rate was 100%. One hundred programs (48%) require an internship, whereas 108 programs (52%) do not. Of programs without a clinical internship requirement, 33 (31%) have eliminated this requirement within the last 5 years. The clinical year requirement varied greatly by region. A total of 3983 residents are training at present, and 29% did not complete a clinical internship. Currently, 650 fellows are in training. Approximately 68% of graduating residents are entering fellowships.
Conclusions:
Many residency programs have recently discontinued the clinical internship year requirement. Changes in Medicare reimbursement of resident salaries may be one factor promoting this change. During the past 4 years, the number of radiology residents training per year has increased. The percentage of residents entering radiology without an internship year has increased by 6% during the past 4 years. An increasing number of graduating residents are entering fellowships.
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